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.

Friday, November 14, 2014

Efficacy of Constraint-Induced Movement Therapy in Early Stroke Rehabilitation

I would have never been able to use this since my finger/hand/arm control area is dead, not just damaged in the penumbra. And I bet your doctor has no objective idea if yours is dead or just damaged.
http://nnr.sagepub.com/content/early/2014/11/10/1545968314558599.abstract?&
  1. Gyrd Thrane, MSc1,2
  2. Torunn Askim, PhD3,4
  3. Roland Stock, MSc5
  4. Bent Indredavik, MD, PhD5
  5. Ragna Gjone, MSc6
  6. Anne Erichsen, MSc7
  7. Audny Anke, MD, PhD1,2
  1. 1UiT The Arctic University of Norway, Tromsø, Norway
  2. 2University Hospital of North Norway, Tromsø, Norway
  3. 3Norwegian University of Science and Technology, Trondheim, Norway
  4. 4Sør-Trøndelag University College, Trondheim, Norway
  5. 5Trondheim University Hospital, Norway
  6. 6Vestfold Hospital Trust, Norway
  7. 7Oslo University Hospital, Norway
  1. Gyrd Thrane, MSc, Department of Health and Care Sciences, University of Tromsø, Faculty of Health Sciences, NO-9037 Tromsø, Norway. Email: gyrd.thrane@uit.no

Abstract

Background. There is limited evidence for the effects of constraint-induced movement therapy (CIMT) in the early stages of stroke recovery. Objective. To evaluate the effect of a modified CIMT within 4 weeks poststroke. Methods. This single-blinded randomized multisite trial investigated the effects of CIMT in 47 individuals who had experienced a stroke in the preceding 26 days. Patients were allocated to a CIMT or a usual care (control) group. The CIMT program was 3 h/d over 10 consecutive working days, with mitt use on the unaffected arm for up to 90% of waking hours. The follow-up time was 6 months. The primary outcome was the Wolf Motor Function test (WMFT) score. Secondary outcomes were the Fugl-Meyer upper-extremity motor score, Nine-Hole Peg test (NHPT) score, the arm use ratio, and the Stroke Impact Scale. Analyses of covariance with adjustment for baseline values were used to assess differences between the groups. Results. After treatment, the mean timed WMFT score was significantly better in the CIMT group compared with the control group. Moreover, posttreatment dexterity, as tested with the NHPT, was significantly better in the CIMT group, whereas the other test results were similar in both the groups. At the 6-month follow-up, the 2 groups showed no significant difference in arm impairment, function, or use in daily activities. Conclusions. Despite a favorable effect of CIMT on timed movement measures immediately after treatment, significant effects were not found after 6 months.
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