Deans' stroke musings: Functional Status and Rehabilitation Barriers in Adults of Working Age After Stroke:

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, March 1, 2026

Functional Status and Rehabilitation Barriers in Adults of Working Age After Stroke:

The only barrier is the COMPLETE FUCKING LACK OF 100% RECOVERY PROTOCOLS!

Can't figure that out; you're fucking hopeless as a stroke researcher!

Functional Status and Rehabilitation Barriers in Adults of Working Age After Stroke:

Paulo Cesar Lima Andrelino University Center Augusto Motta Erika Rodrigues D’Or Institute for Research and Education Laura Alice Santos Oliveira University Center Augusto Motta Arthur Sá Ferreira University Center Augusto Motta Research Article

Keywords: Stroke, Post-stroke rehabilitation, Treatment adherence, Socioeconomic barriers, Functionality Posted Date: February 23rd, 2026 DOI: https://doi.org/10.21203/rs.3.rs-8920372/v1 License:   This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Additional Declarations: No competing interests reported

Abstract

Purpose

To describe functional status in working-age stroke survivors and examine its associations with perceived rehabilitation barriers.

Methods

In this cross-sectional study, 59 working-age stroke survivors were recruited from post-stroke rehabilitation clinics. Median age was 48 years (IQR 44–54), and 54% were male. Standardized assessments included the National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), modified Barthel Index (mBI), Stroke Impact Scale (SIS), and Cardiac Rehabilitation Barriers Scale (CRBS).

Results

Participants demonstrated mild to moderate neurological impairment and moderate functional limitations, particularly in motor domains, with reduced independence in daily activities. Functional independence (mBI) was moderately to strongly correlated with SIS mobility (ρ = 0.57; 95% CI 0.36–0.72) and ADL/IADL domains (ρ = 0.48; 95% CI 0.25–0.65). Perceived rehabilitation barriers were most prominent in domains related to perceived needs and access, with strong interrelationships among contextual and personal barrier domains. Direct associations between barrier scores and functional measures were limited.

Conclusions

Adults of working age recovering from stroke experience substantial functional challenges. Perceived rehabilitation barriers cluster mainly around contextual and personal factors rather than directly reflecting functional severity. Integrated, person-centered rehabilitation models are required to address both clinical recovery and broader socioeconomic determinants to optimize reintegration and participation.