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.

Tuesday, January 29, 2019

Physical therapist’s clinical reasoning in patients with gait impairments from hemiplegia

THIS is the problem, there should be no reasoning involved. 

First you start with objective descriptions of the gait deficits, probably via this;

Pump iron the smart way with a motion-capture coach, repurposed for stroke

Second, based on the specific deficits the protocols to fix those deficits are used.

Physical therapist’s clinical reasoning in patients with gait impairments from hemiplegia



Jill Seale & Carolyn Utsey
Received 11 May 2017, Accepted 27 Nov 2018, Published online: 24 Jan 2019


ABSTRACT

Background: During stroke rehabilitation, physical therapists (PTs) perform gait analysis and design treatments(There should be no design, you chose the EXACT PROTOCOL for the deficit) based on this analysis.
Objectives: To investigate the current trends in PTs clinical reasoning in assessing and managing gait in persons with hemiplegia.
Design: A qualitative study using a phenomenological approach using a semi-structured interview protocol with FG.
Methods: Participants consisted of expert and novice PTs working in a neurologic rehabilitation setting. FG were conducted in person and via web. Constant comparative qualitative analysis was used to analyze the qualitative data.
Results: A total of 22 PTs participated in five FG (2 novice and 3 expert groups). From the analysis of qualitative data, five themes emerged. Novice and experienced clinicians: 1) take a systematic approach to examination and evaluation of persons with hemiplegia; 2) are in agreement in common gait deficits found in persons with hemiplegia; 3) may differ in their approach to treatment based on the amount of experience of the clinician; 4) generally agree on the manner in which orthotics are used in the management of persons with hemiplegia; and 5) demonstrate professional accountability to patients concerning the use of orthotic devices.
Conclusions: This qualitative study provided insight into the variability(There should be no variability) in PTs’ strategies for gait analysis, and their identification and interpretation of common deviations and impairments in persons with hemiplegia following stroke. Reluctance to utilize orthotics for patients with hemiplegia was a consistent theme across FG.
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