Deans' stroke musings: Clinical correlates of between-limb synchronization of standing balance control and falls during inpatient stroke rehabilitation

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.

Friday, November 9, 2012

Clinical correlates of between-limb synchronization of standing balance control and falls during inpatient stroke rehabilitation

Your therapist should be using this knowledge to improve your walking.
http://www.naric.com/research/rehab/record.cfm?search=2&type=all&criteria=J64256&phrase=no&rec=119356
Abstract: Study examined the influence of clinical measures of sensorimotor control, functional balance, and fall risk on between-limb synchronization of balance control. The medical charts of 100 individuals with stroke admitted to inpatient rehabilitation were reviewed. Force plate-based measures were obtained while standing on 2 force plates, including postural sway: root mean square of anteroposterior and mediolateral center of pressure (COP); stance load asymmetry (percentage of body weight borne on the less-loaded limb); and between-limb synchronization (cross-correlation of the COP recordings under each foot). Clinical measures obtained were motor impairment (Chedoke-McMaster Stroke Assessment), plantar cutaneous sensation, functional balance (Berg Balance Scale), and falls experienced in rehabilitation. Results indicated that synchronization was significantly related to motor impairment and prospective falls, even when controlling for other force plate-based measures of standing balance control. Between-limb COP synchronization for standing balance appears to be a uniquely important index of balance control, independent of postural sway and load symmetry during stance.