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, June 15, 2020

Home-based therapy programmes for upper limb functional recovery following stroke

What did your stroke hospital do with this in the 8 years since it came out? The answer will tell you if their incompetence is NOT KNOWING OR NOT DOING. Which do you prefer?

Home-based therapy programmes for upper limb functional recovery following stroke

1996, Reviews
Coupar F, Pollock A, Legg LA, Sackley C, van Vliet P
 Fiona Coupar 1,
Alex Pollock 2,
Lynn A Legg 3,
Catherine Sackley 4,
Paulette van Vliet 5
1 Academic Section of Geriatric Medicine, University of Glasgow, Glasgow, UK.
2 Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK.
3 Academic Section of Geriatric Medicine, Division of Cardiovascular & Medical Sciences,Faculty of Medicine, University of Glasgow,Glasgow,UK.
4 Primary Care Clinical Sciences, University of Birmingham, Birmingham, UK.
5 School of Health Sciences, Faculty of Health, University of Newcastle, Callaghan, Australia Contact address: Fiona Coupar, Academic Section of Geriatric Medicine, University of Glasgow, University Block, Glasgow Royal Infirmary, Glasgow, G4 0SF, UK. fmacvicar@yahoo.com.
Editorial group:
 Cochrane Stroke Group.
Publication status and date:
 New, published in Issue 5, 2012.
Review content assessed as up-to-date:
 31 May 2011.
Citation:
 CouparF,PollockA,LeggLA,SackleyC,vanVlietP.Home-basedtherapyprogrammesforupperlimbfunctionalrecoveryfol-lowingstroke.
CochraneDatabaseofSystematicReviews
2012,Issue5.Art.No.:CD006755.DOI:10.1002/14651858.CD006755.pub2.Copyright © 2012 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

A B S T R A C T

Background
 With an increased focus on home-based stroke services and the undertaking of programmes, targeted at upper limb recovery within clinical practice, a systematic review of home-based therapy programmes for individuals with upper limb impairment following stroke was required.
Objectives
To determine the effects of home-based therapy programmes for upper limb recovery in patients with upper limb impairment following stroke.
Search methods
 We searched the Cochrane Stroke Group’s Specialised Trials Register (May 2011), the Cochrane Central Register of Controlled Trials(CENTRAL) (
The Cochrane Library
 2011, Issue 2), MEDLINE (1950 to May 2011), EMBASE (1980 to May 2011), AMED (1985to May 2011) and six additional databases. We also searched reference lists and trials registers.
Selection criteria
Randomised controlled trials(RCTs) in adults after stroke, where the intervention was a home-based therapy programme targeted at the upper limb, compared with placebo, or no intervention or usual care. Primary outcomes were performance in activities of daily living (ADL) and functional movement of the upper limb. Secondary outcomes were performance in extended ADL and motor impairment of the arm.
Data collection and analysis
Two review authors independently screened abstracts, extracted data and appraised trials. We undertook assessment of risk of bias in terms of method of randomisation and allocation concealment (selection bias), blinding of outcome assessment (detection bias), whether all the randomised patients were accounted for in the analysis (attrition bias) and the presence of selective outcome reporting.
1Home-based therapy programmes for upper limb functional recovery following stroke (Review)Copyright © 2012 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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