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 21, 2016

How Can We Improve Current Practice in Spastic Paresis?

Well shit, you prevent spasticity from happening in the 30% of stroke survivors that get it.
Solve the correct problem, not the side effects of that problem. Almost feel like I'm teaching grade schoolers the basics. 
https://www.linkedin.com/pulse/how-can-we-improve-current-practice-spastic-paresis-jon-shepheard

Spastic paresis can arise from a variety of conditions, including stroke, spinal cord injury, multiple sclerosis, cerebral palsy, traumatic brain injury and hereditary spastic paraplegia. It is associated with muscle contracture, stiffness and pain, and can lead to segmental deformity. The positive, negative and biomechanical symptoms associated with spastic paresis can significantly affect patients’ quality of life, by affecting their ability to perform normal activities. This paper – based on the content of a global spasticity interdisciplinary masterclass presented by the authors for healthcare practitioners working in the field of spastic paresis – proposes a multidisciplinary approach to care involving not only healthcare practitioners, but also the patient and their family members/carers, and improvement of the transition between specialist care and community services. The suggested treatment pathway comprises assessment of the severity of spastic paresis, early access to neurorehabilitation and physiotherapy and treatment with botulinum toxin and new technologies, where appropriate. To address the challenge of maintaining patients’ motivation over the long term, tailored guided self-rehabilitation contracts can be used to set and monitor therapeutic goals. Current global consensus guidelines may have to be updated, to include a clinical care pathway related to the encompassing management of spastic paresis.
Fheodoroff K., et. al., How Can We Improve Current Practice in Spastic Paresis? European Neurological Review, 2016;11(2):ePub ahead of print
For the open access PDF of the full article please go to the following link to download: http://www.touchneurology.com/articles/how-can-we-improve-current-practice-spastic-paresis
I absolutely despise Figure 3: Community Integration After Stroke.
Because it has adjusting my expectations in the diagram. Never, never, never lower your expectations. Your expectation is that your doctor and therapists will completely cure your spasticity. Nothing less.
My comment to this article:
 Have we finally gotten out from under the influence of Dr. William M. Landau? Spasticity After Stroke: Why Bother.


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