I include only one paragraph from here; hopefully our stroke medical professionals take it to heart and stop using the irritatingly stupid quote' All strokes are different, all stroke recoveries are different'. I did see nothing in here that suggested that patients were involved as part of that interdisciplinary team.
Leadership of the ultimate : Rehabilitation science at NIH
“We cannot conduct large, adequately powered trials of rehabilitation interventions.”
After working as a mental health clinician and researcher in the
Department of Veterans Affairs, where psychotherapeutic interventions
were randomized, tested, implemented, revised, and evaluated [9],
there is no question that rehabilitation could mirror this approach.
What interferes with progress in this area are two commonly accompanying
statements: “Each patient is different, you can’t have a standard approach,” and “There is no way to blind or control for exposure to the treatment.” Work currently ongoing in the field rebuts these contentions [10].
There is a glaring need for standardization of approaches to support
the rigor and reproducibility of the science. Standardization does not
ignore the individual, it allows for broader application of techniques
supported by evidence. New approaches to clinical trials, such as
adaptive trials, pragmatic trials, and other methodologic approaches,
may allow for more flexibility in clinical trial design and can be used
to evaluate whether an intervention or approach is effective in the real
world.
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