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

Sensory impairments of the lower limb after stroke: A pooled analysis of individual patient data

So once again better sensation leads to better motor recovery. What is your doctor doing about that?
Read the damn Margaret Yekutiel  book, 'Sensory Re-Education of the Hand After Stroke'.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67362&phrase=no&rec=123164
NARIC Accession Number: J67362.  What's this?
ISSN: 1074-9357.
Author(s): Tyson, Sarah F.; Crow, J. Lesley ; Connell, Louise; Winward, Charlotte; Hillier, Susan L..
Publication Year: 2013.
Number of Pages: 9.
Abstract: A pooled analysis of individual data for 459 stroke survivors was conducted to describe the frequency of sensory impairments of the lower limb after stroke, investigate factors that influence sensory impairments, and explore the influence of sensory impairments on functional activity. Descriptive statistics described frequency of sensory impairments, kappa coefficients investigated relationships between sensory modalities, binary logistic regression explored the factors influencing sensory impairments, and linear regression assessed the impact of sensory impairments on activity limitations. Most patients’ sensation was intact (55 percent), and individual sensory modalities were highly associated (kappa = 0.60). Weakness and neglect influenced sensory impairment, but demographics, stroke pathology, and spasticity did not. Sensation influenced independence in activities of daily living, mobility, and balance but less strongly than weakness. Results of this study showed that sensation of the lower limb is preserved in most stroke survivors but, when impairment is present, it affects function. Sensory modalities are highly interrelated; interventions that treat the motor system during functional tasks may be as effective at treating the sensory system as sensory retraining alone.

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