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:

Friday, July 14, 2017

Occupational performance coaching for stroke survivors: A pilot randomized controlled trial

You'll have to hope your occupational therapist can find and use this protocol on you.
American Journal of Occupational Therapy (AJOT) , Volume 71(3) , Pgs. 7103190020.

NARIC Accession Number: J76263.  What's this?
ISSN: 0272-9490.
Author(s): Kessler, Dorothy; Egan, Mary'Dubouloz, Claire-Jehanne; McEwen, Sara; Graham, Fiona P..
Publication Year: 2017.
Number of Pages: 7.
Abstract: Study examined the feasibility of study procedures and the potential efficacy of Occupational Performance Coaching for stroke survivors (OPC–Stroke), an intervention designed to improve participation after stroke. Twenty-one participants were randomized to receive the intervention or usual care. Recruitment, retention, attendance, and outcome measure completion rates were calculated to assess feasibility. Direction of change and effect sizes were examined for the outcomes of participation, goal performance and satisfaction, goal self-efficacy, emotional well-being, and cognition to examine potential efficacy. Rates of recruitment (66 percent) and retention (81 percent) were satisfactory. Participation scores improved for both groups with different trajectories. Results showed a moderate effect of OPC–Stroke for goal performance and satisfaction and a large effect for cognition. Other outcome measures did not change as expected. Study procedures were generally feasible. Preliminary findings support testing to examine the efficacy of OPC–Stroke.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Kessler, Dorothy, Egan, Mary'Dubouloz, Claire-Jehanne, McEwen, Sara, Graham, Fiona P.. (2017). Occupational performance coaching for stroke survivors: A pilot randomized controlled trial.  American Journal of Occupational Therapy (AJOT) , 71(3), Pgs. 7103190020. Retrieved 7/14/2017, from REHABDATA database.

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