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.

Thursday, May 3, 2012

Hanger completes enrollment of WalkAide INSTRIDE clinical trial

This is the reason we need independent research projects. Comparing their estim foot drop product against the standard AFO doesn't answer the real question. What is the most effective foot drop therapy? You have all these other possibilities.
But wait, only your doctor/physical therapist can tell you about this stuff, I'm certainly not qualified.
Walkaide
Bioness L300
XFT-2001 
ActiGait
PACE
freeStep 
STIMuSTEP 
300PV FES
or these
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. Malleoloc Ankle Brace - http://www.achillesmed.com/Malleoloc_Ankle_Brace.html?gclid=CJyWoMu3kKACFQsNDQod12P0dw
5. surgery
6. AFO hinged or fixed
or do nothing which is what your insurance will pay for.

http://www.sacbee.com/2012/05/02/4460611/hanger-completes-enrollment-of.html
Hanger Orthopedic Group, Inc. (NYSE: HGR) today announced the completion of enrollment in its pivotal INSTRIDE investigational device exemption (IDE) clinical trial studying the effectiveness of its WalkAide System in the rehabilitation of stroke survivors. With 496 patients enrolled at 30 institutions in the United States, the INSTRIDE trial is the largest, randomized, controlled study of a walking device ever conducted in stroke rehabilitation.
"We are pleased to reach this significant milestone on schedule and exactly two years to the day of enrollment of our first patient," said Hanger CEO Thomas F. Kirk, Ph.D. "We greatly appreciate the dedicated efforts of our physician investigators and their research staff.  We are one step closer to bringing the WalkAide technology to those who need it most."
Addressing a frequent consequence of hemiplegia from stroke known as "foot drop", the purpose of the INSTRIDE trial is to compare the use of the WalkAide, a functional electrical stimulation (FES) device, with the standard of care ankle-foot orthosis (AFO), a rigid plastic brace designed to stabilize a paralyzed or weakened foot in a functional position. Primary outcome measures include ambulation (more specifically to gait velocity) and activities of daily living, with the main study endpoint as the comparison of success between the two devices at six months. The results of the INSTRIDE trial will form the basis for submission in 2013 to the Centers for Medicare and Medicaid Services (CMS) for national coverage of the WalkAide.
"The INSTRIDE clinical trial is a one-of-a-kind endeavor that could facilitate reimbursement of this technology and set the model for additional studies to come," said Francois Bethoux, M.D., Director of Rehabilitation Services at the Cleveland Clinic Mellen Center and the principal investigator of the INSTRIDE clinical trial. "We are very happy to have achieved this enrollment milestone and are thankful for the patients who kindly agreed to participate. Walking limitations have a profound impact on people's everyday lives. It is important for patients to have options for active devices that improve walking ability and potentially promote brain plasticity."
Granted 510(k) clearance by the U.S Food and Drug Administration (FDA) in 2005 and a CE Mark from the European Union in 2006, the WalkAide is an external stimulator that applies electrical pulses to restore proper foot flexion for patients who have suffered an upper motor neuron disruption from a stroke, incomplete spinal cord injury, traumatic brain injury, multiple sclerosis, or cerebral palsy.  The device functions by using a microprocessor with a built-in tilt sensor that allows for precise timing of stimulus to create a normalized gait pattern. About the size of a deck of cards, the device fits on a small cuff worn around the calf; it has no external wires and can be worn with or without shoes. Developed and commercialized by Hanger's therapeutic solutions business unit Innovative Neurotronics, Inc., the WalkAide is currently being used by thousands of patients worldwide.
About Hanger – Hanger Orthopedic Group, Inc., headquartered in Austin, Texas, is the world's premier provider for services and products that enhance human physical capability. Hanger provides orthotic and prosthetic patient care services, distributes O&P devices and components and provides therapeutic solutions to the broader post-acute market.  Hanger is the largest owner and operator of orthotic and prosthetic patient care centers with in excess of 700 O&P patient care centers located in 45 states and the District of Columbia.  Hanger, through its subsidiary Southern Prosthetic Supply, Inc, is also the largest distributor of branded and private label O&P devices and components in the United States.  Hanger provides therapeutic solutions through its subsidiaries Innovative Neurotronics and Accelerated Care Plus.  Innovative Neurotronics introduces emerging neuromuscular technologies developed through independent research in a collaborative effort with industry suppliers worldwide.  Accelerated Care Plus is a developer of specialized rehabilitation technologies and the nation's leading provider of evidence-based clinical programs for post-acute rehabilitation serving more than 4,000 long-term care facilities and other sub-acute rehabilitation providers throughout the U.S.  For more information on Hanger, visit www.hanger.com and follow us at www.Facebook.com/HangerNews and www.Twitter.com/HangerNews.
Contacts: Jennifer Bittner, (904) 249-4210; jbittner@hanger.com Thomas Hofmeister, 512-777-3800, thofmeister@hanger.com

Read more here: http://www.sacbee.com/2012/05/02/4460611/hanger-completes-enrollment-of.html#storylink=cpy

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