Deans' stroke musings: Emerging Perspectives 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.

Wednesday, May 13, 2020

Emerging Perspectives in Stroke Rehabilitation - 2013

You'll have to have your doctor get the complete article and see if anything in there should be implemented in their hospital. Assuming your doctor is competent of course. And if nothing has been done with this since 2013 call the president and ask when competent stroke medical professionals will be hired.

Emerging Perspectives in Stroke Rehabilitation - 2013

Guillermo Asín Prieto, Roberto Cano-de-la-Cuerda, Eduardo López-Larraz, Julien Metrot, Marco Molinari and Liesjet E. H. van Dokkum

Abstract

Post stroke characteristics vary signiﬁcantly between patients and over time, necessitating the introduction of individualized therapy. To provide the appropriate therapy to a patient at the correct time, several theoretical considerations must be taken into account—from a clear delineation of rehabilitation goals to an understanding of how a certain therapy can inﬂuence the underlying neuroplasticity. With regard to the differences between upper and lower limb motor recovery, both domains have experienced a change in perspective on rehabilitation.
In gait training, assist-as-needed rehabilitation paradigms have become more pertinent, allowing each patient to ﬁnd his/her individual walking rhythm and style within healthy boundaries. With the introduction of robotics in upper limb training (with or without virtual reality games that are attached), the amount of training and feedback that is provided to a patient can be increased without a rise in cost. The emerging consensus is to consider the various motor therapies and pharmacological interventions as part of a single, large toolbox instead of separate entities, guiding us toward a more patient-therapist-tailored approach, which is demonstrating tremendous efﬁcacy.