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

Thursday, April 13, 2017

iMedicalApps: Virtual Reality for Inpatient Use; What about stroke use?

You should be able to go to to any stroke doctor or therapist in the world and get Virtual Reality intervention protocols to help your stroke deficits. But that will never occur, everything in stroke is a fucking failure and no one is working on solving all the fucking problems in stroke. Hopefully you have enough money to hire your own researchers to solve these problems.
https://www.medpagetoday.com/Blogs/IltifatHusain/64522?
  • by
    MedPage Today Staff Writer
Cedars-Sinai Medical Center recently published the results of the use of virtual reality (VR) on their inpatient service in a large feasibility study that we previously covered. Cedars has followed up on this study by publishing a second VR study -- this time a systematic review of randomized controlled trials (RCTs) on inpatient virtual reality use.
In this systematic review, RCTs from 2005-2015 were evaluated, with a total of 2,024 initially reviewed and 11 meeting the inclusion criteria. These 11 ended up covering three general areas: eating disorders, rehabilitation (motor, cognitive), and pain management. Most studies demonstrated clinical efficacy but were limited, as expected, by significant heterogeneity and small sample sizes. Inpatient pain management was one of the most common topics addressed in the reviewed studies, including the popular burn-management pain therapy articles we previously noted. Very few side effects were noted, and patient satisfaction with the VR treatments was primarily positive throughout the review.
It's not surprising that several studies were noted in the rehabilitation arena in the review. One investigated the use of VR with traumatic brain injury patients (TBI), while another looked into stroke rehab with VR. The American Stroke Association's latest clinical practice guidelines (2016) include recommendations for VR in stroke rehab, with Level A evidence for use in hemineglect, and Level B or C evidence for use in other areas (gait, upper limb motor, activities of daily living, cognition, and visual-spatial therapy). Notice that these are fucking lazy guidelines, NOT PROTOCOLS, more incompetence in action.
VR technology has been available for many years, with various designs going back to the 1960s, but it wasn't until recently that the technology has become mainstream. As such, research into the use of VR in healthcare has recently greatly increased and will likely continue to do so as such systems become more accessible. This systematic review concluded that "VR will undoubtedly shape the future of healthcare."
I completely agree and am excited to see what is in store for us!
This article originally appeared on iMedicalApps.com.

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