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, May 10, 2018

EVIDENCE BASED POSITION PAPER ON PHYSICAL AND REHABILITATION MEDICINE (PRM) PROFESSIONAL PRACTICE FOR PERSONS WITH STROKE. THE EUROPEAN PRM POSITION (UEMS PRM SECTION)

I don't know what evidence they are using but it is quite simple. The evidence that  'Only 10% of patients get fully recovered'  means that these PMR professionals are completely failing in stroke rehab.
EVIDENCE BASED POSITION PAPER ON PHYSICAL AND REHABILITATION MEDICINE (PRM) PROFESSIONAL PRACTICE FOR PERSONS WITH STROKE. THE …
Ayşe A. Küçükdeveci1, Katharina Stibrant Sunnerhagen2, Volodymyr Golyk3, Alain Delarque4, Galina Ivanova5, Mauro Zampolini6, Carlotte Kiekens7, Enrique Varela Donoso8, Nicolas Christodoulou9

1Department of Physical Medicine and Rehabilitation, Ankara University Medical Faculty, Ankara,Turkey 
2Sahlgrenska University Hospital, Gothenburg University, Goteborg, Sweden
3Office of Commissioner of the President of Ukraine for rehabilitation of ATO participants, Kyiv, Ukraine
4Aix-Marseille University, APHM, CHU Timone,  Marseille, France
5Pirogov Russian National Research Medical University, Department of Medical Rehabilitation, Moscow, Russia
6Department of Rehabilitation, Ospedale di Foligna, USL Umbria 2, Perugia, Italy
7Department of Physical and Rehabilitation Medicine, University Hospitals Leuven; Leuven, Belgium
8Physical and Rehabilitation Medicine Department, Complutense University, School of Medicine, Madrid, Spain 
9Medical School, European University Cyprus, Nicosia, Cyprus

Introduction: Both the incidence of stroke and deaths due to stroke are declining in Europe due to the developments in the prevention and treatment of cerebrovascular diseases. However, the absolute number of strokes continues to increase because of the ageing population and the global burden of stroke is estimated to rise. Despite improvements in mortality and morbidity, stroke survivors need access to effective rehabilitation services. Over 30% of stroke survivors have persistent disability and might require long-term rehabilitation. 
Purpose: The  aim  of  this study  is  to  improve  Physical  and  Rehabilitation  Medicine  physicians’ professional  practice  for persons with stroke in order to promote their functioning and to enhance quality of life.
Method: A systematic review of the literature including a ten-year period and a Consensus procedure by means of a Delphi method process have been performed involving the delegates of all European countries represented in the UEMS PRM Section.
Results: The systematic literature review is reported together with the 78 recommendations resulting from the Delphi procedure.
Conclusions: The professional role of PRM physicians with persons with stroke, is to improve specialized rehabilitation services worldwide in different settings (acute, post-acute and long-term) and to organise and manage the comprehensive rehabilitation programme for stroke survivors considering all impairments, comorbidities and complications, activity limitations and participation restrictions as well as personal and environmental factors.  (Notice that no mention is made of getting stroke survivors recovered.)

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