Congratulations, Jeanne Hoffman et al, for a huge randomised trial in 925 people with moderate/severe traumatic brain injury investigating added support for 6 months after discharge. Amazing follow-up success. Disappointing that no effect was detected. www.liebertpub.com/doi/pdf/10.1... #neurorehab

I talk about measurement in rehabilitation, and use a non-psychometric approach that explains what validity and reliability (repeatability) are and why they are needed. I also discuss the vital importance of knowing what you want to know and why. rehabilitationmatters.com/academic-reh... #neurorehab

A useful study on predicting which individuals are likely to experience prolonged problems after a mild head injury. Unfortunately, statistically significant but not sufficiently specific to triage patients. bmjopen.bmj.com/content/15/9... #neurorehabilitation

Biomedical healthcare dominates all health discussions. Rehabilitation uses a biopsychosocial model,. We should refer to biopsychosocial healthcare, joining with psychiatry, palliative care, geriatrics etc. The MindMap compares them. Comments? #neurorehabilitation

Therapeutic relationships are crucial in rehabilitation yet are understudied and scarcely taught or trained. Look at this study. #neurorehabilitation

Professional rehabilitation should be less cautious about exercise after stroke and should encourage patients to be active++

Virtual reality appears to be a promising approach for rehabilitation. But a new Cochrane systematic review of 190 trials only found weak evidence. www.cochranelibrary.com/cdsr/doi/10..... I have discussed some reasons for this in an editorial. www.cochranelibrary.com/cdsr/doi/10..... #neuroreab

Should speech therapists attend inpatient rehabilitation services at weekends? Patients are equivocal, with a greater interest in increasing social interaction and support. This emphasises the crucial role of a rehabilitation environment, in contrast to therapy. pmc.ncbi.nlm.nih.gov/articles/PMC...

I am interested in rehabilitation expertise and what ALL professionals should know to be an expert; only doctors have validated training as an addition to medical training. I have a section on my site. I have just updated the entry page. rehabilitationmatters.com/academic-reh... #neurorehabilitation

I have started revising the capabilities needed by a rehabilitation expert, managing complexity and uncertainty is the first. rehabilitationmatters.com/academic-reh... It includes behaviours, attitudes, knowledge and skills with practical suggestions. #neurorehabilitation

The UKROC (UK Rehabilitation Outcomes Collaborative) database has collected data on thousands of inpatients and is as a goldmine. I wrote the first version of my page about it in 2021; I have updated it regularly, including today (30 May); visit rehabilitationmatters.com/rehabilitati... to see it.

Rehabilitation is essentially an educational service? This page on my website explores the analogy and suggests that adopting this perspective could enhance our approach. rehabilitationmatters.com/patient-publ... #neurorehabilitation

Prolonged disorders of consciousness (PDOC) arise rarely in most medical services, and no one knows much about them. There is guidance. For an alternative, giving background history and covering areas of interest, start here: rehabilitationmatters.com/clinical-reh... #neurorehabilitation

The British Society of Physical and Rehabilitation Medicine is the UK's specialist rehabilitation medical society with other professions represented in it. You may read about it here rehabilitationmatters.com/rehabilitati... The page covers its history and lists all its publications

DW. Does 'cognitive retraining' after stroke have an impact on functional activities? Probably not. The evidence is suggestive, not conclusive. doi.org/10.1177/0269... Task-specific training is likely more effective. #neurorehabilitation

I have just summarised the one new page, two new posts, and a page revision on my website over the last six weeks. rehabilitationmatters.com#new-stuff #neurorehabilitation

What distinguishes a prolonged disorder of consciousness (PDOC) from having emerged out of that state, where is the boundary on the consciousness spectrum? Following a command is, surprisingly, within PDOC. Read more here rehabilitationmatters.com/clinical-reh... #neurorehabilitation

What distinguishes a prolonged disorder of consciousness (PDOC) from having emerged out of that state, where is the boundary on the consciousness spectrum? Following a command is, surprisingly, within PDOC. Read more here rehabilitationmatters.com/clinical-reh... #neurorehabilitation

This new TBI classification is driven by specialists working in well-resourced centres, interested mainly in brain damage. I cannot be applied widely. Classification of TBI after one week must consider symptoms (e.g. post-concussion) & disability as damage is of limited value. #neurorehabilitation

This study (below) of rTMS in unconscious people is small, started at 9 weeks after onset, in a population mainly with traumatic brain injury. It needs replication and long-term follow up to establish if it increases amount of recovery, or just is speed. #neurorehabilitation

Malady could be a useful, non-specific, non-judgmental word for all types and combinations of disease, illness, disability, sickness, psychologically-based problems etc. See rehabilitationmatters.com/disease-illn... A Malady is when the person is not in equilibrium.

Holistic rehabilitation thinking is my second post on rehabilitation thinking; I have just published it. rehabilitationmatters.com/holistic-reh... I hope it will help you reframe your approach, making it more interesting and individualised to your patient.

Rehabilitation thinking is our most powerful yet hidden and unacknowledged strength; it underlies our great success in spinal cord injury, stroke, and much else. My first (of two) posts on the topic has now been published. rehabilitationmatters.com/rehabilitati...

A novel, non-surgical non-pharmacological treatment for chronic pain: EEG entrapment. A well-designed study was conducted on 24 people with fibromyalgia. It is feasible; pilot study data consistent with short-term benefit. Further trials are essential. doi.org/10.1016/j.jp... #neurorehabilitation

"Disease, disability, sickness and illness" is a popular page on my website; I have just updated it. rehabilitationmatters.com/disease-illn... #neurorehabilitation

Do people with a prolonged disorder of consciousness experience feelings of pain? Andrew Hanrahan and I suggest they do so (we are not the first). See journals.sagepub.com/doi/10.1177/... and, for a more informal version, rehabilitationmatters.com/clinical-reh... #neurorehabilitation

"The division into somatic diseases, functional somatic disorders, and mental disorders is artificial, given the many overlaps between diseases, and promotes a misleading mind–body dualism." Every healthcare organisation should put this in every document. doi.org/10.1016/S014... #neurorehabilitation

More from RETAKE vocational rehabilitation study. #neurorehabilitation

This RETAKE study highlights some learning from the RETAKE trial. #neurorehabilitation

A seies of posts on the RETAKE trial. #neurorehabilitation

Formulation is vital in rehabilitation but is scarcely researched or described. I have rewritten my formulation competency syllabus page with much more practical advice. rehabilitationmatters.com/academic-reh... #neurorehabilitation

Acquired Brain Injury (ABI) is an unhelpful category. rehabilitationmatters.com/acquired-bra... In a study of stopping treatment in an ITU, hypoxic brain damage was excluded from the ABI group doi.org/10.1016/S221... I am uncertain why the relative probability of withdrawal in ABI relevant?

Optimising social participation is a stated goal of rehabilitation, but it probably receives little attention. My new post discusses social participation and how one may help, using someone with aphasia as an example. rehabilitationmatters.com/social-parti... #neurorehabilitation

I posted about the behavioural fluctuation seen in people with a prolonged disorder of consciousness. rehabilitationmatters.com/pdoc-clinica... A recent article from the US confirms it, and finds that arousal increases variability. doi.org/10.1016/j.ap... #neurorehabilitation

Delayed discharges are a worldwide problem, and medically ready for discharge is an impotent solution. In a post, I analysed the situation. The question should be: Are the patient and next place ready for transfer? rehabilitationmatters.com/ready-for-di... #neurorehabilitation

I have updated my post on personal factors in rehabilitation; It is really about the nature of a person. rehabilitationmatters.com/personal-fac... These links take you to two figures that summarise the content: rehabilitationmatters.com/wp-content/u... and rehabilitationmatters.com/wp-content/u...

While searching for articles on rehabilitation assessment for my website (rehabilitationmatters.com#new-stuff), I came across this Australian publication, which may interest you. clik.dva.gov.au/rehabilitati... It is a chapter in a longer document on the rehabilitation process. #neurorehabilitation

I have made significant changes to my website in the last three weeks. Details are available here. rehabilitationmatters.com#new-stuff I have also added new tables collecting pages about topics.

DW. A scoping review on 'Rehabilitation needs screening to identify potential beneficiaries' failed to find any. bmjpublichealth.bmj.com/content/2/1/... A need is the potential to benefit. An editorial in 2022 showed rehabilitation potential to be a flawed concept. 7 doi.org/10.1177/0269...

"A syllabus is not a recipe to be followed; it is just a list of ingredients." My thoughts about the rehabilitation syllabus: I am revising the rehabilitation syllabus pages. One down, 45 to go! rehabilitationmatters.com/academic-reh... #neurorehabilitation

For anyone in the UK interested in court cases concerning the best interests of people lacking mental capacity to decide about their healthcare, especially but not only continuing medical treatment, the table linked here lists cases: rehabilitationmatters.com/wp-content/u... #neurorehabilitation

I have just added a table to my website linking to the major pages and posts discussing the biopsychosocial model of illness. rehabilitationmatters.com/what-is-reha...

What is rehabilitation? I have been asking this question for 44 years! My rewritten page asking this question gives my 2025 answer; significantly changed. rehabilitationmatters.com/what-is-reha... Also, I have added a table of all related pages. #neurorehabilitation

What is rehabilitation? I have been asking this question for 44 years! My rewritten page asking this question gives my 2025 answer; significantly changed. rehabilitationmatters.com/what-is-reha... Also, I have added a table of all related pages. #neurorehabilitation

Giving a prognosis for people with a prolonged disorder of consciousness requires an expert outreach service and should not be left to inexperienced services. I explain why in my latest page on Rehabilitation Matters: rehabilitationmatters.com/clinical-reh...

At last, an independent review of treatments for chronic back pain strongly recommending NOT to use a host of interventional "treatments" that do not benefit anyone except the provider who is paid. Pain services must change. www.bmj.com/content/388/... www.bmj.com/content/388/... A depressing read

NEW: a page on PDOC service design (PDOC = Prolonged Disorder of Consciousness). No comprehensively designed service exists, though at least one is coming. This page runs through some features and suggests how to take the first step. rehabilitationmatters.com/clinical-reh... #neurorehabilitation

How did JAMA allow this to be published? A randomised study 'following CONSORT' but no flow diagram or hint about numbers lost after randomisation. If it were a drug trial, it would be rejected. It is about rehabilitation. So? doi.org/10.1001/jama... #neurorehabilitation Disservice to rehabilitation

I have added a new resource to my website: a table linking to all pages and posts that concern people with a prolonged disorder of consciousness. (PDOC). This link goes directly to the table: rehabilitationmatters.com/pdoc-an-intr... #neurorehabilitation

Electronic patient records can alert clinicians to make appropriate referrals automatically. An algorithm increased involvement of palliative care and had beneficial effects. We should develop this for rehabilitation. #neurorehabilitation doi.org/10.1001/jama...