What is a diagnosis? I have now, 18 months late, published part 2 of a post on this topic, concluding that all healthcare should move from single-word diagnoses to a summary multi-axial formulation. rehabilitationmatters.com/what-is-a-di... #neurorehabiliation

What is a diagnosis? Part 2 First published: November 24, 2025 Last updated: November 23, 2025 In What is a diagnosis? Part 1, I explained that diagnoses can generally be divided into biomedical diagnoses supported by observable features that can be independently verified, and syndromic diagnoses…

The history of rehabilitation in 14 concepts (apologies to Neil MacGregor/BBC for stealing their idea). I have improved the page on my website. Interesting how rehabilitation exploded (Big Bang 1914-18) with many crucial features in place by 1920, rehabilitationmatters.com/academic-reh...

Three years ago I published a post on person-centred rehabilitation based on an article. I have revised and improved it. The post is here: rehabilitationmatters.com/a-model-of-p...

Biopsychosocial disequilibrium: updating homeostasis to allostasis, linking being unwell to a lack of balance between demands and resources; clinical implications. A new post with new ideas. rehabilitationmatters.com/biopsychosoc... #neurorehabilitation

Biopsychosocial disequilibrium First published: November 14, 2025 Last updated: November 14, 2025 How can we tell when something is wrong with us? In a popular post (6,800 views over four years), Disease, illness, sickness, and disability, I discuss different ideas related to being unwell. I did…

I have updated my page on human biopsychosocial homeostasis and maintaining a stable equilibrium between needs. rehabilitationmatters.com/academic-reh... It complements my post on malady rehabilitationmatters.com/malady/ #neurorehabilitation

Donnie is totally unhinged!

Malady is an underused term with potential. I have just published a post on Malady. I will update other pages then discuss Malady as indicating personal biopsychosocial dis-equilibrium. rehabilitationmatters.com/malady/

Malady First published: November 6, 2025 Last updated: November 6, 2025 In January 1781, The London Medical Journal published a 19-page review of a book written by Dr Tiffot, a member of the Société Royale de Londres, entitled Traité des Nerfs et de leurs Maladies. (Treatise on the nerves and…

I have been busy improving my website, Rehabilitation Matters. Only the boring pages: About, Purpose, Contact & Feedback. But I have revised my purpose, updated my goal, and simplified contact. About rehabilitationmatters.com/about/ (The photos are all by me, most on an iPhone and cropped)

Anyone involved in decisions about starting or stopping treatment in Muslim patients will find this article interesting. As with all ethical issues in people of 'any faith and none', there is no simple answer; that makes it worth reading. link.springer.com/article/10.1... #neurorehabilitationn

Theories proposed by John Whyte and colleagues, such as enablement and treatment theories, will help rehabilitation grow. I identify weaknesses, which will lead to further growth and understanding. Discussions about theory are crucial. rehabilitationmatters.com/enablement-a... #neurorehabilitation

Enablement and treatment theory First published: October 31, 2025 Last updated: October 31, 2025 John Whyte and a multiprofessional team from several North American rehabilitation centres have worked on rehabilitation theory for two decades. Early in their work, they distinguished between…

"Rehabilitation Thinking, a crucial skill." is my latest post exploring the central features of rehabilitation. It expands on some areas of my recent paper on the same topic. rehabilitationmatters.com/clinical-reh... #neurorehabilitation

Life goals, which have many synonyms, are essential when involved in complex cases. I have revised an old page (2023) discussing life goals. I have specifically added a section on how to establish them clinically. rehabilitationmatters.com/academic-reh... #neurorehabilitation

The article represents a stage in the evolution of my ideas. Anyone interested in seeing a more detailed, earlier exploration of rehabilitation thinking should look at these two pages: rehabilitationmatters.com/rehabilitati... and rehabilitationmatters.com/holistic-reh... #neurorehabilitation

Given the public perception that hyperbaric oxygen helps ischaemic and other neurological disorders, I am interested that a trial of intermittent hypoxia for incomplete spinal cord injury was undertaken; the data justify further research. doi.org/10.1177/0269... #neurorehabilitation

I have recently published an editorial on Rehabilitation Thinking, which I argue is the central feature unifying the huge range of rehabilitation services and the only feature seen in all effective rehabilitation. doi.org/10.1177/0269... #neurorehabilitation

DW. Papers from a large trial of Acceptance and Commitment Therapy in people with Motor Neuron Disease (ALS in the US) are summarised in this paper; the therapy helped and should be targeted (see synopsis). njl-admin.nihr.ac.uk/document/dow... #neurorehabilitation

I am due to talk on the key attributes of a specialist rehabilitation service at the 12th Kent Regional brain injury conference. So I wrote a page on the topic for my website. rehabilitationmatters.com/rehabilitati... #neurorehabilitation

DW. A trial of a method to increase the use and effectiveness of group physiotherapy education, support, and exercise for people with osteoarthritis of the knee failed to alter outcomes. Implementing rehabilitation approaches remains a challenge. doi.org/10.1001/jama...

I have just updated a post on healthcare theory, two years after first posting it. It relates to the foundations that policymakers and politicians used - and the adverse consequences that arise from it. rehabilitationmatters.com/healthcare-t... #rehabilitationmatters

DW. Healthcare is a competitive environment, and rehabilitation often struggles to compete for resources. An editorial suggests we are now showing health economic benefits, and we should use health economic outcomes much more. doi.org/10.1177/0269...

DW. Rehabilitation is a complex multifactorial process and many people and organisations are involved. Planning and coordination are integral to rehabilitation. A qualitative study asked, “If I do not coordinate it, who else will?”. Surely, you should. doi.org/10.1080/0963... #neurorehabilitation

Many people feel overwhelmed by the biopsychosocial model of health, so I have written a post that explains it, developing it from the person introducing themselves to strangers at a wedding. I hope it helps. rehabilitationmatters.com/basic-biopsy... #neurorehabilitation

We should promote biopsychosocial healthcare as the model for all healthcare, with biomedical practice being a subsystem. Currently, biopsychosocial healthcare is considered an unnecessary complication! My recent post explains more: rehabilitationmatters.com/biopsychosoc... #neurorehabilitation

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...