Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, March 9, 2011

drop foot options and stroke rehab

I put this together a few years ago so I'm not sure all the links work. This is really stepping on PT toes especially since you will only get the AFO option or maybe one of the estim/FES options.
Read up on Peter Levines discussion of why an AFO may prevent recovery.
http://recoverfromstroke.blogspot.com/2010/11/make-them-walk-funny-and-look-lousy-in.html

An AFO seems to be the only standard protocol for anything in stroke rehab. This piece contradicts the 'all strokes are different, all stroke recoveries are different.
Ah yes, no consistency in rehab.
drop foot options lack of ankle dorsiflexion
The standard seems to be a rigid plastic AFO, sometimes with a built-in hinge. This is also helpful in preventing foot rolling to the outside, which is my problem.
Other possibilities (to be discussed with your providers) are;
1. Soft brace - http://www.3tailer.com/shop/freedomandreg-soft-footdrop-brace
2.. Musmate a strapping and bungee sytem - http://www.musmate.com/
3. x-strap a bungee sytem from the ankle - http://www.x-strap.com/
4. eStim sending signals through the peroneal nerve to activate dosiflexion.
5. Malleoloc Ankle Brace - http://www.achillesmed.com/Malleoloc_Ankle_Brace.html?gclid=CJyWoMu3kKACFQsNDQod12P0dw
6 Walk Aide - an expensive commercial version of eStim - http://www.walkaide.com/
7. Bioness L300 a commercial version of eStim - http://www.bioness.com/NESS_L300_for_Foot_Drop.php
8. surgery This one is definitely to ask your doctor about. http://www.drnathfootdrop.com/
9. And last is just exercise. I have been doing this one for years and while I have excellent dorsiflexion when I focus just on that, my Premotor cortex needs to be reprogrammed someplace else to get the timing and multitasking working correctly.
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4 comments:

  1. Glynis JollyMarch 10, 2011 at 3:22 PM

    There was one that I believe could be boughten at some of the drug stores that had the gel in plastic around the ankle. Do you know if they are still around someplace?

    ReplyDelete
  2. oc1deanMarch 11, 2011 at 6:08 PM

    I have not heard or seen that type

    ReplyDelete
  3. San42March 21, 2011 at 4:09 PM

    Have just seen there's three types of FES (functional electrical stimulation) available - am particularly interested in the non-wireless type (PACE) since it is not advised for someone such as myself with a heart condition. Shall investigate further. Thought i should let u know!
    http://www.physiofunction.co.uk/Conditions/DropFoot.aspx

    ReplyDelete
  4. AnonymousAugust 8, 2011 at 4:41 PM

    The 3tailer link has changed to:

    http://www.3tailer.com/freedomandreg-soft-footdrop-brace

    ReplyDelete

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