Recover: An Interdisciplinary Collaborative Approach to Stroke Rehabilitation Requiring Patient Empowerment

By Kerry G. Baker and Geoff Green.

Published by The International Journal of Health, Wellness and Society

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Article: Print $US10.00
Article: Electronic $US5.00

Regaining Extremity Control Opportunely Via Early Redress: RECOVER is a stroke rehabilitation program emphasizing early intensive use of affected limbs (including modified constraint induced movement therapy or CIMT) and involvement in daily activities in the home. This program was utilized by members of the Community Based Rehabilitation Team (CBRT) at Middlemore Hospital in Auckland, New Zealand consisting of the following: co-ordinator, social worker, physiotherapist, speech language therapist, dietitian, occupational therapist, specialist doctor and nurse. All patients were seen in their homes following discharge from the hospital and the service provided by the CBRT was client centred, increasing patient involvement and responsibility for progress. A retrospective audit of outcomes including community participation of patients rehabilitated using RECOVER was completed in June 2011. Thirteen patients with moderate to severe impairment were evaluated after an average eleven and median eight weeks program participation. Eleven patients made clinically observable progress. Nine made improvement that was functionally useful for specific activities of daily living. Five patients returned to some degree of community involvement. This limited study suggests that RECOVER warrants further investigation to determine efficacy for stroke rehabilitation. However, more frequent team involvement over a longer period may be required to capitalize on early gains and ensure a greater number of people affected by stroke return to full community participation.

Keywords: Stroke, Patient Empowerment, Early Rehabilitation, Intensive Treatment, Modified Constraint Induced Therapy, Multidisciplinary Approach

The International Journal of Health, Wellness and Society, Volume 2, Issue 1, pp.89-100. Article: Print (Spiral Bound). Article: Electronic (PDF File; 239.491KB).

Dr. Kerry G. Baker

Conjoint Lecturer, School of Biomedical Sciences and Pharmacology, University of Newcastle, Sydney, New South Wales, Australia

PhD in anatomy from the University of New South Wales, Australia in 1991. My research involved the use of immunohistochemistry to identify and quantify the serotonergic and noradrenergic neurons in the human brainstem. This work was then used as a basis for research in the Department of Pathology at the University of Sydney funded by the United States National Institutes of Health (NIH) investigating the effect of alcohol on these neurons. Other employment includes working as a physiotherapist and lecturing in physiotherapy and anatomy.

Dr. Geoff Green

Clinical Head, Adult Treatment and Rehabilitation Unit, Middlemore Hospital, Auckland, New Zealand

Dr Green MB ChB 1983 Cape Town, FRACP 1996 is a specialist rehabilitation clinician employed as the Clinical Head of the Adult Treatment and Rehabilitation Unit at Middlemore Hospital in Auckland, New Zealand. Not only is Dr Green actively involved in the assessment and treatment of patients with stroke and other disorders, but he also has a role as Specialist Clinician with the Community Based Rehabilitation Team at Middlemore Hospital.