Deans' stroke musings: Optimising the content and dose of rehabilitation in the first 12 months following 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.

Friday, March 14, 2014

Optimising the content and dose of rehabilitation in the first 12 months following stroke

Have your doctor compare these ideas to what you are getting. Are they even close?
http://www.dl.begellhouse.com/journals/757fcb0219d89390,forthcoming,10518.html

Harry McNaughton
Medical Research Institute of New Zealand

Stephanie Thompson
University of Otago

Cathy Stinear
University of Auckland

Matire Harwood
University of Otago

Kathryn McPherson
AUT University

ABSTRACT

Rehabilitation following stroke has the potential to make a very significant and lasting impact on outcomes for the person with stroke. The knowledge base that would allow informed decisions about content, location and dose of the rehabilitation intervention is incomplete. Some high quality evidence does exist, including important studies from New Zealand, or with New Zealand input into international studies. This article focusses attention on what rehabilitation clinicians can do now, based on current evidence, to optimise the content and dose of rehabilitation in the first year after acute stroke, particularly in the community phase of rehabilitation. Promoting self-directed rehabilitation may offer the greatest potential for change at little cost.