Deans' stroke musings: Review of therapeutic electrical stimulation for dorsiflexion assist and orthotic substitution from the American congress of rehabilitation medicine stroke movement interventions subcommittee.

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.

Saturday, June 7, 2014

Review of therapeutic electrical stimulation for dorsiflexion assist and orthotic substitution from the American congress of rehabilitation medicine stroke movement interventions subcommittee.

Even if eStim assists in walking are proven superior to AFOs I doubt our insurance carriers with gladly pay for them as compared to cheap AFOs.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J68278&phrase=no&rec=124231
NARIC Accession Number: J68278. What's this?
ISSN: 0003-9993.
Author(s): Bosch, Pamela R.; Harris, Jocelyn E.; Wing, Kay.
Publication Year: 2014.
Number of Pages: 7.
Abstract: Article provides clinicians with information to guide them in the use of electrical stimulation orthotic substitute devices (ESOSDs). It discusses current research about the use of electrical stimulation orthotic substitute devices for therapeutic and orthotic purposes, and compares the use of ESOSDs and ankle-foot orthoses (AFOs). Current evidence suggests that there is both a therapeutic and an orthotic role for ESOSDs after stroke; in spite of no evidence of superiority over an AFO for improving gait speed, ESOSDs are often preferred by patients. Despite such encouraging preliminary evidence, comparing the benefits of an ESOSD to other therapies or to an AFO is hindered by lack of research. There is insufficient evidence thus far to conclude that walking with an ESOSD is superior to walking with an AFO, but ESOSDs may be the optimal choice for some patients.