Yep, as long as you're promoting awareness that everything in stroke is a failed shitshow!
tPA full recovery? Only 12%!
rehab full recovery? Only 10%!
No stroke protocols for any rehab!
Nothing being done to save million/billions of neurons during the neuronal cascade of death in the first week!
I don't need to hear any lies about this meme from World Stroke Day a couple of years ago.
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What a lying piece of shit. |
Stroke Awareness Month: Let the Brain Lead the Way
Written By: Toni Patt, PT, DPT, NCS, GCS
May is Stroke Awareness Month
where we take time to raise awareness along with its risk factors and
rehabilitation efforts. One of the hardest challenges when working with stroke
patients is facilitating neuroplasticity to recover lost motor
pathways. Each year in America, hundreds of thousands of individuals
experience strokes,
with estimates reaching nearly 800,000 cases, rendering it a leading
cause of long-term disability and mortality, prompting a critical need
for heightened awareness, prevention strategies, and effective medical
interventions to mitigate its devastating impact on individuals,
families, and healthcare systems. As therapists, we give commands,
demonstrations, and encouragement. We give feedback on performance. We
try to entice the stroke patient brain to complete the task. I’ve
found instead of telling the brain how to do something, it’s better to
tell it what to do and then let the brain figure it out.
Telling the brain what to do forces it to solve the problem. In doing so the brain activates automatic intrinsic pathways creating greater activation overall. The brain activates what it needs, or at least tries, resulting in a greater motor response. Those subcortical intrinsic pathways improve movement.
I’ve
also found it matters what the task is. Brains must care about what
they’re doing. Let the patient pick the task. I give choices. Ask them
what they want to do. I’ve helped men stand in front of mirrors to
shave. I have sat next to a lady on her bed to maintain balance while
she Facetimed with her grandson in the Army. I brought my horse to work
so patients could stand while feeding him treats. He loved going to work
with me.
Feedback matters. I found defining good really helps. Since stroke patients base outcomes on pre-stroke levels, in their minds, they never do well. Defining a good transfer as not hitting the floor changes the discussion and opens the opportunity to provide feedback. Good can always be improved upon.
It’s important to let them struggle a little. The cerebellum will only correct movement when it senses a problem. If something is too easy or too hard the cerebellum doesn’t help. If someone is struggling it cues the cerebellum to join in. We learn from mistakes. We have to let our patients make mistakes to allow that to happen.
I hope you will take interest in joining me for my Summit Live Streams on June 8th and June 9th where we take a deeper dive into all things Rehab for Older Adults. Explore the courses below and join any or all that fit your schedule!
Evidence-Based Assessment and Treatment of Dementia
Effective Rehabilitation Strategies for Frail Older Adults
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