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.

Wednesday, June 12, 2019

Viability of using a computer tablet to monitor an upper limb home exercise program in stroke

The real reason survivors rarely exercise enough is because therapists don't have EXACT rehab protocols specifying what to do and repetitions needed.  If the protocol said, 'Do 1,301,000 repetitions and you will get this result', then the survivor will do that. Stop blaming the survivor for your failure to create protocols.  Solve the correct problem; lack of stroke protocols NOT adherence. This is just more blame the patient for their lack of recovery. The blame lies directly on the complete stroke medical world for not even attempting to solve all the problems in stroke or the nihilism in stroke that exists.

 

Viability of using a computer tablet to monitor an upper limb home exercise program in stroke

Tamina Levy , BSc, PT, Maggie Killington , PhD, PT, Natasha Lannin , PhD, OT ORCID Icon & Maria Crotty , PhD, FAFRM
Received 11 Aug 2018, Accepted 28 Apr 2019, Published online: 07 Jun 2019
Translator disclaimer


ABSTRACT

Aims: To evaluate the feasibility of using a tablet computer to monitor the amount of upper limb practice completed by stroke patients prescribed with a home program and to explore factors that influence adherence.
Method: Ten consecutive participants randomized to the intervention arm of a randomized controlled trial investigating therapy after spasticity management for stroke patients (ACTRN 12615000616572) were recruited for this sub-study. Participants were asked to perform and record a prescribed 60-min upper limb program, based on the Graded Arm Supplementary Program, on a tablet computer daily. Four randomly selected recorded sessions for each participant were analyzed by the physiotherapist to assess adherence to the amount of exercise and content.
Results: Mean score for the System Usability Scale was 85.5 (range 47.5–100) indicating that participants were accepting of the technology. Participants performed exercises on average for 50.32 min (range 26.42–68.37). Self-reported practice time was 59.44 min (range 48–67.5).
Conclusion: Monitoring of patient practice using a tablet computer is feasible and may prove more reliable than self-report. There is variability in the amount of upper limb exercise stroke patients do at home.
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