Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Tuesday, February 18, 2014

Brain Stimulation Aids Post-Stroke Arm Recovery

This is fascinating because it is applied to the non-injured hemisphere. What will it take for your doctor and hospital to  create this as a stroke protocol and implement in the hospital? 20 years or more? But I do wonder exactly what damage those patients it worked on had. Would it have worked on me where most of my pre-motor cortex is dead and half my motor cortex is dead?
http://www.medpagetoday.com/MeetingCoverage/ISCNeuroEdition/44347?
Magnetic brain stimulation added to hand and arm rehabilitation after a stroke nearly doubled the improvement in motor control, a pilot study showed.
Upper extremity Fugl-Meyer Score rose by nearly 15 points over 6 months after the 6-week rehab program with transcranial magnetic stimulation compared with an improvement of about seven points with the sham stimulation group (P=0.017).
Almost half achieved a clinically important difference of at least 4.5 points on that measure compared with about 30% in the sham group, Richard Harvey, MD, of Northwestern University and the Rehabilitation Institute of Chicago, and colleagues found.
The difference was even more substantial when looking only at the roughly half of patients who didn't get further upper limb therapy after the first month of follow-up (20% versus 50%, P<0.001), the researchers reported here at the International Stroke Conference (ISC).

The stimulation involved 1 Hz pulses to the noninjured hemisphere, with the rationale that it would balance out cortical excitability.
"Recovery of motor function is associated with a return to balance in the two hemispheres," Harvey explained at the ISC session. "Balanced cortical excitability may be necessary for appropriate motor function."

No comments:

Post a Comment