Thursday, October 4, 2012

Evidence-Based Therapy for stroke rehab?

Do we want to go there right now? It sounds wonderful but look at the evidence that we know that works right now, CIMT, neuroplasticity. CIMT is so limited in its use and neuroplasticity works but we don't know  how to replicate it. If you have functions that don't work at all because they were in the dead brain you won't have any proven therapy at all. We won't even have the possibility of patients or therapists finding something new that works because they would be constrained to only providing  evidence based therapy. Think about it. We as patients have no idea what is proven because stroke associations don't know and won't tell us even if they did know. We'll just have to muddle along until some genius puts it all together and pigs fly.
But insurance would love it because the existing supply of evidence-based therapy for stroke is so limited.
Oh joy to the insurance companies, No EBM, no therapy, more profits. 

Who does know what evidence does exist and where is it?

This is how bad the current understanding of the theoretical basis is:
http://oc1dean.blogspot.com/2010/11/theoretical-basis-of-stroke-rehab.html

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