Summary of Peter G. Levine's Stronger After Stroke, Third Edition

By IRB Media

Please note: This is a companion version & not the original book. Book Preview:

#1 A successful recovery plan will be measurable, flexible, self-reliant, and include short- and long-term goals. The choice of recovery options and exercises you use will change as you recover.

#2 Plateaus are common in therapy, and they mean that according to clinicians, you are not getting any better. If this happens, most insurance coverage ends. From the survivor’s point of view, the end of therapy means the end of the support, guidance, and expertise of therapists.

#3 The tests that therapists use are not sensitive enough to detect small but important changes in recovery. They may not be used because of lack of therapist training in the new therapy, lack of support for the therapy by the rehabilitation facility, or payers not paying for the therapy.

#4 The most important suggestion is to assume that there will be no lasting plateau. Assuming no limits to recovery may be optimistic, but it allows for the largest opportunity for the highest level of recovery. If you want to get better, assume you will return to the same level of ability you enjoyed prior to the stroke.

• Language: English
• Publisher: IRB Media
• Release date: May 16, 2022
• ISBN: 9798822516885

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Insights on Peter G. Levine's Stronger After Stroke, Third Edition

Contents

Insights from Chapter 1

Insights from Chapter 2

Insights from Chapter 3

Insights from Chapter 4

Insights from Chapter 5

Insights from Chapter 6

Insights from Chapter 7

Insights from Chapter 8

Insights from Chapter 9

Insights from Chapter 1

#1

A successful recovery plan will be measurable, flexible, self-reliant, and include short- and long-term goals. The choice of recovery options and exercises you use will change as you recover.

#2

Plateaus are common in therapy, and they mean that according to clinicians, you are not getting any better. If this happens, most insurance coverage ends. From the survivor’s point of view, the end of therapy means the end of the support, guidance, and expertise of therapists.

#3

The tests that therapists use are not sensitive enough to detect small but important changes in recovery. They may not be used because of lack of therapist training in the new therapy, lack of support for the therapy by the rehabilitation facility, or payers not paying for the therapy.

#4

The most important suggestion is to assume that there will be no lasting plateau. Assuming no limits to recovery may be optimistic, but it allows for the largest opportunity for the highest level of recovery. If you want to get better, assume you will return to the same level of ability you enjoyed prior to the stroke.

#5

The human brain is the most complex structure in the universe. There are approximately 100 billion neurons in the brain, but that number is small compared to the number of connections between neurons in the brain. The present estimate of connections between neurons is a astounding quadrillion.

#6

The brain can be rewired by repetitive practice, which involves repeatedly practicing a movement even if you can only do a small part of it. The number of repetitions needed for a survivor to get better movement at one joint is approximately 1,200.

#7

The number of repetitions a survivor does during an hour-long session with a therapist is 25 to 35. The number varies for each survivor depending on the complexity of the movement to be relearned, the amount of movement currently available, the intensity and focus with which the repetitions are done, and more.

#8

Neuroplasticity, and the recovery that results, emerges from the inside out. The brain can be treated like a black box if you put in the right kind of focused, repetitive effort, and you will get out better movement.

#9

The trick to rewiring the brain after a stroke is to find recovery options that promote neuroplastic change. These options range from highly sophisticated robots to simple repetitive and demanding practice.

#10

There is one type of doctor who can help people who have had a stroke: a physiatrist. Physiatrists are medical doctors who have specific training in stroke recovery.

#11

After your therapy with a physiatrist, most stroke survivors never visit a physiatrist again. Because of this lost relationship, survivors are unaware of years of medical advancements that can impact their recovery.

#12

A physiatrist is a doctor who is willing to work with you as you actively strive toward full recovery. Visiting a physiatrist will help set up an upward spiral in your recovery.

#13