I've found plenty of TBI and SCI textbooks but was wondering if anyone knows of a good stroke rehab textbook, or do they not exist?
http://forums.studentdoctor.net/showthread.php?p=10337446#post10337446
Boy is this disgusting, our doctor instructors don't even have good textbooks. here was my reply;
as a stroke survivor, I've spent years looking for decent stroke rehab information. Personally I don't think it exists. Actually there is one book that is good; Stronger After Stroke by Peter Levine Go to any of the stroke forums and it is obvious that survivors are not given any useful information. Therapists don't know any basis for their treatment.
http://informahealthcare.com/doi/abs/10.3109/09593989409036399
As in the Swedish study, although the respondents were able to describe their treatment choices, they had difficulty explaining the underlying theoretical basis for their choice.
All I can say is that you had better not get a stroke because no one can tell you anything useful.
The World Stroke Organization is trying but we are 2400 years in the past when Hippocratic dictum that ‘It is impossible to cure a severe attack of apoplexy and difficult to cure a mild one’
Good luck you have reached the black hole of stroke knowledge.
To stump your teachers ask for the difference in therapies needed for penumbra damage vs. dead brain damage. I opine at www.oc1dean.blogspot.com, try not to be offended by my postings.
God, our doctors know nothing, our future doctors will know nothing, our therapists don't have any basis for their treatment. When will someone actually take charge and learn something about stroke rehab?
http://informahealthcare.com/doi/abs/10.3109/09593989409036399
As in the Swedish study, although the respondents were able to describe their treatment choices, they had difficulty explaining the underlying theoretical basis for their choice.
All I can say is that you had better not get a stroke because no one can tell you anything useful.
The World Stroke Organization is trying but we are 2400 years in the past when Hippocratic dictum that ‘It is impossible to cure a severe attack of apoplexy and difficult to cure a mild one’
Good luck you have reached the black hole of stroke knowledge.
To stump your teachers ask for the difference in therapies needed for penumbra damage vs. dead brain damage. I opine at www.oc1dean.blogspot.com, try not to be offended by my postings.
God, our doctors know nothing, our future doctors will know nothing, our therapists don't have any basis for their treatment. When will someone actually take charge and learn something about stroke rehab?
Dean, your blog is great. Thanks so much for the props in this post by the way.
ReplyDeleteAs you well know I do a lot of talks to therapist about stroke recovery. And I agree; the theoretical basis of their treatment is... scattered. But let me just defend him for a second. First of all, as you well know, there's just not much good research on recovery. But that's changing. We're finally getting to the level of therapies that have passed muster in phase 3 trials, or at least have been shown to be effective in systematic reviews. therapists are involved in game of catch-up at this point.
Another thing gets in the way of the therapies vis-à-vis stroke recovery. It has to do with the historical provincialism of the therapies. OTs talk to OTs, PT's talk to PTs, speech therapists talk to speech therapists, etc. But that's starting to change. As some of the old philosophies get debunked any new ones, from outside disciplines get proven, therapists will be more likely to develop a wider palette of treatment options.
Anyway, I just want to say... the blog is looking very cool.
Best, Pete