Deans' stroke musings: Constraint-induced movement therapy combined with conventional neurorehabilitation techniques in chronic stroke patients with plegic hands: A case series

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.

Friday, May 17, 2013

Constraint-induced movement therapy combined with conventional neurorehabilitation techniques in chronic stroke patients with plegic hands: A case series

So maybe there is hope for my hand after all. Although they only mention the arm improving.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J65463&phrase=no&rec=120772
NARIC Accession Number: J65463. What's this?
ISSN: 0003-9993.
Author(s): Taub, Edward; Uswatte, Gitendra; Bowman, Mary H.; Mark, Victor W.; Delgado, Adriana; Bryson, Camille; Morris, David; Bishop-McKay, Staci.
Project Number: H133G050222.
Publication Year: 2013.
Number of Pages: 9.
Abstract: Study investigated whether the combination of constraint-induced movement therapy (CIMT) and conventional rehabilitation techniques can produce meaningful motor improvement in chronic stroke patients with initially fisted hands. Six patients who were more than 1 year poststroke with plegic hands participated in the study. Treatment consisted of an initial period of 3 weeks (phase A) when adaptive equipment in the home, orthotics, and splints were employed to improve ability to engage in activities of daily living. This was continued in phase B, when CIMT and selected neurodevelopmental treatment techniques were added. Outcome measures included the Motor Activity Log (MAL), accelerometry, and the Fugl-Meyer Motor Assessment (FMA). Patients exhibited a large improvement in spontaneous real-world use of the more-affected arm (mean lower-functioning MAL change = 1.3 points) and a similar pattern of increase in an objective measure of real-world more-affected arm movement (mean change in ratio of more- to less-affected arm accelerometer recordings = 0.12 points). A large improvement in motor status was also recorded (mean FMA change = 5.3 points). The findings suggest that stroke patients with plegic hands can benefit from CIMT combined with some conventional rehabilitation techniques, even long after brain injury.
Descriptor Terms: BODY MOVEMENT, LIMBS, MOTOR SKILLS, PARALYSIS, PHYSICAL THERAPY, STROKE.

Can this document be ordered through NARIC's document delivery service?: Y.