Deans' stroke musings: Task-oriented training in rehabilitation after stroke: systematic review

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.

Monday, December 30, 2019

Task-oriented training in rehabilitation after stroke: systematic review

So all this earlier research wasn't enough? You had to do your own review, proving once again that our fucking failures of stroke associations can't even do the simple task of creating a database of all stroke research and protocols. All this waste of time would be completely unnecessary if we had a great stroke association run by stroke survivors. At least they acknowledge Bobath doesn't work.

task-orientated training (9 posts to October 2012)

Task-oriented training in rehabilitation after stroke: systematic review

RENSINK M., SCHUURMANS M., LINDEMAN E. & HAFSTEINSDO ´TTIR T.(2009)(2009)
Task-oriented training in rehabilitation after stroke: systematic review.
Journal of Advanced Nursing
65
(4), 737–754
doi: 10.1111/j.1365-2648.2008.04925.x

Abstract

Title. Task-oriented training in rehabilitation after stroke: systematic review.
Aim.
This paper is a report of a review conducted to provide an overview of theevidence in the literature on task-oriented training of stroke survivors and its relevance in daily nursing practice.
Background.
Stroke is the second leading cause of death and one of the leading causes of adult disability in the Western world. The use of neurodevelopmental treatment(Bobath) in the daily nursing care of stroke survivors does not improve clinical outcomes. Nurses are therefore exploring other forms of rehabilitation intervention,including task-oriented rehabilitation. Despite the growing number of studies showing evidence on task-oriented interventions, recommendations for daily nursing practice are lacking.
Data Sources.
A range of databases was searched to identify papers addressing task-oriented training in stroke rehabilitation, including Medline, CINAHL, Embase andthe Cochrane Library of systematic reviews. Papers published in English between January 1996 and September 2007 were included. There were 42 papers in the ﬁnaldataset, including nine systematic reviews.
Review methods.
The selected randomized controlled trials and systematic reviewswere assessed for quality. Important characteristics and outcomes were extractedand summarized.
Results.
Studies of task-related training showed beneﬁts for functional outcome compared with traditional therapies. Active use of task-oriented training with stroke survivors will lead to improvements in functional outcomes and overall health-related quality of life.
Conclusion.
Generally, task-oriented rehabilitation proved to be more effective.Many interventions are feasible for nurses and can be performed in a ward or at home. Nurses can and should play an important role in creating opportunities to practise meaningful functional tasks outside of regular therapy sessions.