Deans' stroke musings: In-Home, Client-Based Intensive Therapy Intervention for Upper Extremity Hemiparesis After Stroke

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.

Sunday, August 19, 2018

In-Home, Client-Based Intensive Therapy Intervention for Upper Extremity Hemiparesis After Stroke

Well then write up a fucking protocol on this and get it distributed to ALL 10 million yearly stroke survivors. Anything less than that and you don't belong in the stroke field. We need to trim a lot of incompetent stroke 'professionals' and we need to start somewhere.

In-Home, Client-Based Intensive Therapy Intervention for Upper Extremity Hemiparesis After Stroke

Janet L. Poole, PhD, OTR/L, FAOTA; Tonya Carbajal, MOT, OTR/L; Abigail Cole, MOT, OTR/L; Amanda Ginther, MOT, OTR/L; Sarah Streng, MOT, OTR/L; Jesse Quinlan, MOT, OTR/L; Miranda Rouw, MOT, OTR/L; Stephanie L. Singleton, OTD, OTR/L; Betty Skipper, PhD

Annals of International Occupational Therapy.
https://doi.org/10.3928/24761222-20180723-01
Posted August 1, 2018

Abstract

Introduction:This study evaluated an in-home, client-centered intensive therapy intervention to improve performance and satisfaction with daily activities, upper extremity function, and quality of life.

Methods:This study included six participants with varying levels of upper extremity motor impairment. Age ranged from 23 to 77 years, and time since stroke was 8 to 92 months. The intensive therapy intervention was guided by goals identified with the Canadian Occupational Performance Measure. Therapy was conducted in participants' homes 3 to 4 hours per day, 5 days per week, for 2 weeks.

Results:Generalized least squares analysis for longitudinal data was performed with the Scheffé adjustment for pairwise comparisons. Overall, participant scores improved significantly on the Canadian Occupational Performance Measure, the Fugl-Meyer Assessment motor section, and the Stroke Impact Scale 3.0 from preintervention to immediately postintervention (p %lt; .05). The exception was the Stroke Impact Scale hand domain. Improvements were maintained for all measures from immediately postintervention to 2-month follow-up (p < .05).

Conclusion:The results suggest that an in-home, client-based intensive therapy intervention may lead to improved performance and satisfaction with upper extremity function after stroke. Limitations included a small sample size, varying degrees of motor function, and lack of a control group. Larger randomized controlled trials are needed to confirm the findings and the efficacy of this intervention. [Annals of International Occupational Therapy. 201X; XX(X):XX–XX.]