Chronic Hemiparetic Subjects with Higher Physical Activity Levels Report Better Quality of Life

DUH! Are you really sure about that?
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=I243550&phrase=no&rec=243550&article_source=CIRRIE&international=1&international_language=&international_location= 
 Hemiparéticos crônicos com maiores níveis de atividade física reportam melhor qualidade de vida.  Revista Neurociências , Volume 22(2) , Pgs. 221-226.

NARIC Accession Number: I243550.  What's this?
Author(s): Janaine Cunha Polese; Marina de Barros Pinheiro; Gustavo de Carvalho Machado.
Publication Year: 2014.
Abstract: The purpose of this study was to compare the health-related quality of life (HRQoL) in patients with chronic stroke with various levels of physical activity. Physical activity was assessed by the Human Activity Profile (HAP), and patients were stratified into three groups: active, moderately active, and inactive. HRQoL was assessed by the Nottingham Health Profile (NHP). Analysis of Variance with post-hoc least significant difference was used to compare the HRQoL life among the three groups. A total of 98 chronic stroke patients were included (54% men), 56±12 years old and 64±53 months post-stroke, of whom 26 were classified as inactive, 55 as moderately active and 17 as active. A significant difference was observed in HRQoL between the three groups of physical activity (F =17.8 , p<0.01), with active groups showing better perceived HRQoL. A significant difference between the three categories of physical activity levels for all domains of HRQOL was observed: energy level (F=4.21, p=0.02 ), pain (F=9.13, p<0,01 ), emotional reactions (F=5.51, p<0.01), sleep quality (F=3.21, p=0.04), social interaction (F=4.42 , p=0.01) and physical skills (F=36.97, p<0.01). Overall, active chronic stroke showed better perceived HRQoL, and thus the level of physical activity should be considered in approaches that aim to improve HRQOL in this population.
Descriptor Terms: Physical fitness, Quality of life, Stroke.
Language: Portuguese
Geographic Location(s): Brazil, South America.

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Citation: Janaine Cunha Polese, Marina de Barros Pinheiro, Gustavo de Carvalho Machado. (2014). Chronic Hemiparetic Subjects with Higher Physical Activity Levels Report Better Quality of Life.  Hemiparéticos crônicos com maiores níveis de atividade física reportam melhor qualidade de vida.  Revista Neurociências , 22(2), Pgs. 221-226. Retrieved 9/10/2017, from REHABDATA database.

Quality of life in patients with TIA and minor ischemic stroke

The outcome of this research should have been an analysis of why the recoveries were so bad and what needs to be done to get to 100% recovery. 

Quality of life in patients with TIA and minor ischemic stroke

Neurology (formerly the Archives of Neurology) , Volume 85(22) , Pgs. 1957-1963.

NARIC Accession Number: J75776.  What's this?
ISSN: 3333-9942.
Author(s): Sangha, Rajbeer S.; Caprio, Fan Z.; Askew, Robert; Corado, Carlos; Bernstein, Richard; Curran, Yvonne; Ruff, Ilana; Cella, David; Naidech, Andrew M.; Prabhakaran, Shyam.
Project Number: 90AR5013 (formerly H133P120002).
Publication Year: 2015.
Number of Pages: 7.
Abstract: Study investigated health-related quality of life (HRQOL) in patients with transient ischemic attack (TIA) and minor ischemic stroke (MIS) using Neuro-QOL, a validated, patient-reported outcome measurement system. Data were collected from patients with TIA or MIS who had: (1) modified Rankin Scale (mRS) score of 0 or 1 at baseline, (2) initial National Institutes of Health Stroke Scale (NIHSS) score of ≤5, (3) no acute reperfusion treatment, and (4) complete 3-month follow-up data. Recurrent stroke, disability assessed by the mRS and Barthel Index, and Neuro-QOL scores in 5 pre-specified domains were prospectively recorded. Researchers assessed the proportion of patients with impaired HRQOL, defined as T scores more than 0.5 standard deviation worse than the general population average, and identified predictors of impaired HRQOL using logistic regression. Among the 332 patients who met study criteria (mean age 65.7 years, 52.4 percent male), 47 (14.2 percent) had recurrent stroke within 90 days and 41 (12.3 percent) were disabled (mRS >1 or Barthel Index <95) at 3 months. Any HRQOL impairment was noted in 119 patients (35.8 percent). In multivariate analysis, age, initial NIHSS score, recurrent stroke, and proxy reporting were independent predictors of impaired HRQOL at 3 months. Findings suggest that impairment in HRQOL is common at 3 months after MIS and TIA. Predictors of impaired HRQOL include age, index stroke severity, and recurrent stroke. Future studies should include HRQOL measures in outcome assessment, as these may be more sensitive to mild deficits than traditional disability scales.
Descriptor Terms: FUNCTIONAL LIMITATIONS, MEASUREMENTS, OUTCOMES, QUALITY OF LIFE, STROKE.


Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664119/.

Citation: Sangha, Rajbeer S., Caprio, Fan Z., Askew, Robert, Corado, Carlos, Bernstein, Richard, Curran, Yvonne, Ruff, Ilana, Cella, David, Naidech, Andrew M., Prabhakaran, Shyam. (2015). Quality of life in patients with TIA and minor ischemic stroke.  Neurology (formerly the Archives of Neurology) , 85(22), Pgs. 1957-1963. Retrieved 5/13/2017, from REHABDATA database.


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Neurology (formerly the Archives of Neurology).

Coping, Problem Solving, Depression, and Health-Related Quality of Life in Patients Receiving Outpatient Stroke Rehabilitation

This has been researched many times before and we still don't seem to have a protocol for this. Just like we have NO protocols for anything to do with stroke. So rather than actually  coming up with solutions to deficits from stroke we are told how to cope with them better. What a fucking waste of time.

Supporting Family Caregivers in Stroke Care - A Review of the Evidence for Problem Solving  2005

Telephone Intervention With Family Caregivers of Stroke Survivors After Rehabilitation 2002

Escitalopram and Problem-Solving Therapy for Prevention of Poststroke Depression  2008

 The latest here:

Coping, Problem Solving, Depression, and Health-Related Quality of Life in Patients Receiving Outpatient Stroke Rehabilitation

Presented as an oral presentation to Neuropsychological Rehabilitation Special Interest Group of the World Federation for NeuroRehabilitation, July 14–15, 2014, Limassol, Cyprus.

Marieke M. Visser, MSc

,

Majanka H. Heijenbrok-Kal, PhD

,

Adriaan van't Spijker, PhD

,

Kristine M. Oostra, MD

,

Jan J. Busschbach, PhD

,

Gerard M. Ribbers, MD, PhD

DOI: http://dx.doi.org/10.1016/j.apmr.2015.04.007

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Publication History

Published Online: April 25, 2015

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• Abstract
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Abstract

Objectives

To investigate whether patients with high and low depression scores after stroke use different coping strategies and problem-solving skills and whether these variables are related to psychosocial health-related quality of life (HRQOL) independent of depression.

Design

Cross-sectional study.

Setting

Two rehabilitation centers.

Participants

Patients participating in outpatient stroke rehabilitation (N=166; mean age, 53.06±10.19y; 53% men; median time poststroke, 7.29mo).

Interventions

Not applicable.

Main Outcome Measures

Coping strategy was measured using the Coping Inventory for Stressful Situations; problem-solving skills were measured using the Social Problem Solving Inventory–Revised: Short Form; depression was assessed using the Center for Epidemiologic Studies Depression Scale; and HRQOL was measured using the five-level EuroQol five-dimensional questionnaire and the Stroke-Specific Quality of Life Scale. Independent samples t tests and multivariable regression analyses, adjusted for patient characteristics, were performed.

Results

Compared with patients with low depression scores, patients with high depression scores used less positive problem orientation (P=.002) and emotion-oriented coping (P<.001) and more negative problem orientation (P<.001) and avoidance style (P<.001). Depression score was related to all domains of both general HRQOL (visual analog scale: β=−.679; P<.001; utility: β=−.009; P<.001) and stroke-specific HRQOL (physical HRQOL: β=−.020; P=.001; psychosocial HRQOL: β=−.054, P<.001; total HRQOL: β=−.037; P<.001). Positive problem orientation was independently related to psychosocial HRQOL (β=.086; P=.018) and total HRQOL (β=.058; P=.031).

Conclusions

Patients with high depression scores use different coping strategies and problem-solving skills than do patients with low depression scores. Independent of depression, positive problem-solving skills appear to be most significantly related to better HRQOL.