Deans' stroke musings: Home-based nerve stimulation to enhance effects of motor training in patients in the chronic phase after stroke: A proof-of-principle study

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.

Thursday, December 12, 2013

Home-based nerve stimulation to enhance effects of motor training in patients in the chronic phase after stroke: A proof-of-principle study

You'll have to ask your therapist how this can be accomplished.

Home-based nerve stimulation to enhance effects of motor training in patients in the chronic phase after stroke: A proof-of-principle study

Neurorehabilitation and Neural Repair , Volume 27(6) , Pgs. 483-490.

NARIC Accession Number: J67070. What's this?
ISSN: 1545-9683.
Author(s): dos Santos-Fontes, Renata L.; de Andrade, Karina N. F.; Sterr, Annette; Conforto, Adriana B..
Publication Year: 2013.
Number of Pages: 8.
Abstract: Study investigated the feasibility and safety of home-based repetitive peripheral nerve sensory stimulation (RPSS) combined with motor training and collected preliminary data on the efficacy of this program to enhance hand motor function in patients with chronic stroke. Twenty patients were randomized to either active or sham RPSS associated with daily motor training performed at home over 4 consecutive weeks. All the patients were able to perform tasks of the Jebsen-Taylor Test (JTT). The primary outcome measures were feasibility, evaluated by self-reported compliance with the intervention, and safety (adverse events). Secondary outcomes comprised improvements in hand function in the JTT after end of treatment and after a 4-month follow-up period. There were no relevant adverse events. Compliance with RPSS and motor training was significantly greater in the active group than in the sham group. Upper-extremity performance improved significantly more in the active group compared with the sham group at the end of treatment. This difference remained significant 4 months later, even when differences in compliance with motor training were considered. The results of this study indicated that home-based active RPSS associated with motor training was safe and feasible, and led to long-lasting enhancement of paretic arm performance in the chronic phase after stroke for those who can perform the JTT.
Descriptor Terms: ELECTRICAL STIMULATION, FEASIBILITY STUDIES, HEMIPLEGIA, HOME BASED, MOTOR SKILLS, NERVOUS SYSTEM, PHYSICAL THERAPY, SAFETY, STROKE.

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