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.

Thursday, May 18, 2023

Downward adjustment of rehabilitation goals may facilitate post-stroke arm motor recovery

WRONG, WRONG, WRONG! Do not listen to stroke medical 'professionals' that want you to downgrade your goal of 100% recovery.  They need to step up to the plate and provide EXACT 100% RECOVERY PROTOCOLS. This has got to one of the worst ways to provide medical service.

Downward adjustment of rehabilitation goals may facilitate post-stroke arm motor recovery


Yongwon Cho
,
Jeremy M. Hamm
,
Jutta Heckhausen
&
Steven C. Cramer
Received 07 Oct 2022, Accepted 27 Apr 2023, Published online: 14 May 2023
 
Abstract

Objective: 

Patients starting with physical rehabilitation often hold unrealistically high expectations for their recovery.(NO, your therapists and doctors have set the tyranny of low expectations way too low, do not accept such crapola from them!) Because of a lower-than-expected rate of recovery, such unrealistic goals(They are only unrealistic because your doctor has been failing for decades to get stroke solved!) have been linked to adverse effects on mental health. Additionally, overtraining due to overly ambitious goals can lead to suboptimal recovery. We investigated the effectiveness of adjusting rehabilitation goals to a more realistic level as a strategy to select appropriate exercise intensity and achieve better recovery outcomes. 

Design: 

Patients with arm paralysis from recent stroke were recruited and went through 6–8 weeks of telerehabilitation and in-clinic rehabilitation programme conducted at 11 US sites (N = 124). 

Main Outcome Measures: 

Adjustment of recovery goal was assessed in two timepoints during the rehabilitation programme and arm motor function was assessed before and after the clinical trial.  

Results: 

Greater use of goal adjustment strategies predicted better recovery of arm motor function, independent from therapy compliance. This pattern was observed only when the choice of exercises is patient-regulated rather than directed by a physical therapist.  

Conclusion: 

Benefits from goal adjustment were more pronounced among patients who entered the programme with poorer motor functions, suggesting that goal adjustment is the most beneficial when goals of complete recovery are most unrealistic.

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1 comment:

  1. AnonymousMay 22, 2023 at 4:12 PM

    AGREED 100% Bull schitt
    The care/compromise is a cowardly and lazy approach. Get your research funding, write a useless report and collect your paycheck.
    100% Recovery or Go Home !!

    ReplyDelete

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