Deans' stroke musings: Effects of integrated motor imagery practice on gait of individuals with chronic stroke: A half-crossover randomized 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.

Wednesday, February 19, 2014

Effects of integrated motor imagery practice on gait of individuals with chronic stroke: A half-crossover randomized study

I don't know, your doctor and therapist will need to put this into their therapy toolbox. I'm sure they can figure out how to contact them to get the intervention details.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67489&phrase=no&rec=123255
NARIC Accession Number: J67489. What's this?
ISSN: 0003-9993.
Author(s): Dickstein, Ruth; Deutsch, Judith E.; Yoeli, Yonat; Kafri, Michal; Falash, Faten; Dunsky, Ayelet; Eshet, Adi; Alexander, Neil.
Publication Year: 2013.
Number of Pages: 7.
Abstract: Study evaluated the effects of a new motor imagery practice approach in which motor and motivational contents were integrated in order to improve gait in 23 subjects with chronic poststroke hemiparesis. This was a half-crossover study with 2 phases. In phase 1, subjects were randomly assigned to receive either the experimental or the control treatment. In phase 2, the subjects who had initially received the control treatment “crossed over” to receive the experimental intervention. The experimental and the control intervention were delivered in the subjects’ homes; assessments were performed in a hospital laboratory. The experimental intervention, called integrated motor imagery practice, consisted of imagery scripts aimed at improving home and community walking as well as fall-related self-efficacy. The control treatment consisted of physical therapy to improve the function of the affected upper extremity. In-home walking, indoor and outdoor community ambulation, and fall-related self-efficacy were assessed before and after the intervention as well as at a 2-week follow-up. In-home walking was significantly improved after application of the experimental intervention, but not after the control treatment. However, fall-related self-efficacy and community ambulation were not significantly improved. Results of this study showed that home delivery of integrated motor imagery practice was feasible and had a positive effect on walking in the home. However, it was ineffective for improving gait in public domains.