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.

Monday, May 23, 2016

In-patient rehab recommended over nursing homes for stroke rehab

Well what do you expect? The ASA would recommend in-patient because their constituency(doctors and therapists) would have more employment this way.
http://newsroom.heart.org/news/in-patient-rehab-recommended-over-nursing-homes-for-stroke-rehab
Statement Highlights
  • The American Heart Association/American Stroke Association has issued its first guidelines on adult stroke rehabilitation calling for intensive, multidisciplinary treatment.
  • Before leaving the hospital, patients and caregivers should receive a formal falls-prevention program to prevent accidents at home.
  • Whenever possible, initial rehabilitation should take place in an inpatient rehabilitation facility rather than a nursing home.
Embargoed until 3 p.m. CT / 4 p.m. ET Wednesday, May 4, 2016
DALLAS, May 4, 2016 — For the first time, guidelines have been developed by the American Heart Association/American Stroke Association for rehabilitation after a stroke.
“Previous guidelines have focused on the medical issues involved in the initial management of stroke, but many people survive a stroke with some level of disability. There is increasing evidence that rehabilitation can have a big impact on the survivors’ quality of life, so the time is right to review the evidence in this complex field and highlight effective and important aspects of rehabilitation,” said Carolee J. Winstein, Ph.D., P.T., lead author of the new scientific statement published in the American Heart Association journal Stroke.
Whenever possible, the American Stroke Association strongly recommends that stroke patients be treated at an in-patient rehabilitation facility rather than a skilled nursing facility. While in an in-patient rehabilitation facility, a patient participates in at least three hours of rehabilitation(a pathetic amount of time) a day from physical therapists, occupational therapists, and speech therapists. Nurses are continuously available and doctors typically visit daily. An in-patient rehabilitation facility may be a free-standing facility or a separate unit of a hospital.
“If the hospital suggests sending your loved one to a skilled nursing facility after a stroke, advocate for the patient to go to an in-patient rehabilitation facility instead – unless there is a good reason not to – such as being medically unable to participate in rehab. There is considerable evidence that patients benefit from the team approach in a facility that understands the importance of rehabilitation during the early period after a stroke,” said Winstein, who is a professor of biokinesiology and physical therapy at the University of Southern California in Los Angeles, California.
Caregivers should also insist that a stroke survivor not be discharged from the hospital until they have participated in a structured program on preventing falls. This includes education about changes to make the home safer (such as removing throw rugs and improving lighting), minimizing the fall risk resulting from the side effects of medication, and safely using assistive devices such as wheelchairs, walkers and canes.
“This recommendation will probably change medical practice. Even the top stroke centers may not have a formal falls-prevention program, but it is very important because a high percentage of patients end up falling after a stroke,” Winstein said.
Other recommendations include:
  • Intense mobility-task training after stroke for all survivors with walking limitations to relearn activities such as climbing stairs.
  • Individually tailored exercise program so survivors can safely continue to improve their cardiovascular fitness through the proper exercise and physical activity after formal rehabilitation is complete.
  • An enriched environment (which might include a computer, books, music and virtual reality games) to increase engagement and cognitive activities during rehabilitation. There is not yet enough research to determine whether specific promising new techniques, such as activity monitors and virtual reality games, are effective at helping patients.
  • Speech therapy for those with difficulty speaking following a stroke.
  • Eye exercises for survivors with difficulty focusing on near objects.
  • Balance training program for survivors with poor balance, or who are at risk for falls.
“For a person to fulfill their full potential after stroke, there needs to be a coordinated effort and ongoing communication between a team of professionals as well as the patient, family and caregivers,” Winstein said.
The new scientific statement is the eighth set of stroke guidelines from the American Stroke Association, completing the association’s recommendations for the continuum of care for stroke patients and their families.
Co-authors are Joel Stein, M.D., vice-chair; Ross Arena, Ph.D., P.T.; Barbara Bates, M.D., M.B.A.; Leora R. Cherney, Ph.D.; Steven C. Cramer, M.D.; Frank Deruyter, Ph.D.; Janice J. Eng, Ph.D., B.Sc.; Beth Fisher, Ph.D., P.T.; Richard L. Harvey, M.D.; Catherine E. Lang, Ph.D., P.T.; Marilyn MacKay-Lyons, B.Sc.; M.Sc.P.T., Ph.D.; Kenneth J. Ottenbacher, Ph.D., O.T.R.; Sue Pugh, M.S.N., R.N., C.N.S.-B.C.; Mathew J. Reeves, Ph.D., D.V.M.; Lorie G. Richards, Ph.D., O.T.R./L.; William Stiers, Ph.D., A.B.P.P. (R.P.); Richard D. Zorowitz, M.D.; on behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research. Author disclosures are on the manuscript.
Additional Resources:
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The American Heart Association/American Stroke Association receives funding mostly from individuals. Foundations and corporations donate as well, and fund specific programs and events. Strict policies are enforced to prevent these relationships from influencing the association’s science content. Financial information for the American Heart Association, including a list of contributions from pharmaceutical companies and device manufacturers, is available at www.heart.org/corporatefunding.
For Media Inquiries: (214) 706-1173
Darcy Spitz: (212) 878-5940; Darcy.Spitz@heart.org
Julie Del Barto (national broadcast): (214) 706-1330; julie.delbarto@heart.org
For Public Inquiries: (800)-AHA-USA1 (242-8721)
heart.org and strokeassociation.org
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