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:

Saturday, February 15, 2014

Nexstim Announces New Stroke Therapy Produced Significant Gains in Motor Function Post-Stroke

And once again rehabilitation departments(RIC this time) are not looking beyond their own silo. Damn, do they not have any understanding that if you stop the neuronal cascade of death you will have less dead and damaged neurons and thus your existing protocols will work much better. I'm working on a letter to the president of the RIC laying out all their failures.
Every two seconds someone in the world suffers a stroke. A study from the Rehabilitation Institute of Chicago approached stroke rehabilitation through a new combination of therapies which produced significantly greater gains in patients’ motor function 6 months post-stroke. The combination of non-invasive navigated transcranial stimulation (nTMS) along with occupational therapy (OT) opened the door to improving the quality of life for stroke survivors. The study presented Thursday at the American Heart Association (AHA) and the American Stroke Association’s (ASA) International Stroke Conference, yielded results from the active group of improved function by 13+ points in UEFM score.
“The results obtained in the Contrastim trial provide evidence that non-invasive neurostimulation has major potential for improving motor function in stroke sufferers.” – Jarmo Laine, MD, Nexstim VP of Medical Affairs
The Study
Dr. Richard Harvey and his team at the Rehabilitation Institute of Chicago (RIC) presented their research (presentation #152) which looked at the combination of non-invasive nTMS along with OT in post-stroke patients.
“It helped me greatly. It’s just immeasurable the progress that I have made.” – Dwayne Nelson, stroke trial patient
Treatment consisted of 20 minutes of pre-functional OT, 17 minutes of nTMS, followed by 60 minutes of upper limb task-oriented OT. Patients received treatment during 3 visits per week, for 6 weeks, as the standard of care in the US. They then returned for follow-up visits at 1 week, 1 month, and 6 months. The study found that Nexstim’s non-invasive Navigated Brain Stimulation (NBS) System used as an adjunct to therapy promoted lasting improvements in patients’ motor function compared to the sham group.
“What we found is that there are areas of the brain, usually where the lesion is, that are less active than they used to be, and that there are actually areas on the brain on the opposite hemisphere, the healthy side of the brain, that are more active than they used to be.” – Lynn Rogers, PhD, Director, Neuralplasticity Laboratory, RIC

More about the technology at the link.

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