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.

Sunday, December 22, 2024

Effects of Physiotherapy Interventions for Poststroke Fatigue: A Systematic Review

 NOTHING ON PREVENTING OR ACTUALLY CURING FATIGUE! Well, then, do some actual research that solves that fucking problem! You'll want it when you are the 1 in 4 per WHO that has a stroke! This was absolutely useless! You're fired!

Effects of Physiotherapy Interventions for Poststroke Fatigue: A Systematic Review

Wafa Alahmari, PhD https://orcid.org/0000-0002-3484-2949, Ahmed Alhowimel, PhD https://orcid.org/0000-0002-2936-7581, Mazyad Alotaibi, PhD https://orcid.org/0000-0003-2854-4176, Afrah Almuwais, PhD https://orcid.org/0000-0002-2774-868X, Samiah Alqabbani, PhD https://orcid.org/0000-0003-4495-5047, and Madawi Alotaibi, PhD https://orcid.org/0009-0006-9507-4142 mahalotaibi@pnu.edu.saAuthor Info & Affiliations
Stroke
Volume 56, Number 1
https://doi.org/10.1161/STROKEAHA.123.046064

    • Abstract

    BACKGROUND:

    Poststroke fatigue affects half of global patients with stroke, causing early exhaustion, weariness, and dependence. Physiotherapy interventions like exercise and aerobic training are recommended to alleviate symptoms, but their effectiveness is not well supported. This review evaluates physiotherapy’s effectiveness in treating poststroke fatigue in adults.

    METHODS:

    We conducted a systematic review using a comprehensive search across multiple databases, including ClinicalTrials.gov, PubMed, PEDro, CINAHL, Embase, Cochrane Library, MEDLINE, and WHO ICTRP. We searched for English-language articles using various keywords, without any restrictions on date, document type, or publication status, and included only randomized controlled trials. After removing duplicates through EndNote X7, 2 independent reviewers screened and reviewed the remaining articles. The Cochrane Risk of Bias Tool was applied to assess the quality of included studies.

    RESULTS:

    A total of 712 articles were reviewed, and after removing duplicates, 450 articles were left, then only 34 articles passed the title screening and 29 were excluded due to various reasons. Therefore, only 4 randomized controlled trials were found relevant after screening out 416 irrelevant ones. The average percentage of participants across all 4 randomized controlled trials was 44.65% men and 55.35% women, with an average age of 59.1 years. The review assessed a range of physiotherapy treatments, such as caregiver-mediated exercise with e-health support, graded activity training with cognitive therapy, and circuit training exercises. Graded activity training with cognitive therapy approach has effectively reduced poststroke fatigue (P<0.001) and improved endurance levels (ηp2=0.20; P<0.001). On the contrary, circuit training is not effective. Caregiver-mediated exercises and e-health supported exercises have been shown to impact functional recovery positively.

    CONCLUSIONS:

    Among all the studies evaluated, only 1 intervention, the graded activity training with cognitive therapy, significantly reduced fatigue after stroke. However, more research is needed to study the effect of physiotherapy interventions.

    REGISTRATION:

    URL: https://www.crd.york.ac.uk/PROSPERO/; Unique identifier: CRD42017075196.

    Graphical Abstract

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