Deans' stroke musings: Reasoning training in veteran and civilian traumatic brain injury with persistent mild impairment

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.

Tuesday, June 9, 2015

Reasoning training in veteran and civilian traumatic brain injury with persistent mild impairment

Why couldn't this be used for stroke survivors? Or is your stroke department so f*cking incompetent that they don't even follow research? Ask the stroke department head what was the latest update to stroke protocols from research that they have applied. If none, I think that requires a call to the hospital president and board of directors about why they are employing this person.
Pay it forward people. If we don't start screaming bloody murder your grandchildren will have as lousy a stroke recovery as you had.
http://www.tandfonline.com/doi/abs/10.1080/09602011.2015.1044013

DOI:: 10.1080/09602011.2015.1044013

Asha Vas^a^*, Sandra Chapman^a, Sina Aslan^a^b, Jeffrey Spence^a, Molly Keebler^a, Gisella Rodriguez-Larrain^a, Barry Rodgers^a, Tiffani Jantz^a, David Martinez^a, Jelena Rakic^a & Daniel Krawczyk^a

Publishing models and article dates explained

Received: 7 Oct 2014
Accepted: 17 Apr 2015
Published online: 27 May 2015

Alert me

Abstract

Traumatic brain injury (TBI) is a chronic health condition. The prevalence of TBI, combined with limited advances in protocols to mitigate persistent TBI-related impairments in higher order cognition, present a significant challenge. In this randomised study (n = 60), we compared the benefits of Strategic Memory Advanced Reasoning Training (SMART, n = 31), a strategy-based programme shown to improve cognitive control, versus an active learning programme called Brain Health Workshop (BHW, n = 29) in individuals with TBI with persistent mild functional deficits. Outcomes were measured on cognitive, psychological health, functional, and imaging measures. Repeated measures analyses of immediate post-training and 3-month post-training demonstrated gains on the cognitive control domain of gist reasoning (ability to abstract big ideas/goals from complex information/tasks) in the SMART group as compared to BHW. Gains following the SMART programme were also evident on improved executive function, memory, and daily function as well as reduced symptoms associated with depression and stress. The SMART group showed an increase in bilateral precuneus cerebral blood flow (CBF). Improvements in gist reasoning in the SMART group were also associated with an increase in CBF in the left inferior frontal region, the left insula and the bilateral anterior cingulate cortex. These results add to prior findings that the SMART programme provides an efficient set of strategies that have the potential to improve cognitive control performance and associated executive functions and daily function, to enhance psychological health, and facilitate positive neural plasticity in adults with persistent mild impairment after TBI.