Friday, March 14, 2014

Optimising the content and dose of rehabilitation in the first 12 months following stroke

Have your doctor compare  these ideas to what you are getting. Are they even close?
http://www.dl.begellhouse.com/journals/757fcb0219d89390,forthcoming,10518.html
Harry McNaughton
Medical Research Institute of New Zealand
Stephanie Thompson
University of Otago
Cathy Stinear
University of Auckland
Matire Harwood
University of Otago
Kathryn McPherson
AUT University

ABSTRACT

Rehabilitation following stroke has the potential to make a very significant and lasting impact on outcomes for the person with stroke. The knowledge base that would allow informed decisions about content, location and dose of the rehabilitation intervention is incomplete. Some high quality evidence does exist, including important studies from New Zealand, or with New Zealand input into international studies. This article focusses attention on what rehabilitation clinicians can do now, based on current evidence, to optimise the content and dose of rehabilitation in the first year after acute stroke, particularly in the community phase of rehabilitation. Promoting self-directed rehabilitation may offer the greatest potential for change at little cost.

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