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.

Friday, November 29, 2013

Barriers and facilitators to engagement in rehabilitation for people with stroke: a review of the literature

I'm impressed with this as an undergraduate project.
http://physiotherapy.org.nz/assets/Professional-dev/Journal/2013-November/ML-Roberts-LR.pdf
Grace A MacDonald
BHSc (Physiotherapy), NZRP
Physiotherapist (Shore Physiotherapy)
Nicola M Kayes
BS
c
,
MSc(Hons), PhD
Senior Lecturer, Person Centred Research Centre, Health and Rehabilitation Research Institute, AUT University
Felicity Bright
BSLT (Hons), MHSc (Hons), MNZSTA
Speech Language Therapist, School of Rehabilitation and Occupation Studies
PhD Candidate, Person Centred Research Centre, Health and Rehabilitation Research Institute, AUT University
 
ABSTRACT
While there is a growing acknowledgement of the significant role that engagement plays in rehabilitation, there is limited knowledge
of the factors that may help or hinder engagement in stroke rehabilitation. This review drew on systematic principles and aimed
to explore what is currently known about the perceived barriers and facilitators to engagement in stroke rehabilitation. EBSCO,
SCOPUS and Google Scholar databases and reference lists were searched for papers that provided insight into the process of
engagement or disengagement in stroke rehabilitation.
Data were extracted and synthesised thematically from 17 papers. Themes
included goal setting, therapeutic connection, personalised rehabilitation, paternalism versus independence, patient centered practice,
knowledge is power, and feedback and achievement. None of the papers identified however, explicitly sought to investigate the
complexities of engagement in rehabilitation specifically within the stroke population. Future research is needed to explore this topic
in more depth from the perspective of all the key stakeholders. A more comprehensive understanding of engagement in stroke
rehabilitation may inform the development of interventions to better equip rehabilitation providers with the clinical skills to facilitate
engagement and effectively deliver rehabilitation modalities.
MacDonald GA, Kayes NM, Bright F (2013) Barriers and facilitators to engagement in rehabilitation for people with
stroke: a review of the literature New Zealand Journal of Physiotherapy 41(3): 112-121

Full 10 page paper at the link.
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