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, January 9, 2013

Can surface neuromuscular electrical stimulation of the wrist and hand combined with routine therapy facilitate recovery of arm function in patients with stroke?

Have your doctor report back to you on whether this was all penumbra recovery(easy) or dead brain recovery(hard).
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J64790&phrase=no&rec=119971
NARIC Accession Number: J64790.  What's this?
ISSN: 0003-9993.
Author(s): Rosewilliam, Sheeba; Malhotra, Shweta; Roffe, Christine; Jones, Peter; Pandyan, Anand D..
Publication Year: 2012.
Number of Pages: 7.
Abstract: Study investigated whether treatment with surface neuromuscular electrical stimulation (NMES) to the wrist extensors improves recovery of arm function in severely disabled patients with stroke. Ninety patients with an Action Research Arm Test (ARAT) score of 0 (no upper limb function) were recruited to the study within 6 weeks of stroke. Only 67 participants were alive at the end of the study and data from 66 of these people were analyzed. Participants were randomized to surface NMES using surface electrical stimulators for 30 minutes, twice in a working day for 6 weeks in addition to standardized upper limb therapy or just standardized upper limb therapy. The primary outcome measure was the ARAT score. Assessments were made at baseline and at 6, 12, 24, and 36 weeks after recruitment. Results showed statistically significant improvements in measures of wrist extensor and grip strength over the treatment period. Arm function (ARAT score) was not significantly different between the groups over the treatment period at 6 weeks or over the study period at 36 weeks, and the rate of recovery was not significantly different. Findings suggest that in patients with severe stroke, with no functional arm movement, electrical stimulation of wrist extensors improves muscle strength for wrist extension and grip.
Descriptor Terms: ELECTRICAL STIMULATION, LIMBS, MUSCLES, OUTCOMES, STROKE, TREATMENT.
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1 comment:

  1. Rebecca DuttonJanuary 10, 2013 at 9:39 AM

    The ARAT scores didn't change because they picked a test with difficult tasks, like placing a washer over a bolt. This is an outrageous expectation for someone who begins treatment with NO upper limb function. I could tear my hair out when I read research that does a bad job of matching outcome measures to client ability.

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