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.

Thursday, March 13, 2014

Brain modulation by event-related desynchronization (ERD) guided neurofeedback: toward a new therapy in acute stroke

Did this contradict this earlier study?
Mental Practice With Motor Imagery Does Not Help In Stroke Recovery 
The newest one here:
http://doc.utwente.nl/89630/ 
Tangwiriyasakul, Chayanin (2014) Brain modulation by event-related desynchronization (ERD) guided neurofeedback: toward a new therapy in acute stroke. thesis.
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Abstract:Motor imagery (MI) therapy is suggested to assist motor (re)learning during stroke rehabilitation. During MI training, part of motor neurons is being recruited similar to motor execution. Repetitive recruitment of motor neurons through mental training leads to enhancement and/or restoration of connections among neurons (brain’s plasticity). Clinical gain in restoring motor dysfunction by MI therapy was proven in various chronic stroke patients, but not yet in patients at acute-or-subacute phase, which is considered as a prime period to determine the final outcome after stroke. In acute stroke patients, motor imagery has been shown to be less strong, so it is important to improve MI performance. One way to do that is to incorporate feedback about the MI effort in an EEG based BCI training system.
In this study, we investigated how to improve imagery. For this, we developed an EEG-ERD based MI-neurofeedback system, in which the feedback information showed live MI performance. However, the result from our pilot study showed limited effect of neurofeedback on improving MI-and-physical performance. As such this may be a “warning”, when proceeding to test the method in patients.
“Shall we discard the motor imagery training?” The answer is no. Although motor imagery training may not play a leading role in motor (re)learning, its supportive role is undeniable. We suggest using the combination of motor- and mental practice as the most promising approach to assist recovery from stroke.
In the future, the next logical step is to find the optimal ratio between motor and mental training that would optimize motor acquisition in healthy subjects. Once that ratio of mental/motor practice is found, a pilot study in stroke patients can be started.
Item Type:Thesis
Faculty:
Science and Technology (TNW)
Research Group:
Link to this item:http://purl.utwente.nl/publications/89630
Official URL:http://dx.doi.org/10.3990/1.9789036536080

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