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, August 2, 2019

Goal-oriented rehab improves recovery in older adults: study

Well duh. The goal for all stroke survivors is 100% recovery. Tragically only 10% get there.

What EXACTLY is your doctor doing to ensure you meet those goals? This is your doctors responsibility to get you recovered. 

Goal-oriented rehab improves recovery in older adults: study

Source: Xinhua| 2019-08-01 06:28:45|Editor: yan
CHICAGO, July 31 (Xinhua) -- Goal-oriented, motivational physical and occupational therapy helps older patients recover more fully from broken hips, strokes and other ailments that land them in skilled nursing facilities for rehabilitation, according to a research at Washington University School of Medicine in St. Louis, U.S. state of Missouri.
The researchers studied 229 patients, 114 of whom were randomly chosen to receive enhanced intervention and 115 of whom received standard therapy. Each was in a skilled nursing facility while recovering from an injury or illness, such as hip fracture, stroke or major surgery.
The enhanced rehab in this study involved the use of motivation during therapy sessions, and the key was centering therapy on goals that were meaningful to the patient.
"We found that when you engage and motivate people, they do better," said the study's first author, Eric J. Lenze, a professor of psychiatry.
Patients receiving enhanced rehab did not get more or longer therapy sessions. Instead, therapists focused on specific goals important to individual patients, and they delivered, on average, 24 motivational messages about those goals during every therapy session. That approach resulted in a 25 percent improvement in functional recovery.
"Now the question is whether those gains will last over the long term. We believe extending enhanced rehab from skilled nursing facilities into the home setting will be the next critical step," Lenze added.
Lenze said one challenge is that therapy can be expensive, and some insurers balk at the expense. But with an aging population, he argues that enhanced therapy could save money for older patients recovering from injury, particularly if the therapy makes them more likely to get back into their homes and stay there.
"Avoiding rehospitalizations and long-term care in a nursing home has a huge economic benefit," he said.
The findings were published Wednesday in the journal JAMA Network Open.

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