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.

Tuesday, June 17, 2025

Attitudes and practices of physiotherapists towards goal-setting for stroke rehabilitation: A wide online survey

 You're THAT STUPID that you don't know the only goal in stroke is 100% recovery!  Get the hell out of stroke and do something easier like basket weaving. All you're trying to do with your goal setting is dumb down the goals of your patients because you know you're a failure as a therapist for stroke patients! STOP THAT AND DELIVER RECOVERY!

Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? Your patients need an explanation of why you don't have 100% recovery protocols.

Why isn't your 'professional' solving stroke?

Laziness? Incompetence? Or just don't care? NO leadership? NO strategy? Not my job? Not my Problem!

Attitudes and practices of physiotherapists towards goal-setting for stroke rehabilitation: A wide online survey


https://doi.org/10.1016/j.gerinurse.2025.103390Get rights and content
Under a Creative Commons license
Open access

Highlights

  • 17 % of physiotherapists reported not setting goals with stroke survivors.
  • Physiotherapists reported heterogeneous practices regarding goal-setting in stroke.
  • Organizational and professional characteristics were associated with goal-setting.
  • Future research should explore the factors found to optimize goal-setting.

Abstract

Goal-setting in stroke rehabilitation is poorly understood(NO it's not! You just don't like to do the work to accomplish your survivor goal of 100% recovery!). This study examined attitudes, practices, and factors related to goal-setting in stroke rehabilitation among Portuguese physiotherapists. An online cross-sectional exploratory survey was conducted, collecting data on sociodemographic and service profiles, patient-centeredness, attitudes and practices of goal-setting, using the Patient-Practitioner Orientation Scale, and Attitudes toward Goal-Setting and Practices toward Goal-Setting Scales. Logistic regression identified factors associated with goal-setting. From 347 physiotherapists, mostly high scores were obtained for attitudes toward goal-setting. Heterogeneous practices were verified and 17 % reported no involvement in goal-setting. Working from the stroke survivor's home (OR10.218 [1.267–82.389], p=0.029) or from an inpatient rehabilitation unit (OR6.443 [1.918–21.636], p=0.003) were the strongest predictors of goal-setting, followed by positive attitudes toward goal-setting (OR1.111 [1.028–1.201], p=0.008). The identified organizational and professional characteristics should be considered to improve suboptimal goal-setting, namely by advocating the core contribution of goal-setting, disseminating best practices, and providing training.

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