09 Summary of a Proposal to Improve Rehabilitation Prospects

Exercise to improve balance, while on a balance block

Summary of a Proposal to Improve the Rehabilitation Prospects for Badly Disabled Stroke Survivors

This Proposal describes a rehabilitation Program designed to identify badly disabled stroke survivors who are capable of making a recovery, and further, to use that Program to achieve recovery.  It results from, and is based on, my wife Rita’s history of stroke between 2008 and 2013, combined with the recommendations of the National Stroke Strategy relating to rehabilitation treatment as applied to serious disability. 

While writing the book Pushing the Boundaries that describes Rita’s stroke and recovery two thoughts that occurred to me were: (1) it was not possible for Rita to be unique in her innate ability to recover, and (2) there must be many others having that same innate ability who were given too little treatment to benefit from their inherent potential.  Resulting from these ideas, I concluded it should be possible for a version of Rita’s Program to be used to identify these survivors - then also help them to recover. 

This suggested Program, resulting from these thoughts, is divided into Units.  Each Unit lasts ten weeks and throughout this time participants are given, individually, therapy from professional therapists supported every day by ‘Assistant Therapists’.  If the participant is capable of recovery, that fact will almost certainly become evident well before the end of the ten weeks.  The cost of a typical Unit should be around £5000 to £6000. 

Program Units can be individually tailored to the needs of each participant.  If good progress is seen from the first Unit, just repeat the ten weeks again, appropriately modified if thought desirable.  Rita’s South African rehabilitation began 30 months after her stroke and she received what were effectively six Units over three consecutive winters spent near Cape Town, which lead to her recovery.  Subsequently, there were no on-going costs for either treatment or care.  She regained almost completely her former quality of life (as did I, her husband and carer).  The Program uses nothing other than well-established therapy techniques, though managed rather differently from current UK general practice.  Nor does it rely on highly technical equipment. Its main features are ease of use; flexibility; low cost;100% effective (on a sample of one!); and uses only well-established procedures. 

The Program needs to be tested of course, but it these tests come out positively, it could go straight into use, to the substantial benefit of stroke survivors, families and carers, plus it has the potential to save large sums of money in reduced costs of care. 

To read the full recovery Program, please send a request to david.guthrie72@gmail.com.  A copy of the Program will be e-mailed to you.  There is no charge for this service.