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.

Saturday, December 27, 2014

The Use of Cuff Weights for Aquatic Gait Training in People Post-Stroke with Hemiparesis

I wish these people would write this up as a stroke protocol so critiques could be made for and against it. My suspicion is that the extra weight calms down the spasticity allowing for a much more normal walk.
http://onlinelibrary.wiley.com/doi/10.1002/pri.1617/abstract;jsessionid=0B7BF36BE28C2C3D60B56BB7051316E5.f01t02?
  1. Ryota Nishiyori1,
  2. Byron Lai2,
  3. Do Kyeong Lee3,
  4. Konstantinos Vrongistinos2 and
  5. Taeyou Jung2,*
Article first published online: 22 DEC 2014
DOI: 10.1002/pri.1617

View Full Article (HTML) Enhanced Article (HTML) Get PDF (193K)

Keywords:

  • stroke;
  • exercise;
  • physiotheraphy

Abstract

Background and Purpose

This study aimed to examine how spatiotemporal and kinematic gait variables are influenced by the application of a cuff weight during aquatic walking in people post-stroke. The secondary purpose was to compare the differences in gait responses between the placements of cuff weights on the proximal (knee weight) and distal end (ankle weight) of the shank.

Methods

Twenty-one participants post-stroke with hemiparesis aged 66.3 ± 11.3 years participated in a cross-sectional comparative study. Participants completed two aquatic walking trials at their self-selected maximum walking speed across an 8-m walkway under each of the three conditions: 1) walking with a knee weight; 2) walking with an ankle weight; and 3) walking with no weight. Cuff weights were worn on the paretic leg of each participant. Gait speed, cadence, step width and joint kinematics of the hip, knee and ankle joints were recorded by a customized three-dimensional underwater motion analysis system.

Results

Mean aquatic walking speeds significantly increased with the use of cuff weights when compared to walking with no weight. Changes in gait variables were found in the non-paretic leg with the addition of weight, while no significant changes were found in the paretic leg.

Conclusion

The results suggest that the use of additional weight can be helpful if the goal of gait training is to improve walking speed of people post-stroke during pool floor walking. However, it is interesting to note that changes in gait variables were not found in the paretic limb where favourable responses were expected to occur.
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1 comment:

  1. Rebecca DuttonDecember 28, 2014 at 8:43 AM

    The brain's ability to do what it wants rather than what we want never ceases to amaze me.

    ReplyDelete

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