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

Wednesday, February 19, 2014

Cognitive-motor interference during functional mobility after stroke: State of the science and implications for future research

If I think hard about something, any motor performance drops to nil. I think a lot of this is because I blew out my pre-motor cortex so my executive control  needs to be in control and since multitasking does not exist I lose one or the other. But don't listen to my blatherings. But for some reason I can walk and talk now at the same time. At first that was impossible.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67620&phrase=no&rec=123389
NARIC Accession Number: J67620.  What's this?
ISSN: 0003-9993.
Author(s): Plummer, Prudence; Eskes, Gail; Wallace, Sarah; Giuffrida, Clare; Fraas, Michael; Campbell, Grace; Clifton, KerryLee; Skidmore, Elizabeth R..
Publication Year: 2013.
Number of Pages: 10.
Abstract: This review examines the specific patterns of cognitive-motor interference (CMI) found in published studies comparing single-task and dual-task performance of cognitive and motor tasks during gait and balance activities after stroke. CMI is evident when simultaneous performance of a cognitive task and a motor task results in deterioration in performance in one or both of the tasks, relative to performance of each task separately. The literature was examined for associations between patterns of CMI and a history of falls, as well as evidence for the effects of rehabilitation on CMI after stroke. Overall, the evidence suggests that during gait activities with an added cognitive task, people with stroke are likely to demonstrate significant decrements in motor performance only (cognitive-related motor interference), or decrements in both motor and cognitive performance (mutual interference). In contrast, patterns of CMI were variable among studies examining balance activities. Comparing people poststroke with and without a history of falls, patterns and magnitude of CMI were similar for fallers and nonfallers. Longitudinal studies suggest that conventional rehabilitation has minimal effects on CMI during gait or balance activities. However, early-phase pilot studies suggest that dual-task interventions may reduce CMI during gait performance in community-dwelling stroke survivors.

1 comment:

  1. This is why I think the barren environment of the PT gym did not prepare me to function at home or in the community.

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