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.

Monday, March 24, 2014

Upper Limb Recovery After Stroke Is Associated With Ipsilesional Primary Motor Cortical Activity

No idea what this means. That's what your doctor is for. To have stroke protocols that lead to 100% recovery. Anything else is laziness and stupidity.  But they will prove their laziness and stupidity every time without fail.
http://stroke.ahajournals.org/content/45/4/1077.abstract?etoc
  1. Assia Jaillard, MD, PhD
+ Author Affiliations
  1. From the Unité Neurovasculaire, Pôle Psychiatrie-Neurologie (I.F., O.D.), Unité IRM, Pôle Radiologie (A.K.), Unité IRM 3T Recherche IRMaGe - Inserm US17/CNRS UMS 3552 (A.K., A.J.), and Pôle Recherche (M.H., A.J.), CHU de Grenoble, Grenoble, France; and Neural Systems Group, Massachusetts General Hospital, Charlestown (T.A.Z.).
  1. Correspondence to Assia Jaillard, MD, PhD, Unité IRM 3T—Recherche CHU Grenoble CS 10217, 38043 Grenoble Cedex 9, France. E-mail Assia.Jaillard@ujf-grenoble.fr

Abstract

Background and Purpose—Although neuroimaging studies have revealed specific patterns of reorganization in the sensorimotor control network after stroke, their role in recovery remains unsettled. To review the existing evidence systematically, we performed activation likelihood estimation meta-analysis of functional neuroimaging studies investigating upper limb movement-related brain activity after stroke.
Methods—Twenty-four studies using sensorimotor tasks in standardized coordinates were included, totaling 255 patients and 145 healthy controls. Across the entire brain, we compared task-related activity patterns in good and poor recovery and assessed the magnitude of spatial shifts in sensorimotor activity in cortical motor areas after stroke.
Results—When compared with healthy controls, patients showed higher activation likelihood estimation values in contralesional primary motor soon after stroke that abated with time, but were not related to motor outcome. The observed activity changes were consistent with restoration of typical interhemispheric balance. In contrast, activation likelihood estimation values in ipsilesional medial-premotor and primary motor cortex were associated with good outcome, reorganization that may reflect vicarious processes associated with ventral activity shifts from BA4a to 4p. In the anterior cerebellum, a novel finding was the association of poor recovery with increased vermal activity, possibly reflecting behaviorally inadequate compensatory strategies engaging the fastigio-thalamo-cortical and corticoreticulospinal systems.
Conclusions—Activity in ipsilesional primary motor and medial-premotor cortices in chronic stroke signals good motor recovery, whereas cerebellar vermis activity signals poor recovery. Functional MRI may be useful in identifying recovery biomarkers.

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