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.

Tuesday, May 19, 2015

Feasibility of Early Functional Rehabilitation in Acute Stroke Survivors using the Balance-Bed–A Technology that Emulates Microgravity

You'll have to send your doctor after this because I have no understanding of what this is.
Feasibility of Early Functional Rehabilitation in Acute Stroke Survivors using the Balance-Bed–A Technology that Emulates Microgravity
Lars I.E. Oddsson
1,2
,3
*,
Marsha Finkelstein
4
,
Sarah Meissner
4
 
1
Department of Physical Medicine and Rehabilitation, Program in Rehabilitation Science, University of
 
Minnesota, Minneapolis, MN, USA
 
2
Technological Leadership Institute, College of Science and Engineering, University of Minnesota, Minneapolis, MN, USA
 
3
Recanati School for Community Health Professions, Ben-
Gurion University of the Negev, Israel
 
4
Courage Kenny Rehabilitation Institute,Allina Health,Minneapolis,MN, USA
 
*
Correspondence:Lars
IE
Oddsson
,
Department of Physical Medicine and Rehabilitation, Program in
 
Rehabilitation Science, University of Minnesota, Minneapolis, MN, 55455, USA
.
 
Keywords:
Acute Stroke
,
Balance Function,
Body Weight Support,
Countermeasure
,
Microgravity
,
Rehabilitation.
 
Abstract
Evidence-based guidelines recommend early functional rehabilitation of stroke patients when risk of patient harm can be managed.
Current tools do not allow balance training under load conditions
sufficiently lowfor acute stroke patients
.
This single-arm pilot study tested feasibility and safety for acute stroke survivors to use “Balance-Bed”, a technology for balance exercises in supine initially developed to emulate microgravity effects on balance.
Nine acute stroke patients (50-79 yrs.) participated in 3-10 sessions over 16-46 days as part of their rehabilitation in a hospital inpatient setting.
Standard inpatient measures of outcome were monitored where lack of progress from admission to discharge might indicate possible harm.
Total FIM scores at admission (median 40, range 22-53) changed
to (74, 50-96),Motor FIM scores from(23,13-32) to (50,32-68) and
Berg Balance scores from(3, 0-6) to (19, 7-43) at discharge.
Changes reached Minimal Clinical Important Difference
for a sufficient proportion (<0.6) of the patients to indicate no harm to the patients.
In addition, therapists reported the technology was safe,provided a positive experience for the patient and fit within the rehabilitation program. They reported the device should be easier to set up and exit.
We conclude acute stroke patients tolerated Balance-Bed exercises
such as standing on one or two legs, squats, stepping in place as well as
balance perturbations provided by the therapist. We believe
this is the first time it has been demonstrated that acute stroke patients
can safely perform whole body balance training including
balance perturbations as part of their rehabilitation program. Future
studies should include a control group and compare outcomes from
best practices to interventions using the Balance-Bed. In addition
, the technology is relevant for countermeasure development for
spaceflight and as a test-bed of balance function under microgravity
like conditions

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