Deans' stroke musings: An evidence-based review of cognitive rehabilitation in medical conditions affecting cognitive function

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, May 17, 2013

An evidence-based review of cognitive rehabilitation in medical conditions affecting cognitive function

I would think that cognition would be the first thing worked on after stroke but thats just me.
Your doctor may think that should be the last because you wouldn't want anybody questioning the medical protocols that don't exist for stroke.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J65493&phrase=no&rec=120804
NARIC Accession Number: J65493. What's this?
ISSN: 0003-9993.
Author(s): Langenbahn, Donna M.; Ashman, Teresa; Cantor, Joshua; Trott, Charlotte.
Publication Year: 2013.
Number of Pages: 16.
Abstract: This review examined evidence for the efficacy of cognitive rehabilitation in individuals diagnosed with medical conditions known to affect cognitive function, and formulated evidence-based recommendations for clinical practice based on that evidence. Ovid Medline and PubMed databases were searched using the terms cognition, cognitive, crossed with the terms rehabilitation, remediation, retraining, training, crossed with 11 medical diagnostic categories. Articles through December 2008 were accessed, resulting in 2,284 abstracts. A total of 211 articles were selected from the initial abstract review. These articles were then assessed by committee members using 9 exclusion and 3 inclusion criteria. A total of 34 remaining articles were submitted to full review. Articles were reviewed under diagnostic categories using specific criteria recorded on structured data sheets. Classification was performed according to guidelines of the American Academy of Neurology, with agreement between 2 committee members necessary for final decisions. Of the 34 studies fully evaluated, 1 was rated as class I, 6 as class II, 2 as class III, and 25 as class IV. Evidence within each diagnostic area was synthesized for the formulation of Practice Standards, Practice Guidelines, and Practice Options, as possible. Two clinical practice recommendations were advanced, 1 each in the diagnostic areas of brain neoplasms and epilepsy/seizure disorders. Discussion included comments on the research status of the effectiveness of cognitive rehabilitation for cognitive deficits related to these medical conditions, as well as suggestions for future directions in research.