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.

Friday, October 31, 2025

Impact of Frailty on Rehabilitation Exercise Adherence in Patients with Ischemic Stroke

Your competent? doctor has had years to come up with a protocol to prevent frailty post stroke. And to get survivors recovered even if they were frail before.

Did that occur? NO? So, you don't have a functioning stroke doctor or hospital, do you? RUN AWAY!

  • frailty (28 posts to January 2018)

    •  Impact of Frailty on Rehabilitation Exercise Adherence in Patients with Ischemic Stroke

    Qingwen  LongQingwen Long1,2Li  WuLi Wu1Yongli  LiYongli Li2Yi  WuYi Wu1,2,3*
    1 Affiliated Hospital of North Sichuan Medical College, Nanchong, China
    2 north sichuan medical college, Nanchong, China
    3 Guang'an District People's Hospital of Guang'an City, Guang'an, China

    Objectives To identify the threshold effect of frailty on rehabilitation exercise adherence in patients with ischemic stroke. Methods The study included 307 patients diagnosed with ischemic stroke who were given a questionnaire comprising a general information form, the Rehabilitation Adherence Assessment Scale, and the Frailty Assessment Scale. Univariate and multivariable linear regression were employed to determine factors influencing rehabilitation exercise adherence. Subsequently, restricted cubic splines were utilized to fit a smooth curve and detect potential threshold effects. Results The average score for the rehabilitation exercise adherence index was (54.83 ± 9.32), while the average frailty score was (4.59 ± 2.14). Through univariate analysis, it was found that gender, marital status, living arrangement, household registration type, number of medications, and level of independence are factors influencing rehabilitation exercise adherence. Restricted cubic spline analysis revealed a non-linear relationship between frailty and rehabilitation exercise adherence. The association between frailty score and rehabilitation exercise adherence was found to be insignificant when the score was ≤ 3.98. Conversely, exceeding this threshold revealed a significant decline in the adherence index, with each additional frailty point correlating with a 2.56-point decrease (P < 0.001). Conclusions Rehabilitation exercise adherence is moderate among patients with ischemic stroke, while the prevalence of frailty is notably high. A frailty score above 3.98 might serve as an early indicator of its impact on adherence. Accordingly, rehabilitation programs need to be adjusted to accommodate disease characteristics and sociodemographic factors. Keywords Frailty, rehabilitation exercise, adherence, ischemic stroke, threshold effect analysis

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