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.

Tuesday, September 27, 2022

Assessment for cardiovascular fitness in patients with stroke: Which cardiopulmonary exercise testing method is better?

Damned useless assessments again rather than protocols that deliver recovery. 

I was never tested for cardiovascular fitness while in hospital.

3 years post stroke at a physical I had a resting heart rate of 54 at age 53, level of an athlete. My doctor asked what exercises I was doing, 'I've done no exercises for the past 3 years'.

Assessment for cardiovascular fitness in patients with stroke: Which cardiopulmonary exercise testing method is better?

Topics in Stroke Rehabilitation , Volume 29(5) , Pgs. 347-355.

NARIC Accession Number: J89490.  What's this?
ISSN: 1074-9357.
Author(s): Mustafa, Esra; Aytür, Yesim K..
Publication Year: 2022.
Number of Pages: 9.
Abstract: Study determined the most appropriate cardiopulmonary exercise testing (CPET) in patients with stroke and examined the relationship between cardiorespiratory fitness and functional status of the patients. Carefully selected CPET can be safely used to determine the risk of cardiovascular disease and to prescribe exercise program in stroke rehabilitation. Two CPETs using treadmill and bicycle ergometer protocols were performed on 43 patients. In addition, 22 healthy age- and gender-matched subjects (controls) were included in the study to compare CPET and pulmonary function test parameters. The main outcome measure was peak oxygen consumption (VO2peak). Patients were also evaluated according to Brunnstrom motor staging, Modified Ashworth Scale, Berg Balance Scale, and Functional Independence Measure. In total, 38 patients reached higher VO2peak values with the treadmill test compared to the bicycle test. The mean VO2peak reached at treadmill CPET was 62 percent of the control group where mean VO2peak reached at bicycle was 76 percent of the control group. No significant correlation was found between Brunnstrom staging, spasticity, Berg Balance Scale, and VO2peak. The results indicate that CPET can be performed safely in stroke patients when appropriate protocol was selected, and that treadmill was more appropriate to determine cardiorespiratory fitness in this study population. The prevailing research themes demonstrated the growing utility of artificial intelligence algorithms for stroke evaluation.
Descriptor Terms: CARDIOPULMONARY FUNCTION, CARDIOVASCULAR FUNCTION, EVALUATION TECHNIQUES, EXERCISE, LITERATURE REVIEWS, REHABILITATION SERVICES, STROKE, TESTS.


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

Citation: Mustafa, Esra, Aytür, Yesim K.. (2022). Assessment for cardiovascular fitness in patients with stroke: Which cardiopulmonary exercise testing method is better?.  Topics in Stroke Rehabilitation , 29(5), Pgs. 347-355. Retrieved 9/27/2022, from REHABDATA database.

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