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, February 13, 2013

Top 10 life after stroke ‘research’ priorities

http://www.strokefoundation.com.au/blog/?p=2255
From the Australian Stroke Foundation, at least they tried.
For this list of top 10 research priorities, 548 treatment uncertainties were gathered. These came from: 15 stroke groups and clubs, 22 individual survivors, four health professional groups, 61 individual health professonals and three guidelines/ research recommendations in Scotland in 2012.
Top 10 life after stroke ‘research’ priorites.
1. What are the best ways to improve cognition after stroke?
2. What are the best ways of helping people come to terms with the long term consequences of stroke?
3. What are the best ways to help people recover from aphasia?
4. What are the best treatments for arm recovery and function, including visual feedback, virtual reality, bilateral training, repetitive task training, imagery/mental practice, splinting, electromechanical and robot-assisted arm training and botulinum toxin.
5. What are the best ways to treat visual problems after stroke?
6. What are the best ways to manage and/or prevent fatigue?
7. What are the best treatments to improve balance, gait and mobility, including physiotherapy, gait rehabilitation, visual and auditory feedback, electrical stimulation, different types of ankle foot orthoses and electromechanical assisted gait training?
8. How can stroke survivors and families be helped to cope with speech problems?
9. What are the best ways to improve confidence after stroke, including stroke clubs/groups, offering support, one-to-one input and re-skilling?
10. Are exercise and fitness programs beneficial at improving function and quality of life and avoiding subsequent stroke?
Here is an article from the Guardian UK about the research project.

Groups do not necessarily produce the best work as written up in the book, Quiet: The Power of Introverts in a World That Can't Stop Talking by Susan Cain. 
I will argue that all of these are incorrect. The ability to neuroplastically recover these deficits is not understood and not truly repeatable via a standard protocol. What needs to be done is back up to an earlier point in time, during the hyperacute phase and stop the neuronal cascade of death. This would result in less dead and damaged neurons and possibly the current therapies could correct those deficits.
All these are focused on current survivors and that research would require understanding exactly how neuroplasticity works.

I see two possibilities, do you believe in good or evil neurons?
1. One neuron calls for help to neighboring neurons and they altruistically go to help.
2. One neuron sends out signals that wipe functionality from neighboring neurons and instructs them to copy the sending message.

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