Deans' stroke musings: Motor outcomes of patients with a complete middle cerebral artery territory infarct

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, August 13, 2013

Motor outcomes of patients with a complete middle cerebral artery territory infarct

I wonder if my doctor compares my infarct and subsequent damage to the ones from this study. Nevermind he will never do anything so smart or work-related. I have no idea of the exact location of my infarct. A 3d mapping of infarct locations and damage should have been completed however many years ago they had a 3 dimensional map of the arteries of the brain. But laziness and stupidity ruled.
http://124.16.31.131:8080/Jweb_sjzs/CN/article/downloadArticleFile.do?attachType=PDF&id=660

Research Highlights
(1) This study, for the first time, reported the motor outcomes of upper and lower extremities in patients with a complete middle cerebral artery territory infarct.
(2) After receiving rehabilitation treatments for 3–6 months, about 70% of patients were able to walk independently, but no patient achieved functional hand recovery.
(3) Results from this study will provide supporting evidence for developing rational rehabilitation strategies and establishing proper goals for stroke patients.(proper goal is simple - 100% recovery, nothing less)
Abstract
Detailed knowledge of motor outcomes enables to establish proper goals and rehabilitation strategies for stroke patients. Several previous studies have reported functional or motor outcomes in patients with a middle cerebral artery territory infarct. However, little is known about motor outcome in patients with a complete middle cerebral artery territory infarct. In this study, we investigated the motor outcomes in 23 patients with a complete middle cerebral artery territory infarct. All of these patients received comprehensive rehabilitative management, including movement therapy and neuromuscular electrical stimulation of the affected finger extensors and ankle dorsiflexors, for more than 3 months. Motor outcomes were measured at 6 months after stroke onset using the Medical Research Council, Motricity Index, the modified Brunnstrom Classification, and Functional Ambula-tion Category scores. The motor function of the lower extremities was found to be better than that of the upper extremities. After receiving rehabilitation treatments for 3–6 months, about 70% of these patients were able to walk independently (Functional Ambulation Category scores > 3), but no patient achieved functional hand recovery.