When the hell are you people going to actually deliver EXACT RECOVERY PROTOCOLS? Instead of this crapola of predicting failure to recover?
FUNCTIONAL MAGNETIC RESONANCE IMAGING (FMRI) AS A PREDICTIVE TOOL FOR REHABILITATION OUTCOMES IN STROKE PATIENTS
Abstract
BACKGROUND:
Functional magnetic resonance imaging (fMRI) is a non-invasive technique providing valuable insights into brain activity. Its application in stroke rehabilitation is emerging as a potential tool for predicting recovery outcomes.
OBJECTIVE:
This study aimed to explore the predictive capacity of baseline fMRI brain activation patterns on rehabilitation outcomes in stroke patients.
METHODS:
With 150 stroke patients, we conducted a prospective cohort research to examine the correlation between baseline fMRI results and 6-month rehabilitation outcomes. The modified Rankin Scale (mRS) and the National Institutes of Health Stroke Scale (NIHSS) were used as outcome indicators.
RESULTS:
Our findings revealed that the degree of brain activation within motor-related regions at baseline significantly correlated with functional improvement after six months. Both NIHSS score (R^2 = 0.45, p<0.001) and mRS score (R^2 = 0.38, p<0.001) were strongly associated with baseline fMRI data.
CONCLUSION:
Our results suggest that baseline fMRI brain activation patterns can predict rehabilitation outcomes in stroke patients, providing a promising direction for individualizing stroke rehabilitation strategies.
It strikes me that using FMRi to predict the outcome of rehabilitation of a stroke victim, will simply mean that those who suffered a major stroke will be 'parked" whilst those who only had a small area of damage will receive the most treatment. Well it will make the doctors and hospitals look good when their treated patients all seem to recover well, but those of us who suffered a major stroke can look forward to a 'life" in a nursing home, or confined to the back room of a daughter's house if they are released. I suffered a "Major" stroke. I now live alone in my own house, I drive, do my own shopping, manage my own appointments & finances, in other words I can survive in the outside world. only because I received fairly intensive physio when I was in rehab, but if they had weighed up my chances of a full recovery then it is quite likely I would have been left in a hospital bed for several months, then transferred to a nursing home to spend the next 40 years.
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