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.

Sunday, October 21, 2012

Facilitation of Sensory and Motor Recovery by Thermal Intervention for the Hemiplegic Upper Limb in Acute Stroke Patients

I had mentioned this in a number of my posts but the link is gone and it needed its own post because it is so important that all your therapists should have told you about this already.  Didn't they?
They've had 7 years to get up-to-date.
http://stroke.ahajournals.org/content/36/12/2665.full
The pertinent paragraph here:

Intervention

Patients comfortably sat in a quiet room with their hands placed on a table. Temperatures of room and subjects’ hands were noted before experiment. Thermal agent was made by general hot (≈75°C) or cold (0°C) pack wrapped with 2 towels, which buffered the thermal conduction. The thermal agent was placed over the region of the hand and wrist. A thermal couple was placed in between the hand and thermal agent to measure the skin temperature. Changes of the skin temperature induced by thermal agents were nonlinear. In our pilot study (n=30), uncomfortable signs to heating and cooling agents occurred at 10.1±1.0 seconds (44.3±0.2°C) and 15.1±1.2 seconds (18.8±0.3°C), respectively. To avoid tissue damage, ceiling durations of heating and cooling stimulation on the paretic hand were limited by 15 seconds (48.8±0.3°C) and 30 seconds (14.0±0.2°C), respectively. During the development of uncomfortable sensation, patients were encouraged to actively move their paretic hands away from the stimuli or generated a reflex. Thus, the thermal agent could produce thermal sensation followed by voluntary/reflexive behavior. 


This is obviously very dangerous so no self-prescription or self-therapy without your doctors approval.

No comments:

Post a Comment