Deans' stroke musings: Cognitive predictors of a performance-based measure of instrumental activities of daily living following stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, October 23, 2021

Cognitive predictors of a performance-based measure of instrumental activities of daily living following stroke

What the fuck good does this prediction do for getting survivors recovered? Survivors don't want predictions of failure to recover. you tell them EXACT STROKE PROTOCOLS LEADING TO 100% RECOVERY. Anything less is useless.

Cognitive predictors of a performance-based measure of instrumental activities of daily living following stroke

Topics in Stroke Rehabilitation , Volume 28(6) , Pgs. 401-409.

NARIC Accession Number: J87252. What's this?
ISSN: 1074-9357.
Author(s): Tiznado, Denisse ; Clark, Jillian M. R. ; McDowd, Joan.
Publication Year: 2021.
Number of Pages: 9.

Abstract:

Study investigated the relationship between objectively measured cognitive domains/executive functions and performance on an objective measure of instrumental activities of daily living (IADLs) following a stroke. Fifty-two stroke survivors completed assessments of immediate memory; visuospatial/constructional skills; language; attention; delayed memory; executive functions (i.e., inhibition and flexibility, concept-formation and problem-solving, abstract thinking, deductive thinking, and verbal abstraction); and a performance-based measure of IADLs (UCSD Performance-based Skills Assessment [UPSA]). The results indicated significant correlations between the UPSA and immediate memory, visuospatial/constructional skills, language, delayed memory, and executive functions (i.e., concept formation and problem-solving, flexibility of thinking, and verbal abstraction). A hierarchical multiple regression, controlling for age, severity of stroke, side of stroke, and depressive symptoms and including the cognitive measures individually significantly associated with the UPSA, explained approximately 62 percent of the variance in overall UPSA performance. This regression demonstrated that only language significantly predicted UPSA total score, in the context of multiple variables. Cognitive functioning is significantly associated with IADL functioning post-stroke and considering multiple domains of cognitive functioning together largely explains the performance of IADLs.
Descriptor Terms: COGNITION, DAILY LIVING, FUNCTIONAL EVALUATION, PREDICTION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Tiznado, Denisse , Clark, Jillian M. R. , McDowd, Joan. (2021). Cognitive predictors of a performance-based measure of instrumental activitiesof daily living following stroke. Topics in Stroke Rehabilitation , 28(6), Pgs. 401-409. Retrieved 10/23/2021, from REHABDATA database.