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 8, 2018

Altering the Rehabilitation Environment to Improve Stroke Survivor Activity (AREISSA): A Phase II Trial

You are attacking the problem from the wrong side. The problem is that doctors are doing ABSOLUTELY NOTHING to assist your recovery. Have them stop the 5 causes of the neuronal cascade of death in the first week. That would assist your recovery vastly more than rehab which only fully works 10% of the time.  And just why the fuck are you studying environmental enrichment? Hasn't it been proven enough by this enriched environment talked about by Dr. Dale Corbett in 2011?

Altering the Rehabilitation Environment to Improve Stroke Survivor Activity (AREISSA): A Phase II Trial

Despite higher levels of activity being associated with better stroke recovery, stroke patients on most rehabilitation units spend the majority of their day inactive and alone.

Aims

To determine the clinical and operational feasibility and safety of Environmental Enrichment (EE)
Design: Before-after non-randomised controlled trial
Current status: Recruitment ongoing
Site/s: Bankstown Lidcombe, NSW; St Vincent’s Hospital Sacred Heart Rehabilitation Unit, NSW; Austin Health Royal Talbot, Mellor Unit, VIC, and Monash Health Kingston Centre, VIC
In animal models, Environmental Enrichment (EE) involves organisation of the environment and provision of equipment to facilitate physical, cognitive and social activity. EE promotes rewiring of the brain after stroke and has been found to significantly enhance functional recovery. Preliminary work on the use of a human model of EE using individual (eg. iPods, & word puzzles) and communal (eg. access to interactive gaming, computer, books/newspapers & jigsaws) enrichment in a rehabilitation unit indicates it encourages stroke patients to be more active. Greater activity during rehabilitation has numerous benefits, the most important of which is achieving better functional recovery and subsequently, greater independence. Altering the Rehabilitation Environment to Improve Stroke Survivor Activity (AREISSA) is a Phase II Trial involving four rehabilitation units, 2 in NSW and 2 in VIC, which seeks to determine the safety, efficacy, feasibility and patient and staff acceptability of this model of EE during stroke rehabilitation. This and the other enrichment projects conducted alongside AREISSA, will be used to inform future larger trials required to determine the effect of EE on stroke survivor recovery and quality of life.
Methods: Behavioural mapping, in-depth interview, audit and survey

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