Deans' stroke musings: Clinicians’ Perspectives on Cross-Education in Stroke Rehabilitation

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.

Saturday, December 17, 2016

Clinicians’ Perspectives on Cross-Education in Stroke Rehabilitation

This is exercising the good side to improve the bad side. A great thesis supporting earlier research on this, but still no one is writing up a stroke protocol that stroke survivors can point to to get their therapists to use on them. The existing paradigm of having therapies come from therapists and doctors is a total failure, they do not keep up with research. A bottom up approach of distributing stroke rehab information would be much more effective and a database of stroke research and protocols from a great stroke association is the way to do this.. This is only 72 pages long for your perusal.
https://era.library.ualberta.ca/files/cn870zr07r/Russell_William_H_201608_MSc.pdf

Results:

Cross-education is antithetical yet promising was the lone theme which was reiterated in every data collection session. The primary theme was captured in

3 descriptive categories. The therapists described working in a (1) forced-use paradigm, yet they also described how that paradigm did not meet the needs of all of their patients. They recognized this as a (2) gap in current practice. They also hypothesized that (3) cross-education used as an adjunct could be quite effective within their current practice for specific patients. The primary theme weaves between the 3 categories.

Conclusions: Therapists perceived that cross-education would be most appropriate for patients with a severely impaired upper extremity. They suggested that educational materials for clinicians, patients, and patient families would be essential to the success of cross-education in order to explain training the less affected limb. This study provides important foundational information about clinician perspectives that will help transition cross-education into clinical stroke rehabilitation research and eventually practice.