Deans' stroke musings: What is the effect of additional physiotherapy on sitting balance following stroke compared to standard physiotherapy treatment: A systematic review

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.

Friday, January 12, 2018

What is the effect of additional physiotherapy on sitting balance following stroke compared to standard physiotherapy treatment: A systematic review

Once again laziness rules, meta-analysis rather than actually running clinical trials to solve all the problems in stroke. You can't get stroke protocols from meta-analysis. No problem to them, they aren't the stroke survivors trying to get back to daily life. This is why I think the complete stroke leadership(such as it is) needs to be destroyed.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77341&phrase=no&rec=135278&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(1) , Pgs. 15-25.

NARIC Accession Number: J77341. What's this?
ISSN: 1074-9357.
Author(s): Bank, Jessica; Charles, Katherine; Morgan, Prue.
Publication Year: 2016.
Number of Pages: 11.
Abstract: Study reviewed research that compared the effects of standard physiotherapy to standard physiotherapy plus an additional physiotherapy treatment on the outcome of sitting balance after stroke. The Cochrane Library, CINAHL, Embase, Ovid Medline, AMED, and the Physiotherapy Evidence Database (PEDro) databases were searched up to December 2014 for relevant randomized controlled trials published in English in peer-reviewed journals. The PEDro scale was used to assess study quality. Eleven studies met inclusion criteria. Nine targeted the International Classification of Function, Disability and Health (ICF) domain of Activity. The Trunk Control Test (TCT) was used as a primary outcome measure in five studies, and the Trunk Impairment Scale (TIS) was used in four. There was a significant effect (mean difference = 1.67) favoring intervention, as measured by the TIS. There was no evidence to support the effect of additional treatment on sitting balance as measured by the TCT (mean difference = −1.53). The current evidence supports strategies that target deficits at the activity level and increase total treatment time. The TIS is most responsive as a measure of treatment efficacy. Further research is required using recommended outcome measures to facilitate generation of a minimum data set and data pooling.
Descriptor Terms: EQUILIBRIUM, EXERCISE, LITERATURE REVIEWS, MOTOR SKILLS, PHYSICAL THERAPY, POSITIONING, POSTURE, REHABILITATION, STROKE.

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

Citation: Bank, Jessica, Charles, Katherine, Morgan, Prue. (2016). What is the effect of additional physiotherapy on sitting balance following stroke compared to standard physiotherapy treatment: A systematic review. Topics in Stroke Rehabilitation , 23(1), Pgs. 15-25. Retrieved 1/11/2018, from REHABDATA database.