Deans' stroke musings: Going up steps

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.

Wednesday, December 24, 2014

Going up steps

I think I finally learned on my own what I need to do to walk up steps properly. This is obviously something that all 10 millions survivors a year need to know. So why is there no written stroke protocol on how to walk properly post-stroke. I had a PT that just demonstrated a 'walk this way' stride. I absolutely hated that because the complete responsibility on relearning to walk properly was thrown on the survivors. We may as well not even have therapists.
This series of images from Nathan Nicholson I finally got the understanding that you don't just lift the foot straight up, you engage your hamstring to pull your leg up behind you at the same time pointing your toes down(plantarflexxing) to clear the lip of the step. I have to plan this all out on my own since most of my premotor cortex is dead.
1. Engage the hamstring
2. Point the toes down - plantarflexing
3. Clear the step
4. Dorsiflex to lift the toe up
5. Straighten the leg

2 comments:

Barb PolanDecember 24, 2014 at 12:06 PM
Thank you. I keep trying to lift my foot straight up, and flat, which makes me circumduct.
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