Deans' stroke musings: Stroke Care 2 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.

Thursday, November 28, 2019

Stroke Care 2 Stroke rehabilitation

I have seen nothing that supports that multidisciplinary units are doing anything other than taking credit for spontaneous recovery and

the Hawthorne effect.

Other than that this is all generalities, so useless.

Stroke Care 2 Stroke rehabilitation

Series
www.thelancet.com

Vol 377 May 14, 2011
1693
Lancet
2011; 377: 1693–702
See
Editorial
page 1625See
World Report
page 1639This is the second in a
Series
of two papers about stroke care
Academic Section of Geriatric Medicine, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Royal Inﬁrmary, Glasgow, UK
(Prof P Langhorne PhD)
; Stroke Division, Florey Neuroscience Institutes, Melbourne, VIC, Australia
(Prof J Bernhardt PhD)
; La Trobe University, Bundoora, VIC, Australia
(J Bernhardt)
; Department of Rehabilitation Medicine, Research Institute MOVE, VU University Medical Centre, Amsterdam, Netherlands
(G Kwakkel PhD)
; and Rudolf Magnus Institute, University Medical Centre Utrecht, Utrecht, Netherlands
(G Kwakkel)Correspondence to:Prof Peter Langhorne, Academic Section of Geriatric Medicine, Institute of Cardiovascular and Medical Sciences, Level 4, Walton Building, Royal Inﬁrmary, Glasgow G4 0SF, UK
peter.langhorne@glasgow.ac.uk
Stroke Care 2Stroke rehabilitation
Peter Langhorne, Julie Bernhardt, Gert Kwakkel
Stroke is a common, serious, and disabling global health-care problem, and rehabilitation is a major part of patient care. There is evidence to support rehabilitation in well coordinated multidisciplinary stroke units or through provision of early supported provision of discharge teams. Potentially beneﬁcial treatment options for motor recovery of the arm include constraint-induced movement therapy and robotics. Promising interventions that could be beneﬁcial to improve aspects of gait include ﬁtness training, high-intensity therapy, and repetitive-task training. Repetitive-task training might also improve transfer functions. Occupational therapy can improve activities of daily living; however, information about the clinical eﬀect of various strategies of cognitive rehabilitation and strategies for aphasia and dysarthria is scarce. Several large trials of rehabilitation practice and of novel therapies (eg, stem-cell therapy, repetitive transcranial magnetic stimulation, virtual reality, robotic therapies, and drug augmentation) are underway to inform future practice.