Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Saturday, September 17, 2016

Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation

Maybe the full paper has some usabilty. The line on recovery after using compensatory aids I believe is wrong.
http://bjo.sagepub.com/content/early/2016/09/10/0308022616664910.abstract
  1. Pauline Boland1,2
  2. William Levack2
  3. Meredith Perry3
  4. Fiona Graham2
  1. 1Lecturer, MSc Occupational Therapy Programme, Clinical Therapies, University of Limerick, Republic of Ireland
  2. 2Senior Lecturer, Rehabilitation, Teaching and Research Unit, University of Otago, New Zealand
  3. 3Lecturer, Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Wellington, New Zealand
  1. Pauline Boland, University of Otago Wellington, Rehabilitation, Teaching and Research Unit, University of Otago, Newtown, Wellington 6242, New Zealand. Email: pauline.boland@ul.ie

Abstract

Introduction The aim of this scoping review was to examine and synthesise literature on adaptive equipment use for personal care and mobility after stroke.
Method We searched databases including Medline, EMBASE, AMED, CINAHL and Scopus to February 2016. Two authors independently screened 789 titles, identifying 28 studies for inclusion in the review.
Results Findings were grouped into four themes: (1) stroke-specific impairments and consequences for equipment use and training; (2) meaning of equipment for people with stroke; (3) cost of equipment after stroke; and (4) conflicts between equipment provision and models of stroke rehabilitation.
Conclusion The wide range of impairments after stroke increases complexity of how people use equipment. Nonetheless, training needs and the relationship between social context, identity and equipment use are increasingly better understood,. The findings highlight a tension between practice that seeks to re-train function by ‘normal’ movement without equipment and restoration of function by using compensation strategies involving use of equipment. However, there is no evidence that compensation strategies impede recovery of physical abilities.???!!! High-quality evidence about costs of equipment after stroke, which could inform policy decisions, is urgently needed.

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