Deans' stroke musings: Barriers to adherence of stroke rehabilitation: therapist and patient's perspective

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.

Monday, April 28, 2025

Barriers to adherence of stroke rehabilitation: therapist and patient's perspective

Adherence is so fucking simple: 100% recovery protocols.

Adherence would be 100% if you had EXACT 100% recovery protocols! Are you that blitheringly stupid you don't understand how to motivate survivors?

My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION/ADHERENCE, DO YOU? You create EXACT 100% recovery protocols, and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. I'd fire all of you for incompetence! GET THERE!

Barriers to adherence of stroke rehabilitation: therapist and patient's perspective

Taliha Hamid Tareen¹, Arshad Nawaz Malik¹, Saira Jahan¹

Affiliations

PMID: 40269364
DOI: 10.47391/JPMA.11551

Free article

Abstract

Objectives: To explore the perspectives of physiotherapists and patients regarding barriers to stroke rehabilitation.

Methods: The qualitative, descriptive study was conducted from January to December 2022 after approval from the ethics review board of Riphah International Hospital, Islamabad, Pakistan, and comprised sub-acute and chronic stroke patients and physiotherapists having two years of clinical experience. The sample was raised using nonprobability purposive sampling technique from hospitals/clinics in Rawalpindi and Islamabad. Data was collected through semi-structured interviews. During the interviews, the patients were asked about their experiences with rehabilitation programmes and the factors affecting their rehabilitation. The therapists were asked to share their thoughts on the factors affecting the patients' adherence to stroke rehabilitation. Data was subjected to thematic analysis using ATLAS.ti 9.

Results: Of the 30 subjects, 15(50%) were patients; 13(86.6%) females and 2(13.3%) males with mean age 49.5±5.6 years and mean treatment duration 6.3±1.2 months. The remaining 15(50%) subjects were physiotherapists; 13(86.6%) females and 2(13.3%) males, with 8(53.3%) having three years of experience. Four themes were identified from the data related to the physiotherapists: experience and requirements of stroke rehabilitation, barriers to adherence of stroke rehabilitation, suggestions to improve stroke-rehabilitation, and avoiding non-adherence, motivational factors. Also, four themes were identified from the data related to the patients: experience and quality of life after stroke, major and minor barriers in stroke rehabilitation, positive and negative aspects of rehabilitation, and suggestions and factors to enhance participation in rehabilitation programmes.

Conclusion: Multiple patient-related barriers regarding adherence to rehabilitation were noted, including social and physical barriers and financial issues, while therapist-related barriers included time management issues and poor stroke rehabilitation infrastructure.

Keywords: Adherence, Patients, Physiotherapists, Rehabilitation, Stroke..

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