I think this is the first time I've ever seen the word protocol in any stroke research paper. Your doctor will have to get the full text so ask for it.
http://7thspace.com/headlines/491036/protocol_for_a_randomized_controlled_clinical_trial_investigating_the_effectiveness_of_fast_muscle_activation_and_stepping_training_fast_for_improving_balance_and_mobility_in_sub_acute_stroke.html
Following stroke, many people have difficulty activating their paretic
muscles quickly and with sufficient power to regain their balance by
taking quick and effective steps. Reduced dynamic balance and mobility
following stroke, or `walking balance?, is associated with reduced
self-efficacy and restrictions in daily living activities, community
integration, and quality of life.
Targeted training of movement
speeds required to effectively regain balance has been largely
overlooked in post-stroke rehabilitation. The Fast muscle Activation and
Stepping Training (FAST) program incorporates fast functional movements
known to produce bursts of muscle activation essential for stepping and
regaining standing balance effectively.
The purpose of this
study is to: 1) compare the effectiveness of an outpatient FAST program
to an active control outpatient physiotherapy intervention in improving
walking balance following stroke, and 2) explore potential mechanisms
associated with improvements in walking balance.Methods/DesignThis will
be an assessor-blinded, parallel group randomized controlled trial
design. Sixty participants (30 per group) who have sustained a stroke
within the previous six months will be randomly assigned with
stratification for lower limb motor recovery to receive twelve 45-minute
1:1 physiotherapy intervention sessions over 6 ? 10?weeks in an
outpatient setting of either: 1) FAST intervention - systematic and
progressive practice of fast squatting and stepping exercises, or 2)
active control - conventional physiotherapy directed at improving
balance and mobility that includes no targeted fast movement training.
The same blinded research physiotherapist will assess outcomes at three
time points: 1) baseline (prior to intervention), 2) follow up (within
one week post-intervention); and 3) retention (one month
post-intervention). The primary outcome is dynamic balance assessed
using the Community Balance and Mobility Scale.
We will also
assess fast and self-selected walking speed, balance self-efficacy, and
the ability to respond to internal and external perturbations to balance
and associated changes in postural muscle activation.DiscussionThe
targeted training of fast functional movements in the FAST program is
expected to improve walking balance following stroke compared to the
active control intervention. Unique to this study is the investigation
of potential mechanisms associated with improvements in walking
balance.Trial registrationClinicalTrials.gov NCT01573585
Author: Kimberly J MillerMichael A HuntCourtney L PollockDianne BryantS Garland
Credits/Source: BMC Neurology 2014, 14:187
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,116 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
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Whoa, a protocol! Dean you're awesome.
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