Deans' stroke musings: Theta burst stimulation in the rehabilitation of the upper limb: A semirandomized, placebo-controlled trial in chronic 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.

Tuesday, February 12, 2013

Theta burst stimulation in the rehabilitation of the upper limb: A semirandomized, placebo-controlled trial in chronic stroke patients

A cool name which is probably why it made the research cut.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J64901&phrase=no&rec=120135
Neurorehabilitation and Neural Repair , Volume 26(8) , Pgs. 976-987.

NARIC Accession Number: J64901. What's this?
ISSN: 1545-9683.
Author(s): Talelli, Penelope; Wallace, Amanda; Dileone, Michelle; Hoad, Damon; Cheeran, Binith; Oliver, Rupert; VandenBos, Mehdi; Hammerbeck, Ulrike; Barratt, Karen; Gillini, Cecilia; Musumeci, Gabriella; Boudrias, Marie-Helene; Cloud, Geoffrey C.; Ball, Joanna; Marsden, Jonathan F.; Ward, Nicholas S.; Di Lazzaro, Vincenzo; Greenwood, Richard G.; Rothwell, John C..
Publication Year: 2012.
Number of Pages: 12.
Abstract: Study explored whether long-lasting clinically important differences can be achieved by adding theta burst stimulation (TBS), a form of repetitive transcranial magnetic stimulation, to a rehabilitation program for the hand. Forty-one chronic stroke patients received excitatory TBS to the ipsilesional hemisphere or inhibitory TBS to the contralesional hemisphere in 2 centers; each active group was compared with a group receiving sham TBS. TBS was followed by physical therapy for 10 working days. Patients and therapists were blinded to the type of TBS. Primary outcome measures, the 9-hole Peg Test (9HPT), the Jebsen Taylor Test (JTT), and grip and pinch-grip dynamometry, were assessed 4, 30, and 90 days after treatment. The clinically important difference was defined as 10 percent of the maximum score for each test. Results showed no differences between the active treatment and sham groups in any of the outcome measures. All patients achieved small sustainable improvements (9HPT, 5 percent of maximum; JTT, 5.7 percent; and grip strength, 6 percent), all below the defined clinically important level. In this study, cortical stimulation did not augment the gains from a late rehabilitation program.