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, January 20, 2025

Post-Stroke Dysphagia: Identifying the evidence missing

I see nothing that remotely suggests any protocols are out there or any attempt to create protocols! So useless research; yeah you are getting published, but NOTHING TO HELP STROKE SURVIVORS!

I'd fire all of you!

Dysphagia is a medical term for difficulty swallowing.

Post-Stroke Dysphagia: Identifying the evidence missing

Zicong Wang Zicong Wang 1Ran Shi Ran Shi 2Paulo Moreira Paulo Moreira 3,4,5*
  • 1 Shanghai Sunshine Rehabilitation Center, Tongji University School of Medicine, Shanghai Yangzhi Rehabilitation Hospital, Shanghai, China
  • 2 Department of Rehabilitation, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China
  • 3 International Healthcare Management Research and Development Center (IHM-RDC), The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China, Jinan, Shandong Province, China
  • 4 Atlantica Instituto Universitario, Gestao em Saude, Oeiras, Portugal
  • 5 Henan Normal University, School of Social Affairs, Henan, China, Xinxiang, Henan Province, China

The final, formatted version of the article will be published soon.

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    Dysphagia is a high-profile dysfunction that often occurs after a stroke, with a prevalence of 50% to 80%. Post-stroke dysphagia (PSD) often leads to serious complications such as pneumonia and malnutrition, reducing the quality of life and leading to poor prognosis or even death. PSD causes these adverse physical and psychological impairments to patients, which becomes a challenge for both patients and physicians. This review intends to contribute to the international debate on evidence-based options on Stroke Rehabilitation and to better understand the need for further research on PSD and summarizing evidence on some of the most relevant topics and clarifying its clinical practice value for Neurology, stroke rehabilitation experts, rehabilitation and nursing staff, as well as patients. The article identifies and discusses the gaps in knowledge on PSD and elaborates on current evidence concerning the selection of subjects, examination methods, patient data extraction and analysis, classification of stroke lesions, details of dysphagia, significance of results, and neuromodulation of dysphagia, from the perspective of rehabilitation physicians. The review identified a set of ten points and parameters for the international debate on PSD, namely: stroke onset, cognitive impairment, feeding method, contrast medium, swallowing reflex delay, swallowing evaluation form, division of brainstem, multiple stroke sites, basal ganglia lesions and neuromodulation techniques. The article explores available evidence on factors associated with dysphagia and stroke site. Although there is plenty of evidence exploring the correlation between stroke site and swallowing disorders, the pathophysiological mechanisms between the two are complex, and expert interpretations of the evidence and clinical opinions vary on which swallowing abnormalities occur. The study generates evidence on current evidence-based options on Stroke Rehabilitation and a better understanding of the need for further research on Post-Stroke Dysphagia. Taking a patient-centric approach, the ultimate goal is to generate on how can available evidence influence policy or practice or research or clinical education. The article provides a structured discussion clarifying key points on the relationship between stroke lesions and swallowing dysfunctions and contributes to clarifying the gaps in evidence to further improve the quality of life of the patients suffering from Post-Stroke Dysphagia.

    Keywords: this work did not receive any funding Acknowledgements: n.a Post-Stroke Dysphagia: Identifying the evidence missing Dysphagia, Stroke, Rehabilitation, Healthcare Management, Geriatrics, Elderly

    Received: 11 Sep 2024; Accepted: 20 Jan 2025.

    Copyright: © 2025 Wang, Shi and Moreira. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Paulo Moreira, International Healthcare Management Research and Development Center (IHM-RDC), The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China, Jinan, Shandong Province, China 

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