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, August 14, 2014

The Effects of Peroneal Nerve Functional Electrical Stimulation Versus Ankle-Foot Orthosis in Patients With Chronic Stroke A Randomized Controlled Trial

With Walkaide and Bioness being equal to an AFO It seems highly unlikely our insurance will pay for the expensive stuff.
http://nnr.sagepub.com/content/28/7/688?etoc
  1. Francois Bethoux, MD1
  2. Helen L. Rogers, PhD2
  3. Karen J. Nolan, PhD3,4
  4. Gary M. Abrams, MD5
  5. Thiru M. Annaswamy, MD, MA6,7
  6. Murray Brandstater, MD, PhD8
  7. Barbara Browne, MD9
  8. Judith M. Burnfield, PhD10
  9. Wuwei Feng, MD, MS11
  10. Mitchell J. Freed, MD12
  11. Carolyn Geis, MD13
  12. Jason Greenberg, MD14
  13. Mark Gudesblatt, MD15
  14. Farha Ikramuddin, MD16
  15. Arun Jayaraman, PT, PhD17
  16. Steven A. Kautz, PhD11,18
  17. Helmi L. Lutsep, MD19
  18. Sangeetha Madhavan, PhD20
  19. Jill Meilahn, DO21
  20. William S. Pease, MD22
  21. Noel Rao, MD23
  22. Subramani Seetharama, MD24
  23. Pramod Sethi, MD25
  24. Margaret A. Turk, MD26
  25. Roi Ann Wallis, MD27
  26. Conrad Kufta, MD2
  1. 1Cleveland Clinic Foundation, Cleveland, OH, USA
  2. 2Innovative Neurotronics, Austin, TX, USA
  3. 3Kessler Foundation Research Center, West Orange, NJ, USA
  4. 4Rutgers–New Jersey Medical School, Newark, NJ, USA
  5. 5San Francisco VA Medical Center, San Francisco, CA, USA
  6. 6VA North Texas Health Care System, TX, USA
  7. 7UT Southwestern Medical Center, Dallas, TX, USA
  8. 8Loma Linda University Medical Center, Loma Linda, CA, USA
  9. 9Magee Rehabilitation Hospital, Philadelphia, PA, USA
  10. 10Madonna Rehabilitation Hospital, Lincoln, NE, USA
  11. 11Medical University of South Carolina, Charleston, SC, USA
  12. 12Florida Hospital Neuroscience and Orthopedic Research Institute, Orlando, FL, USA
  13. 13Halifax Health Center for Neurosciences, Daytona Beach, FL, USA
  14. 14Helen Hayes Hospital, West Haverstraw, New York, NY, USA
  15. 15South Shore Neurologic Associates, Patchogue, NY, USA
  16. 16University of Minnesota Fairview, Minneapolis, MN
  17. 17Rehabilitation Institute of Chicago, Chicago, IL, USA
  18. 18Ralph H. Johnson VA Medical Center, Charleston, SC, USA
  19. 19Oregon Health and Science University, Portland, OR, USA
  20. 20University of Illinois at Chicago, Chicago, IL, USA
  21. 21Marshfield Clinic Research Foundation, 1000 North Oak Avenue, Marshfield, WI, USA 54449
  22. 22The Ohio State University Wexner Medical Center, Columbus, OH, USA
  23. 23Marianjoy Rehabilitation Hospital, Wheaton, IL, USA
  24. 24Hartford Hospital, Hartford, CT, USA
  25. 25Guilford Neurologic Associates, Greensboro, NC, USA
  26. 26SUNY Upstate Medical University, Syracuse, NY, USA
  27. 27West Los Angeles VA Medical Center, Los Angeles, CA, USA
  1. Francois Bethoux, The Cleveland Clinic Foundation, Desk U10, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Email: bethouf@ccf.org

Abstract

Background. Evidence supports peroneal nerve functional electrical stimulation (FES) as an effective alternative to ankle-foot orthoses (AFO) for treatment of foot drop poststroke, but few randomized controlled comparisons exist. Objective. To compare changes in gait and quality of life (QoL) between FES and an AFO in individuals with foot drop poststroke. Methods. In a multicenter randomized controlled trial (ClinicalTrials.gov #NCT01087957) with unblinded outcome assessments, 495 Medicare-eligible individuals at least 6 months poststroke wore FES or an AFO for 6 months. Primary endpoints: 10-Meter Walk Test (10MWT), a composite of the Mobility, Activities of Daily Living/Instrumental Activities of Daily Living, and Social Participation subscores on the Stroke Impact Scale (SIS), and device-related serious adverse event rate. Secondary endpoints: 6-Minute Walk Test, GaitRite Functional Ambulation Profile (FAP), Modified Emory Functional Ambulation Profile (mEFAP), Berg Balance Scale (BBS), Timed Up and Go, individual SIS domains, and Stroke-Specific Quality of Life measures. Multiply imputed intention-to-treat analyses were used with primary endpoints tested for noninferiority and secondary endpoints tested for superiority. Results. A total of 399 subjects completed the study. FES proved noninferior to the AFO for all primary endpoints. Both the FES and AFO groups improved significantly on the 10MWT. Within the FES group, significant improvements were found for SIS composite score, total mFEAP score, individual Floor and Obstacle course time scores of the mEFAP, FAP, and BBS, but again, no between-group differences were found.  

Conclusions. Use of FES is equivalent to the AFO. Further studies should examine whether FES enables better performance in tasks involving functional mobility, activities of daily living, and balance.
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