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

Interlimb coordination during the stance phase of gait in subjects with stroke

No clue what this means. So challenge your therapist to put this in terms you can understand.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67614&phrase=no&rec=123383
NARIC Accession Number: J67614.  What's this?
ISSN: 0003-9993.
Author(s): Sousa, Andreia S. P.; Silva, Augusta; Santos, Rubim; Sousa, Filipa; Tavares, Joao M. R. S..
Publication Year: 2013.
Number of Pages: 8.
Abstract: Study analyzed the relationship between contralesional and ipsilesional limbs in subjects with stroke during step-to-step transition of walking. Sixteen subjects with poststroke hemiparesis and the ability to walk independently and 22 healthy controls participated in the study. Bilateral lower-limb electromyographic activity of the soleus (SOL), gastrocnemius medialis, tibialis anterior, biceps femoris, rectus femoris, and vastus medialis (VM) muscles and the ground reaction force were analyzed during double-support and terminal stance phases of gait. The propulsive impulse of the contralesional trailing limb was negatively correlated with the braking impulse of the leading limb during double support. A moderate functional relation was observed between thigh muscles, and a strong and moderate dysfunctional relation was found between the plantar flexors of the ipsilesional limb and the vastus medialis of the contralesional limb, respectively. Also, a functional moderate negative correlation was found between the SOL and rectus femoris muscles of the ipsilesional limb during terminal stance and between the SOL and VM muscles of the contralesional limb during loading response, respectively. The trailing limb relative impulse contribution of the contralesional limb was lower than the ipsilesional limb of subjects with stroke and lower than the relative impulse contribution of the healthy limb during double support. The findings suggest that the lower performance of the contralesional limb in forward propulsion during gait is related not only to contralateral supraspinal damage but also to a dysfunctional influence of the ipsilesional limb.

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