Deans' stroke musings: Step number and aerobic minute exercise prescription and progression in stroke: A roadmap

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.

Wednesday, June 1, 2022

Step number and aerobic minute exercise prescription and progression in stroke: A roadmap

All this useless information published and you didn't write a protocol on it. Why the hell are you in stroke research anyway?

Step number and aerobic minute exercise prescription and progression in stroke: A roadmap

Neurorehabilitation and Neural Repair (NNR) , Volume 36(2) , Pgs. 97-102.

NARIC Accession Number: J88557. What's this?
ISSN: 1545-9683.
Author(s): Peters, Sue; Klassen, Tara; Schneeberg, Amy; Dukelow, Sean; Bayley, Mark; Hill, Michael; Pooyania, Sepideh; Yao, Jennifer; Eng, Janice .
Publication Year: 2022.
Number of Pages: 6.

Abstract:

This study modeled data from a successful higher intensity multi-site randomized clinical trial to develop targets for prescribing and progressing exercise for varying levels of walking impairment after stroke. In 25 individuals in inpatient rehabilitation, 20 sessions were monitored for a total of 500 one-hour physical therapy sessions. For the 500 sessions, step number and aerobic minute progression were modeled using linear mixed-effects regression. Using formulas from the linear mixed-effects regression, targets were calculated. The model for step number included session number and baseline walking speed, and the model for aerobic minutes included session number and age. For steps, there was an increase of 73 steps per session. With baseline walking speed, for every 0.1 meter per second increase, a corresponding increase of 302 steps was predicted. For aerobic minutes, there was an increase of .56 minutes of aerobic activity (34 seconds) per session. For every year increase in age, a decrease of .39 minutes (23 seconds) was predicted. Using data associated with better walking outcomes, this study provided step number and aerobic minute targets that future studies can cross-validate. As walking speed and age are collected at admission, these models allow for uptake of routine measurement of therapeutic intensity.
Descriptor Terms: AMBULATION, EXERCISE, MODELING, OUTCOMES, PREDICTION, REHABILITATION, STROKE.