Deans' stroke musings: Outcomes of Multidisciplinary Team Approach in Rehabilitation of Patients with Stroke

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.

Friday, April 15, 2022

Outcomes of Multidisciplinary Team Approach in Rehabilitation of Patients with Stroke

I find all this research on multi-discilplinary teams useless, because with NO EXACT REHAB PROTOCOLS, all you get are guidelines and members of the team stating what has occurred rather than what will occur when the protocols are followed.

Outcomes of Multidisciplinary Team Approach in Rehabilitation of Patients with Stroke

sciplinary Team Approach in Rehabilitation of Patients with Stroke SHAZIA KANWAL1 , RIAZ HASHMI2 , WAJIDA PERVEEN3 , MISBAH AMANAT ALI3 , M. AKHTAR4 , AROOJ MUNAWAR5 1Department of Physiotherapy, Royal Medical College (UOS Sargodha), Gujranwala-Pakistan 2Department of Physiotherapy, Syed Medical Complex, Sialkot -Pakistan 3Department of Physiotherapy, Sialkot College of Physical Therapy, Sialkot-Pakistan 4Department of Physiotherapy, PSRD College of Rehabilitation Sciences (UHS), Lahore-Pakistan 5Department of Physiotherapy, UOL, Lahore-Pakistan Correspondence to Dr. Riaz Hashmi, Email: riazhashmiphysio@gmail.com Tel:+92-321-7121412

ABSTRACT

Aim:

To find the benefits of the multidisciplinary team approach for the rehabilitation of patients with stroke. Methodology: This cohort case series was conducted at physiotherapy department, Syed Medical Complex Sialkot in 2017-18 after ethical approval. Open epi calculator was used for sample size estimation and found 70 patients. Non-probability, consecutive sampling technique was used to enroll the patients after screening for eligibility criteria and taking their consent. FIMFAM scale was used to measure the outcomes at 1st visit, after 4 weeks, and on follow up.

Results:

Mean ± standard deviation of the age of participants was 62.57±8.02 years. Out of them, 74.28% (52) had left sided while 25.71% (18) had right sided stroke. Mean of total FIMFAM score at 1st visit, after 4 weeks, and on follow up was 42.50±20.58, 77.70±25.56 and 126.83±21.30 respectively (P=0.000). Mean difference of 1st visit and after 4 weeks was 35.20 (p value=0.000), Mean difference after 4 weeks and follow up was 49.13 (p value=0.000).

Conclusion:

We concluded that multidisciplinary team approach in patients with stroke can produce significant improvement(NOT 100% RECOVERY, SO YOU'RE ACCEPTING FAILURE AS YOUR ENDPOINT!) in their functional outcomes, therefore can limit the risk of death and delayed recovery. Keywords: Multidisciplinary Team Approach, Stroke, Rehabilitation and FIMFAM Scale.