Deans' stroke musings: Bedding and pillows improve positioning in stroke patients

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, February 6, 2015

Bedding and pillows improve positioning in stroke patients

How does this interact with the Head of Bed positioning? How many years will this take to get rolled out to your hospital? 50? 100?

HOBOE (Head-of-Bed Optimization of Elevation) Study: association of higher angle with reduced cerebral blood flow velocity in acute ischemic stroke.

The influence of positioning upon cerebral oxygenation after acute stroke: a pilot study

The new one here:

Bedding and pillows improve positioning in stroke patients

Many patients with a cerebral injury cannot move independently. Every year, 45,000 new stroke patients are affected in such a way. They have to be repositioned at regular intervals for a long period of time in order to prevent pressure ulcers that may develop as a result of patients’ physical immobility. Heidrun Pickenbrock et al., in a topical original article in Deutsches Ärzteblatt International, compare two positioning methods for immobile patients. They found that lying in the so called neutral position is more comfortable for affected patients, and that mobility of hips and shoulders is improved compared with when the conventional method is used.
In the study, more than 218 immobile patients with a brain injury were placed in a conventional position or the neutral position for two hours. The positions differ primarily in terms of the load placed on certain body sections. In the neutral position, the body parts are aligned in order to prevent overextension and shortening of muscles and tendons. A survey among participating patients showed that the neutral position is experienced as more comfortable than the conventional position. Furthermore, a study of passive mobility showed that the hip and shoulder joints were more mobile after patients had been placed in the neutral position than after conventional positioning.
http://www.aerzteblatt.de/pdf.asp?id=167249