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.

Sunday, August 23, 2015

Specialized stroke rehabilitation services in seven countries

If they were being truthful the conclusion would be that all seven countries are completely failing in stroke RESULTS. 
But from the abstract they don't even talk about results. Fucking idiots, survivors don't care about processes, they care about results! Do your fucking job and tell us how successful you are in getting survivors back to 100% recovery.
http://onlinelibrary.wiley.com/doi/10.1111/ijs.12599/abstract;jsessionid=BE3E560C1E73755A2259A7DDFC89643A.f04t04?userIsAuthenticated=false&deniedAccessCustomisedMessage= 

Preliminary results from nine rehabilitation centers

  1. Birgitta Langhammer1,*,
  2. Frank Becker2,
  3. Katharina Stibrant-Sunnerhagen3,
  4. Tang Zhong4,
  5. Xiaoxia Du4,
  6. Tamara Bushnik5,
  7. Maria Panchenko6,
  8. Ofer Keren7,
  9. Samir Banura8,
  10. Khamis Elessi9,
  11. Fuad Luzon10,
  12. Åsa Lundgren-Nilsson11,
  13. Xie Li12,
  14. Susanne Sällström2 and
  15. Johan Kvalvik Stanghelle2
Article first published online: 18 AUG 2015
DOI: 10.1111/ijs.12599

  1. Conflict of interest: None declared.

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Keywords:

  • specialized rehabilitation;
  • stroke;
  • multidisciplinary team

Background

There is a lack of defined levels of rehabilitation, indicating possibly random content and access to specialized services.

Aims and/or hypothesis

The aim of the study was to perform a multinational descriptive study of specialized rehabilitation in persons with stroke, to elucidate what the different centers define as prerequisites for specialized rehabilitation, and to analyze whether these descriptions map to currently applied standards or constructs of specialized rehabilitation. A secondary aim was to look for similarities and differences between therapies and services for persons with stroke in the sub-acute stage in the different institutions.

Methods

Descriptive data of the collaborating centers regarding structure and processes of services were recorded and compared with the British Society of Rehabilitation Medicine and Specialized Services National Definitions sets.

Results

Comparisons of the definitions showed that all centers admitted severely disabled persons with stroke, in need of complex rehabilitation, and provided high levels of physical services, with specialized equipment and facilities. However, funding, size, university affiliation, quality accreditation, staffing levels, specialist training, cognitive and vocational services, coordination of the professional teams, admission procedures, time and type of therapies, estimated length of stay, and follow-up procedures differed between the centers.

Conclusion

This multinational study of specialized stroke rehabilitation centers shows that a universal definition of specialized rehabilitation is possible, even in quite different countries and settings, in terms of general principles. There were however differences in structures and procedures, which may influence patients' outcomes, indicating a need for refinement of the definitions to be globally applicable.

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