Deans' stroke musings: Enhanced life-role participation in response to comprehensive gait training in chronic-stroke survivors

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.

Tuesday, February 12, 2013

Enhanced life-role participation in response to comprehensive gait training in chronic-stroke survivors

They don't talk about spasticity, so I wonder if any of the participants had that problem.
My gait is still screwed up due to spasticity.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J64660&phrase=no&rec=120014
Disability and Rehabilitation , Volume 34(18) , Pgs. 1535-1539.

NARIC Accession Number: J64660. What's this?
ISSN: 0963-8288.
Author(s): Pundik, Svetlana; Holcomb, John'; McCabe, Jessica; Daly, Janis J..
Publication Year: 2012.
Number of Pages: 5.
Abstract: Study investigated whether intensive gait therapy can produce improvements in life-role participation for chronic-stroke survivors. A secondary analysis was conducted of data for a 44-member cohort of stroke survivors from a clinical gait-training trial for subjects who were at least 6 months post stroke. Gait-training interventions included functional neuromuscular stimulation, body-weight supported treadmill training, over-ground gait training and exercise for 1.5 hours per day, 4 days a week, for 12 weeks. Outcome measures included the Tinetti Gait for gait impairment, the Functional Independence Measure (FIM) for function, and the Stroke Impact Scale subscale of life-role participation (SIS part), and Craig Handicap Assessment and Reporting Technique (CHART) for life-role participation. Analysis included Wilcoxon signed rank test and polytomous universal regression model. Results showed that gait interventions produced significant improvement in CHART, SIS part, FIM, and Tinetti Gait scores. Age, gender and time since stroke did not predict response to treatment. The findings suggest that significant change in life-role participation is possible in the chronic phase after stroke in response to intensive gait training Time since stroke and age did not prevent recovery of life-role participation.