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, November 24, 2014

Stride frequency and length adjustments in post-stroke individuals: Influence on the margins of stability

This just proves the f*cking stupidity out there. We seem to have NO written protocol for walking. With no protocol we can't tell what works or doesn't work. And with ten of thousands of therapists in the US, each working on their own ideas it is a disaster in the making and stroke survivors are the ones being badly affected.  Never ever listen to anyone who gives you the craptastic statement; 'All strokes are different, all stroke recoveries are different'.  That is just pure laziness on whomever is saying that. Fire them immediately.
http://www.docguide.com/stride-frequency-and-length-adjustments-post-stroke-individuals-influence-margins-stability?

Houdijk H, van der Wurff P, Prins M, Beek P, van Dieën J; Journal of Rehabilitation Medicine (Nov 2014)

Read/Add Comments | Email This | Print This | PubMed | Get Full Text
Objective: To investigate whether post-stroke participants can walk at different combinations of stride frequency and stride length and how these adaptations affect the backward and medio-lateral margins of stability. Setting: Computer Assisted Rehabilitation Environment (CAREN). Participants: Ten post-stroke individuals. Intervention: Six trials of 2 min walking on a treadmill at different combinations of stride frequency and stride length. Treadmill speed was set at the corresponding speed, and subjects received visual feedback about the required and actual stride length. Outcome measures: Mean stride length and frequency and backward and medio-lateral margins of stability for each trial. Results and conclusion: Stroke patients were able to adjust step length when required, but had difficulty adjusting step frequency. When a stride frequency higher than self-selected stride frequency was imposed patients additionally needed to increase stride length in order to match the imposed treadmill speed. For trials at a high stride frequency, in particular, the increase in the backward and medio-lateral margins of stability was limited. In conclusion, training post-stroke individuals to increase stride frequency during walking might give them more opportunities to increase the margins of stability and consequently reduce fall risk.
Posted by at
Labels: , , , , , , ,

No comments:

Post a Comment

Subscribe to: Post Comments (Atom)