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PT forums and stroke rehab


dreinke

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I read PT forums. This one on stroke rehab was appalling.

 

http://www.physiobob.com/forum/neuro-physiotherapy/4992-stroke-rehab.html

 

 

 

 

Dear fellow physios,

 

 

 

 

i think i need a helping hand with a stroke patient.

 

 

 

 

He has had a RIGHT CVA about 20 days ago. Unfortunately, they let him go from hospital 10 days after the stroke.

 

 

 

 

I started seeing him last week and has no movement at all on LEFT arm.I read that no shoulder shrug or finger movements are not good prognosis.I am using electrical stimulation, massage with a brush, passive movements and PNF patterns to re-learn the movements.Last Monday he had spontaneous adduction of LEFT SHOULDER that's gone again.Do you think his arm will recover?

 

 

As for his LEFT LEG, he has no control of knee extension.How can we manage locking of the knee?

 

 

Thank you all

 

 

Not a single one of the answers even suggested that they look at the brainscan or diagnosis to see if the functions they were trying to get the patient to do were even possible. Every answer just assumed that all they had to do was to tell the patient to move this way and if the patient couldn't do that, well then obviously the patient is slacking. This corresponds to my earlier post on theoretical basis of stroke rehab

 

 

I haven't quite decided yet if I should stick my neck out and take them to task, if I do I will create another id because that reply would probably get me kicked out.

Banging my head against walls again because it feels so good when I stop.

Dean

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Dean: I just took a minute before chat to take a look that those responses. This must be a group of new grads. Pretty poor and am glad Bruce never had to deal with them. I tried to respond, but am not registered. But the one that made me the most angry and appalled was Charlize29. She starts raising her voice to Stroke Victims she will very likely trigger if not another stroke, then a TIA, depending the the survivor's location of his blockage. That will involve a very large law suit and Miss Charlize won't be practicing anywhere.

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Dean: I just took a minute before chat to take a look that those responses. This must be a group of new grads. Pretty poor and am glad Bruce never had to deal with them. I tried to respond, but am not registered. But the one that made me the most angry and appalled was Charlize29. She starts raising her voice to Stroke Victims she will very likely trigger if not another stroke, then a TIA, depending the the survivor's location of his blockage. That will involve a very large law suit and Miss Charlize won't be practicing anywhere.

 

We as survivors need to raise our voices to those who should know more than us and tell them they aren't wearing any clothes. :head_hurts: :bouncing_off_wall:

Well you know me, I'll tell anyone off even though someone commented to me that honey brings in more ants.

Dean

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Dean,

They are obviously new grads. That is why I know to ask if the PT has had experience with stroke survivors. I don't them to learn on William. For one it uses up our insurance and they are not helpful. A stroke patient needs help...they are not in any position to help others.

I had William participate in a program to help PT students learn how to help stroke patients. They did not know much and William did not enjoy the experience. But, I had wanted to see what they learn and what we could do to help. They need alot of experience with stroke patients before they can be of much help.

They have a hard time grabbing the idea that this is a brain injury....

Ruth

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