Objective:
Patients starting with physical rehabilitation often hold
unrealistically high expectations for their recovery.(NO, your therapists and doctors have set the tyranny of low expectations way too low, do not accept such crapola from them!) Because of a
lower-than-expected rate of recovery, such unrealistic goals(They are only unrealistic because your doctor has been failing for decades to get stroke solved!) have been
linked to adverse effects on mental health. Additionally, overtraining
due to overly ambitious goals can lead to suboptimal recovery. We
investigated the effectiveness of adjusting rehabilitation goals to a
more realistic level as a strategy to select appropriate exercise
intensity and achieve better recovery outcomes.
Design:
Patients
with arm paralysis from recent stroke were recruited and went through
6–8 weeks of telerehabilitation and in-clinic rehabilitation programme
conducted at 11 US sites (N = 124).
Main Outcome Measures:
Adjustment of recovery goal was assessed in two timepoints during the
rehabilitation programme and arm motor function was assessed before and
after the clinical trial.
Results:
Greater use of goal adjustment
strategies predicted better recovery of arm motor function, independent
from therapy compliance. This pattern was observed only when the choice
of exercises is patient-regulated rather than directed by a physical
therapist.
Conclusion:
Benefits from goal adjustment were more
pronounced among patients who entered the programme with poorer motor
functions, suggesting that goal adjustment is the most beneficial when
goals of complete recovery are most unrealistic.
AGREED 100% Bull schitt
ReplyDeleteThe care/compromise is a cowardly and lazy approach. Get your research funding, write a useless report and collect your paycheck.
100% Recovery or Go Home !!