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.

Tuesday, April 5, 2011

prolonged muscle stretch on spastic muscle of stroke patients

A little bit more of news on the spasticity front. Ask your therapist if this might help you. This is only 10 years old so if your therapist doesn't know this ask them why.
http://www.ncbi.nlm.nih.gov/pubmed/11370763
Tsai KH, Yeh CY, Chang HY, Chen JJ.
Department of Industrial Management, Southern Taiwan University of Technology, Tainan, ROC.
by KH Tsai - 2001

Abstract

The control of spasticity is often a significant problem in the management of patients with spasticity. The aim of this study was to evaluate the effect of a single session of prolonged muscle stretch (PMS) on the spastic muscle. Seventeen patients with spastic hemiplegia were selected to receive treatment. Subjects underwent PMS of the triceps surae (TS) by standing with the feet dorsiflexed on a tilt-table for 30 minutes. Our test battery consisted of four measurements including the modified Ashworth scale of the TS, the passive range of motion (ROM) of ankle dorsiflexion, the H/M ratio of the TS, and the F/M ratio of the tibialis anterior (TA). The results indicated that the passive ROM of ankle dorsiflexion increased significantly (p < 0.05) compared to that before PMS treatment. Additionally, PMS reduced motor neuron excitability of the TS and significantly increased that of the TA (p < 0.05). These results suggest that 30 minutes of PMS is effective in reducing motor neuron excitability of the TS in spastic hemiplegia, thus providing a safe and economical method for treating stroke patients.

I do wish they had come up with another acronym, I really don't want to say I worked on PMS with my therapist today. Most of my therapists were women,  I can just hear them saying, ' We're going to work on your PMS today'.
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1 comment:

  1. Glynis JollyApril 7, 2011 at 5:35 PM

    Dean,
    I know that it does work. It's got to be older than 10 years old though. The state rehab. facilities know about it. I had some done on my shoulder and elbow way back in 1972. Maybe it's a case of therapists are finally going back to what has proven to work.

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