Deans' stroke musings: Implementation of dynamic Lycra® orthoses for arm rehabilitation in the context of a randomized controlled feasibility trial in stroke: A qualitative study using normalisation process theory

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, April 28, 2021

Implementation of dynamic Lycra® orthoses for arm rehabilitation in the context of a randomized controlled feasibility trial in stroke: A qualitative study using normalisation process theory

So you measured NOTHING about recovery? Useless.

Implementation of dynamic Lycra® orthoses for arm rehabilitation in the context of a randomized controlled feasibility trial in stroke: A qualitative study using normalisation process theory

Rehabilitation Process and Outcome , Volume 9

NARIC Accession Number: J85746. What's this?
ISSN: 1179-5727.
Author(s): Delvaux, Joke ; John, Alexandra ; Wedderburn, Lucy ; Morris, Jacqui.
Publication Year: 2020.
Number of Pages: 10.

Abstract:

Study explored how rehabilitation practitioners implemented dynamic Lycra® orthoses for arm recovery after stroke into rehabilitation practice as part of a feasibility randomized controlled trial. Semi-structured interviews were conducted at the end of the trial with 15 healthcare practitioners involved in delivery of dynamic Lycra® orthoses at 2 inpatient stroke units and their associated rehabilitation hospitals in Scotland. The interviews examined their experiences of orthosis implementation. Normalization Process Theory structured the interview guide and informed data analysis. NVivo software supported data analysis. Practitioners intuitively made sense of the intervention in the face of uncertainty about its precise mechanisms of action (Normalization Process Theory construct: coherence) and espoused commitment to the research, despite uncertainty about orthosis effectiveness (cognitive participation). They did however adapt the intervention based on perceived therapeutic need, their own skillsets and stroke survivor preference (collective action). They were uncertain about benefits (reflexive monitoring). Across the 4 theoretical constructs, ambivalence about the intervention was detected. Ambivalence interfered with implementation – but only to an extent. ‘Good-enough’ coherence, cognitive participation, collective action and reflexive monitoring were sufficient to initiate normalization – as long as implementation did not undermine the relationship between practitioner and stroke survivor. Ambivalence stemmed from practitioners’ uncertainty about the intervention theory and mechanisms of action. Making intervention mechanisms of action more explicit to practitioners may influence how they implement and adapt a research intervention and may determine whether those processes undermine or enhance outcomes.
Descriptor Terms: ASSISTIVE TECHNOLOGY, CLINICAL MANAGEMENT, HEALTH PERSONNEL, INTERNATIONAL REHABILITATION, LIMBS, MOTOR SKILLS, NURSING, OCCUPATIONAL THERAPY, ORTHOTICS, PHYSICAL THERAPY, STROKE.

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

Citation: Delvaux, Joke , John, Alexandra , Wedderburn, Lucy , Morris, Jacqui. (2020). Implementation of dynamic Lycra® orthoses for arm rehabilitation in the context of a randomized controlled feasibility trial in stroke: A qualitative study using normalisation process theory. Rehabilitation Process and Outcome , 9 Retrieved 4/23/2021, from REHABDATA database.