If we had stroke protocols then your doctor and therapists would know exactly what to do based upon your objective damage diagnosis. But since all we have is the crapola of guidelines you will barely recover.
Current rehab only gets you 100% recovered 10% of the time. So you can see how fucking bad the status quo is in stroke rehab. And I can with 100% assurance state that your doctor and stroke hospital are doing nothing to change that 90% failure rate. That should get me flamed by every stroke hospital in the world. But no one will tell me I'm wrong.
Evidence-Based Practice Implementation in Stroke Rehabilitation: A Scoping Review of Barriers and Facilitators
American Journal of Occupational Therapy, October 2019, Vol. 74, 7401205050. https://doi.org/10.5014/ajot.2020.035485
Abstract
Importance:
Despite advancements in stroke rehabilitation research, occupational
therapy practitioners still face challenges with implementing research
into routine practice. Although the development of evidence-based
practices (EBPs) is one critical step along the knowledge translation
continuum for the population of people with stroke, research is also
needed to identify the most effective strategies for implementing EBPs
with stroke survivors who are receiving occupational therapy services.
Objective: To synthesize research related to occupational therapy practitioners’ implementation of EBPs in adult stroke rehabilitation.
Data Sources: We searched four electronic databases—CINAHL, MEDLINE, PubMed, and Academic Search Complete—and the peer-reviewed journal Implementation Science to identify relevant research studies.
Study Selection and Data Collection:
Studies that met the following inclusion criteria were included in the
scoping review: published between January 2003 and January 2018,
addressed the adult stroke population, and examined the implementation
of occupational therapy interventions. Data were abstracted on the basis
of recommendations from the seminal review framework established by Arksey and O’Malley (2005) . Thematic analysis identified themes that emerged from the included studies.
Findings:
Twenty-five articles satisfied our inclusion parameters. Our analyses
yielded three overarching themes: barriers to implementation,
facilitators of implementation, and implementation strategies.
Implementation strategies often consisted of multimodal knowledge
translation training programs.
Conclusion and Relevance:
Although the stroke rehabilitation literature appears to have
established the barriers to and facilitators of EBP implementation,
greater attention to the identification of effective implementation
strategies that promote the uptake of EBPs by occupational therapy
practitioners is needed.
What This Article Adds:
This article summarizes the contextual factors and effective strategies
that may influence practitioners’ implementation of stroke research
findings in real-world practice.
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