Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 34,264 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain!trillions and trillions of neuronsthatDIEeach day because there areNOeffective 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.
Showing posts with label Intensive rehabilitation therapy. Show all posts
Showing posts with label Intensive rehabilitation therapy. Show all posts
My therapists never pushed me, in fact they were afraid of getting me exhausted which was not possible. This mindset of theirs is not going to change until we get EXACT STROKE PROTOCOLS. So that survivors can point to them and demand that therapists follow them to get us recovered. We have to remove therapist variability and skill from the equation.
Despite
increasing evidence on intensive task-specific practice and aerobic
exercise in stroke rehabilitation, implementation remains difficult. The
factors influencing implementation have been explored from therapists’
perspectives; however, despite an increased emphasis on patient
involvement in research, patients’ perceptions have not yet been
investigated.
Objective
The
study aimed to investigate factors influencing implementation of higher
intensity activity in people with stroke and to compare this with
therapists’ perspectives.
Design
The design was a cross-sectional qualitative study.
Methods
The
study used semi-structured interviews with people with stroke who were
part of a randomized clinical trial, the Determining Optimal post-Stroke
Exercise (DOSE) study, which delivered a higher intensity intervention.
An interview guide was developed and data analyzed using implementation
frameworks. Factors emerging from people with stroke were compared and
contrasted to factors perceived by rehabilitation therapists.
Results
Ten
people with stroke were interviewed before data saturation was reached.
Participants had a positive attitude regarding working hard, and were
satisfied with the graded exercise test, high intensity intervention,
and the feedback monitoring devices. Therapists and patients had
contrasting perceptions about their beliefs of intensive exercise and
the content of the intervention, with therapists more focused on the
methods and patients more focused on the personal interactions stemming
from the therapeutic relationship.
Conclusions
People
with stroke perceived no barriers regarding the implementation of
higher intensity rehabilitation in practice and were positive towards
working at more intense levels. Contrastingly, from the therapists’
perspective, therapists’ beliefs about quality of movement and issues
around staffing and resources were perceived to be barriers. In
addition, therapists and people with stroke perceived the contents of
the intervention differently, highlighting the importance of involving
patients and clinicians in the development and evaluation of
rehabilitation interventions.
Aim:
To examine the association of the amount of rehabilitation with
functional gains of elderly stroke patients at a convalescent
rehabilitation ward using propensity score analysis methods and the
Japan Rehabilitation Database.
Methods:
This study was a retrospective cohort study. From the database, 6875
patients who were admitted to the convalescent rehabilitation wards with
stroke were identified. After excluding 4586 patients, 2325 were
eligible for the study. Intensive rehabilitation therapy (IRT) was
defined as rehabilitation therapy of more than 15 hours per week by a
physical therapist, an occupational therapist, and/or a speech
therapist. Functional Independence Measure (FIM) gain, discharge rate to
home, and FIM efficiency were examined using student's t test and the χ2 test after inverse probability weighting (IPW).
Results:
IRT was provided to 862 patients (37.1%). The unadjusted data showed
that patients in the IRT group had a longer hospital stay, more physical
therapy, occupational therapy, and speech and language therapy. After
adjustment for IPW, the baseline characteristics were found to be
closely matched between the 2 groups. The IRT group showed significantly
higher motor FIM gain, cognitive FIM gain, FIM gain, and discharge rate
to home.
Conclusions: The present study
demonstrated that a longer rehabilitation time per week was associated
with increased functional gain(the tyranny of low expectations in full display here.) in elderly stroke patients at
convalescent rehabilitation wards.
