Deans' stroke musings: Rehabilitation of unilateral neglect: Evidence-based medicine

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.

Wednesday, October 11, 2017

Rehabilitation of unilateral neglect: Evidence-based medicine

So, NO protocols to address this neglect. On your own once again. It just proves that the stroke medical world knows not one damn thing about getting stroke survivors recovered. The only way to address this is to publicly acknowledge that everything in stroke is a fucking failure, but NO, 'Stroke is Treatable'. Which means that your doctors and therapists are getting paid under false pretenses, getting paid for tests and processes, NOT results.

http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J76804&phrase=no&rec=134681&article_source=Rehab&international=0&international_language=&international_location=
Annals of Physical and Rehabilitation Medicine , Volume 60(3) , Pgs. 191-197.

NARIC Accession Number: J76804. What's this?
ISSN: 18770657.
Author(s): Azouvi, Philippe; Jacquin-Courtois, Sophie; Luaute, Jacques.
Publication Year: 2017.
Number of Pages: 7.
Abstract: Study reviewed the evidence on the effectiveness of rehabilitation procedures for unilateral spatial neglect following a stroke. In the last decades, several rehabilitation methods have been developed to improve spatial neglect. These can be classified according to their theoretical basis: (1) enhance awareness of neglect behavior through a top-down mechanism, (2) low-level bottom-up sensory stimulation, (3) modulation of inhibitory processes, (4) stimulation of arousal, and (5) combined approaches. A systematic search was performed to look for all randomized controlled trials (RCTs) aimed at reducing left spatial neglect that included a functional assessment. In addition, recent review papers and meta-analyses were analyzed. Thirty-seven RCTs were found (12 bottom-up, 12 top-down, 1 interhemispheric competition, and 12 combination of approaches) that included 1,027 patients with neglect. Although some studies suggest that various rehabilitation methods are effective for unilateral spatial neglect, but the level of evidence is still low as shown in recent meta-analyses. Poor methodological quality and small sample sizes are major limitations in many published trials. Findings suggest there is a need for well-conducted, large-scale RCTs that incorporate blinded assessments, evaluation of the generalization to activities of daily living and long-term follow-up.
Descriptor Terms: ATTENTION DEFICIT DISORDERS, COGNITIVE DISABILITIES, LITERATURE REVIEWS, REHABILITATION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Azouvi, Philippe, Jacquin-Courtois, Sophie, Luaute, Jacques. (2017). Rehabilitation of unilateral neglect: Evidence-based medicine. Annals of Physical and Rehabilitation Medicine , 60(3), Pgs. 191-197. Retrieved 10/11/2017, from REHABDATA database.