Deans' stroke musings: Therapists' perspectives on an interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: a qualitative study

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, March 10, 2025

Therapists' perspectives on an interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: a qualitative study

My conclusion is you're COMPLETELY MISSING THE ONLY GOAL IN STROKE: 100% RECOVERY! And that requires EXACT PROTOCOLS!

My second conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION, DO YOU? You create EXACT 100% recovery protocols and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. GET THERE!

There would be no need for this useless research.

Therapists' perspectives on an interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: a qualitative study

March 2025
Disability and Rehabilitation

DOI:10.1080/09638288.2025.2472052

Authors:

Charlotte van Laake-Geelen

Adelante Zorggroep

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Purpose:

To explore therapists’ experiences on what elements arm-hand rehabilitation should contain, their importance, and the information needed to apply them in clinical practice.

Materials and methods:

This qualitative study, with an exploratory approach, used focus group discussions with purposive sampling. Based on Braun and Clarke’s methodology, inductive thematic analysis was employed to develop themes, subthemes, and categories. The study included seven physiotherapists and seven occupational (≥2 year experience) therapists from three spinal cord rehabilitation wards in Belgium and the Netherlands.

Results:

The data analysis revealed five major themes, i.e., gathering knowledge, the process of thinking and acting, practice beyond therapy, and motivation. The first theme involves collecting information about the person and their client system. The second focuses on the goal-setting process for a patient-tailored therapy plan, described in the third theme as goal task-oriented with an individualized therapy dose. The fourth theme highlights meaningful activities to enhance performance beyond therapy, while the fifth emphasizes maintaining motivation through rehabilitation.

Conclusion:

Therapists highlight centralizing the person and their social environment in arm-hand rehabilitation, leading to a personalized goal-setting process and a patient-tailored therapy plan incorporating meaningful tasks. This approach can increase therapy dose and improve patients’ motivation.(See my remarks above.)