What Doesn't Work II

PETE: Here’s one for you...acupuncture may not be helpful for improving  functional ambulation, spasticity and activities of daily living for the lower extremity. Again we’re still talking about the lower extremity. Here’s one that may not surprise you...Neuro Aid may not be beneficial for improving stroke severity

DEB: Huh! That’s interesting. It made it in here, into the EBRSR

PETE: Yeah. How about this one? Stimulants may not be beneficial for improving motor function. Do you remember when stimulants were all the rage for people with brain injury because it was thought that they would somehow get better if they had...what’s the big one again?

DEB: Ritalin...

PETE: Adderall

DEB: oh Adderall yeah... Ritalin’s the one that I seem to remember somebody talking about a lot at the hospital

PETE: For brain injury recovery?

DEB: I think so because it was a stroke center

PETE: How about this one...have you ever heard of wholebody vibration?

DEB: Yeah!

PETE: Yeah? Wholebody vibration may not be beneficial for improving balance, functional ambulation, and muscle strength. How ‘bout them apples?

DEB: How ‘bout them apples?

PETE: Yeah...

DEB: Is that going to come up again in what does work?

PETE: That’s a good question because I know for acupuncture there are some things where it does work

DEB: Yeah...I do too.

PETE: You can have that. You can have stuff that doesn’t work for one thing but where it works for another. Yeah, absolutely

DEB: Maybe we should’ve done a comparison what does this intervention work for, what doesn’t it work for?

PETE: That is the third one...so we have what doesn’t work, what does work and what’s the comparison for things that do work and don’t work and when do they work and not work? This is a lot of work!

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified, Pete and Deb talk about more of What Doesn’t Work. We discovered:

• There’s mixed evidence around bilateral training

Pete and Deb infuse clinical reasoning and stories into this interesting conversation about stroke and brain injury interventions that don’t work. People who have experienced stroke or brain injury are smart. They are also in a vulnerable space and may be susceptible to being taken advantage of. This why all of us, survivors, caregivers and healthcare providers must do our research to ensure they receive high quality interventions that work.

As always, we want to hear your top takeaways! 

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

• Bennet, M., Weibel, S., Wasiak, J., Schnabel, A., French, C., & Kranke, P. (2014). Hyperbaric oxygen therapy for acute ischemic stroke. Cochrane Review

Questions and Comments about the podcast: [email protected]

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RESOURCES:

• Pete’s blog, book, Stronger After Stroke, and talks.

• Blog

Deb's OT Resources:

• Deb's OT resources

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC:

“Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

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