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, November 12, 2013

Generalization of improved step length symmetry from treadmill to overground walking in persons with stroke and hemiparesis

This is stupid, researchers still trying to figure out the best way to recovery. Meaning that all the walking therapy we have received so far has no scientific basis, we are just guinea pigs.
Ok, that was generalized and probably a bit overblown. but ask your therapist for the research that backs up their therapy suggestions and I bet there is little provided.
http://www.sciencedirect.com/science/article/pii/S138824571301167X
  • a University of Maryland School of Medicine, Department of Physical Therapy and Rehabilitation Science, Baltimore, MD 21201, USA
  • b University of Iowa Carver College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242, USA

Highlights

Locomotor adaptation to a unilateral swing phase resistance during treadmill walking generalized to overground walking in all study participants.
Overground aftereffects resulted in a temporary reduction of step length asymmetry in participants with stroke who had baseline step length asymmetry.
Aftereffects in participants with stroke decayed at a slower rate overground compared to controls, despite no difference in the rate of treadmill adaptation between the two groups.

Abstract

Objectives

Determine whether adaptation to a swing phase perturbation during gait transferred from treadmill to overground walking, the rate of overground deadaptation, and whether overground aftereffects improved step length asymmetry in persons with hemiparetic stroke and gait asymmetry.

Methods

Ten participants with stroke and hemiparesis and 10 controls walked overground on an instrumented gait mat, adapted gait to a swing phase perturbation on a treadmill, then walked overground on the gait mat again. Outcome measures, primary: overground step length symmetry, rates of treadmill step length symmetry adaptation and overground step length symmetry deadaptation; secondary: overground gait velocity, stride length, and stride cycle duration.

Results

Step length symmetry aftereffects generalized to overground walking and adapted at a similar rate on the treadmill in both groups. Aftereffects decayed at a slower rate overground in participants with stroke and temporarily improved overground step length asymmetry. Both groups’ overground gait velocity increased post adaptation due to increased stride length and decreased stride duration.

Conclusions

Stroke and hemiparesis do not impair generalization of step length symmetry changes from adapted treadmill to overground walking, but prolong overground aftereffects.

Significance

Motor adaptation during treadmill walking may be an effective treatment for improving overground gait asymmetries post-stroke.

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