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, October 14, 2020

Evidence-based physiatry: Efficacy of home-based telerehabilitation versus in-clinic therapy for adults after stroke

So with similar gains that means telerehabilitation is also a complete fucking failure at 10% full recovery rate.

Why are you accepting such incompetence from your stroke medical professionals?

 Evidence-based physiatry: Efficacy of home-based telerehabilitation versus in-clinic therapy for adults after stroke

  American Journal of Physical Medicine and Rehabilitation , Volume 99(8) , Pgs. 764-765.

NARIC Accession Number: J84468.  What's this?
ISSN: 0894-9115.
Author(s): Tenforde, Adam S. ; Zafonte, Ross ; Hefner, Jaye ; Iaccarino, Mary A. ; Silver, Julie ; Paganoni, Sabrina.
Publication Year: 2020.
Number of Pages: 2.
Abstract: Article reviews a recent report that highlights the potential of telerehabilitation in the management of adults with motor impairments after stroke, as compared to in-clinic rehabilitation. The novel coronavirus pandemic 2019 (COVID-19) has resulted in significant changes in healthcare delivery that may influence management across health systems and conditions, including stroke. To reduce spread of disease, essential medical services are limited for both healthy populations and those with acute, life-threatening conditions, such as stroke. Although studies are inconclusive, patients with risk factors of male sex, older age, cardiovascular disease, hypertension, respiratory disease, and diabetes may be at higher risk for mortality from COVID-19. Notably, most of these risk factors overlap with patients who have experienced stroke. Furthermore, COVID-19 infections cause a hypercoagulable state in some patients that may result in stroke. Limitations in physical distancing, commonly referred to as social distancing, also reduce contact of medical providers with patients. These combined factors create barriers for treatment required to evaluate acute concern of stroke and long-term sequelae. Changes in healthcare delivery including coverage of telehealth visits may address these challenges in delivering effective care. The study results presented suggest that telerehabilitation can have similar gains to in-clinic therapy(So you are suggesting failure to recover is OK because of the failures in the clinic? Trying to get an idea of your reasoning for accepting failure. Have your ever asked your patients if such failure was OK?) for management of upper-limb motor deficits after stroke.
Descriptor Terms: BODY MOVEMENT, IMMUNE SYSTEM DISORDERS, INFECTIONS, LIMBS, MOTOR SKILLS, PHYSICAL MEDICINE, RESPIRATORY DISEASE, STROKE, TELEREHABILITATION.


Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://journals.lww.com/ajpmr/Fulltext/2020/08000/Evidence_Based_Physiatry__Efficacy_of_Home_Based.17.aspx.

Citation: Tenforde, Adam S. , Zafonte, Ross , Hefner, Jaye , Iaccarino, Mary A. , Silver, Julie , Paganoni, Sabrina. (2020). Evidence-based physiatry: Efficacy of home-based telerehabilitation versus in-clinic therapy for adults after stroke.  American Journal of Physical Medicine and Rehabilitation , 99(8), Pgs. 764-765. Retrieved 10/14/2020, from REHABDATA database.

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