How did these researchers get past the meme, 'All strokes are different, all stroke recoveries are different'? to create some standards? They need to be shot as heretics. Its only 9 pages long, maybe your doctor can get it instituted in the next 10 years.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67361&phrase=no&rec=123163
NARIC Accession Number: J67361. What's this?
ISSN: 1074-9357.
Author(s): McDonnell, Michelle N.; Hillier, Susan L.; Esterman, Adrian J..
Publication Year: 2013.
Number of Pages: 9.
Abstract: Study describes the development of a
clinical algorithm to enable standardized intervention prescription and
progression for hemiparetic upper-limb rehabilitation following stroke.
The standardized clinical algorithm involved assessment of 18 critical
impairments of upper-limb function and application of task-specific
exercises appropriate to the individual’s level of impairment. These
tasks were consistent with recent evidence-based guidelines. Feasibility
was tested with 20 participants recently discharged from inpatient
rehabilitation following stroke who received outpatient therapy
according to the clinical algorithm. Participants’ abilities were
regularly re-evaluated and task difficulty progressed. Outcomes were
assessed at the level of impairment (Action Research Arm Test,
Fugl-Meyer Assessment) and activity (Motor Activity Log). All
participants attended the 9 sessions of training over the 3-week
intervention period. No adverse events were reported. There were
significant improvements in all outcome measures. This evidence-based,
upper-limb clinical algorithm provides a framework for standardizing
task-specific training following stroke based on the assessment of
functioning of the individual following stroke in day-to-day life. This
approach is appropriate for patients with different functional levels
and may be used to standardize individual or group self-directed
practice sessions or to standardize the intervention and progressions in
experimental studies.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
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