Deans' stroke musings: Efficacy and tolerance of a neurological restoration program in stroke patients

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

Efficacy and tolerance of a neurological restoration program in stroke patients

Ask your clinic if they are going to make changes based on this. Will the Joint Commission push changes out as a result? Sounds somewhat similar to the program that Sen. Kirk was pushed through.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J64752&phrase=no&rec=119903
NARIC Accession Number: J64752. What's this?
ISSN: 1053-8135.
Author(s): Rodriguez-Mutuberria, Livan; Alvarez-Gonzalez, Lazaro; Lopez, Maikel; Busto, Juan E. B.; Fernandez-Martinez, Elizabeth; Martinez-Segon, Susana; Bergado, Jorge A..
Publication Year: 2011.
Number of Pages: 11.
Abstract: Study evaluated the tolerance and efficacy of a program for neurological restoration (PRN) in stroke patients. The PRN was conduced in 4-week cycles (39 hours per week); applied by a team of physical, occupational, and speech therapists, physiatrists, psychologists, clinicians and nurses; and directed by a neurologist. The first phase of treatment aims to increase the physical capacity and tolerance to exercise. The second phase trains specific abilities (balance, posture, gait and handling). Drugs were only used to modulate physical or mood disorders, spasticity, or pain. Data were obtained from 53 patients who performed one treatment cycle (4 weeks) and 27 who continued for a second cycle (8 weeks of treatment). The patients’ neurological condition was evaluated using the Scandinavian Stroke Scale, and the functional condition using the Barthel Index. Tolerance was evaluated using the criteria of adverse events occurring during treatment. The results showed significant improvements in both the neurological (113.45 percent) and functional (130.11 percent) conditions after one treatment cycle, which improved further when therapy continued for a second cycle (233.71 percent and 207.62 percent, respectively). Severity of the impairment was not a negative predictor of the outcome. Age correlated negatively with the initial condition, but did not prevent improvement. Tolerance to treatment was very good, with only 4 adverse events not related to treatment. These results demonstrate that the PRN is well tolerated and effective promoting recovery even in chronic stroke patients.
Descriptor Terms: EXERCISE, INTERDISCIPLINARY ACTIVITIES, NEUROLOGICAL DISORDERS, OUTCOMES, PROGRAM EVALUATION, REHABILITATION SERVICES, STROKE, THERAPEUTIC TRAINING.