Deans' stroke musings: Effectiveness of psychological interventions in chronic stage of stroke: A systematic review

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

Effectiveness of psychological interventions in chronic stage of stroke: A systematic review

There is really no intervention that would help me right now unless it is a physical improvement.
But you might be different.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J65524&phrase=no&rec=120920
NARIC Accession Number: J65524. What's this?
ISSN: 1074-9357.
Author(s): Mehta, Swati; Pereira, Shelialah; Janzen, Shannon; McIntyre, Amanda; McClure, Andrew; Teasell, Robert W..
Publication Year: 2012.
Number of Pages: 9.
Abstract: Study examined the effectiveness of interventions for psychological issues faced by individuals post stroke when initiated in the chronic stage of stroke. MEDLINE, CINAHL, EMBASE, and Scopus databases were searched for relevant randomized controlled trials (RCTs). Similar interventions were grouped and results summarized. Data on the study design, participant characteristics, interventions, outcomes, and adverse events were extracted from each of the selected studies. Nine RCTs met the inclusion criteria. All 9 studies examined effectiveness on mood and 3 on adjustment. Repetitive transcranial magnetic stimulation had the strongest evidence of effectiveness in improving mood followed by pharmacotherapy. Exercise appeared to be effective in improving adjustment and coping among individuals in the chronic stage of stroke. Overall, interventions provided in the chronic stage of stroke appear to be effective in improving mood and adjustment up to 3 months after intervention. The use of multidisciplinary interventions and acceptance models may be important in the overall adjustment process.
Descriptor Terms: CHRONIC ILLNESS, INTERVENTION, LITERATURE REVIEWS, OUTCOMES, PSYCHOLOGICAL ASPECTS, STROKE.

Can this document be ordered through NARIC's document delivery service?: Y.