Deans' stroke musings: Motor recovery of the ipsilesional upper limb in subacute stroke

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

Motor recovery of the ipsilesional upper limb in subacute stroke

I don't understand. Ipsilesional : the symptoms occur on the same side of the body as the lesion.Are they trying to say the good side has recovery problems? I don't remember doing any rehab on the 'good' arm. Amy?
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67512&phrase=no&rec=123278
NARIC Accession Number: J67512. What's this?
ISSN: 0003-9993.
Author(s): Metrot, Julien; Froger, Jerome; Hauret, Isabelle; Mottet, Denis; van Dokkum, Liesjet; Laffont, Isabelle.
Publication Year: 2013.
Number of Pages: 8.
Abstract: Study investigated the time-related changes in motor performance of the ipsilesional upper limb in subacute poststroke patients by using clinical and kinematic assessments. Nineteen stroke patients were included in the study less than 30 days after a first unilateral ischemic/hemorrhagic stroke. The control group was composed of age-matched, healthy volunteers. Clinical and kinematic assessments were conducted once a week during 6 weeks and 3 months after inclusion. Clinical measures consisted of the Fugl-Meyer Assessment, the Box and Block Test (BBT), the Nine-Hole Peg Test (9HPT), and the Barthel Index. A 3-dimensional motion recording system was used during a reach-to-grasp task to analyze movement smoothness, movement time, and peak velocity of the hand. Healthy controls performed both clinical (BBT and 9HPT) and kinematic evaluations within a single session. Results indicated that recovery of ipsilesional upper arm capacities increased over time and leveled off after a 6-week period of rehabilitation, corresponding to 9 weeks poststroke. At study discharge, patients demonstrated similar ipsilesional clinical scores to controls but exhibited less smooth reaching movements. No effect was found of the hemispheric side of the lesion on ipsilesional motor deficits. The findings provide evidence that ipsilesional motor capacities remain impaired at least 3 months after stroke, even if clinical tests fail to detect the impairment.