The shift in rehabilitation has been 180° in about 15 years. Prior to the prospective payment system (~1998), therapists were able to treat stroke survivors for as long as the therapist liked. There was some question about whether this therapist-dictated system was cost-effective. So it was scuttled.
Other countries have therapist treat stroke survivors for longer time periods. In many European countries these longer treatment times result in more recovery.
So if more treatment is better, but cost savings dictate shorter treatment periods, what's a stroke survivor to do?
One easy answer is to go home and work hard. This is where my book, and other books, can help. The idea is to do "massed practice". Many hours a day of practice.
Hard, sweaty, ugly practice.
If this sounds uninviting, it should. But in order to rewire the brain after stroke hard, sweaty, ugly work needs to be done. Remember Michael Jordan didn't start out as Michael Jordan. He started out as awkward kid who was a crappy basketball player.
Be Like Mike.
Hard Work = Recovery.
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