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 4, 2012

Evidence-Based Therapy for stroke rehab?

Do we want to go there right now? It sounds wonderful but look at the evidence that we know that works right now, CIMT, neuroplasticity. CIMT is so limited in its use and neuroplasticity works but we don't know  how to replicate it. If you have functions that don't work at all because they were in the dead brain you won't have any proven therapy at all. We won't even have the possibility of patients or therapists finding something new that works because they would be constrained to only providing  evidence based therapy. Think about it. We as patients have no idea what is proven because stroke associations don't know and won't tell us even if they did know. We'll just have to muddle along until some genius puts it all together and pigs fly.
But insurance would love it because the existing supply of evidence-based therapy for stroke is so limited.
Oh joy to the insurance companies, No EBM, no therapy, more profits. 

Who does know what evidence does exist and where is it?

This is how bad the current understanding of the theoretical basis is:
http://oc1dean.blogspot.com/2010/11/theoretical-basis-of-stroke-rehab.html

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