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.

Thursday, October 9, 2025

The association of cognitive functions with functional outcomes during post-stroke recovery: A cross-sectional study

 Described a problem; DID NOTHING TO SOLVE THAT PROBLEM! You're fired! Doing research just to get published doesn't help survivors on bit, all this was known from much earlier research.

The association of cognitive functions with functional outcomes during post-stroke recovery: A cross-sectional study


https://doi.org/10.1016/j.jocn.2025.111667Get rights and content

Highlights

  • •
    Post-stroke cognitive impairment is highly prevalent, affecting 70.1% of survivors at one year post-stroke.
  • •
    Global cognitive function is strongly associated with balance, mobility, and functional independence in daily activities.
  • •
    Executive function is significantly linked to balance, while attention was associated with independence in basic ADLs.

Abstract

Background

Stroke is a major cause of disability and death worldwide, with survivors often facing long-term cognitive and physical impairments that hinder their balance, mobility and functional independence. Post-stroke cognitive impairments (PSCI) can severely affect the functional outcomes. This study aimed to evaluate the association of cognitive functions with balance, mobility, and functional independence in stroke survivors in Sri Lanka.

Methods

A cross-sectional study was conducted at the National Hospital of Sri Lanka from March 2024 to February 2025, involving stroke survivors aged 40 years and above, in the 3–12 months post-stroke period. Cognitive function was assessed with Montreal Cognitive Assessment (MoCA), while balance, mobility and functional independence in basic and instrumental activities of daily living (ADL) were assessed with the Four-Stage Balance Test (FSBT), Timed Up and Go (TUG) test, Barthel Index (BI), and Lawton IADL scale, respectively. Multivariate multiple linear regression was used to identify the predictive ability of cognitive functions on other functional outcome measures in SPSS version 23 software.

Results

One hundred and seventeen stroke survivors (male; n = 75, female; n = 42), with a mean (SD) age of 60.4 (7.32) years, participated in the study. The prevalence of PSCI, rated at 70.1 % with 39 %, 30 % and 1.1 % of the cohort demonstrating mild, moderate and severe cognitive impairment, respectively. Improved global cognitive function was significantly associated with (p < 0.01) all functional outcomes, with basic ADL independence having the highest effect size (η2p = 0.257), followed by instrumental ADL independence (η2p = 0.193), improved mobility (η2p = 0.077) and balance performance (η2p = 0.056). According to the domain-specific analysis, attention component is an indicator for basic ADL independence (β = 0.303, p = 0.005) while executive functions are associated with balance abilities (β = 0.439, p = 0.001).

Conclusions

Results confirm that cognitive functions following stroke is a significant associated factor for balance, mobility and functional independence in ADLs. These findings underscore the importance of incorporating targeted cognitive rehabilitation into the ongoing physical rehabilitation, optimising functional recovery and independence.

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