Deans' stroke musings: Neuroplasticity in action post-stroke: Challenges for physiotherapists

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, May 6, 2015

Neuroplasticity in action post-stroke: Challenges for physiotherapists

Still doesn't seem to be addressing how to get neuroplasticity to work for functionality that existed in the now dead areas.

You might want to read up on Rajul Vasa first.

Vasa concept - Is there a connection between increased degrees of freedom from flaccidity following stroke, and development of passive tissue contracture and spasticity?

Vasa concept

http://informahealthcare.com/doi/abs/10.3109/21679169.2015.1039575

Gunilla E. Frykberg, and Rajul Vasa

¹Department of Neuroscience/Rehabilitation Medicine, Uppsala University, Sweden

²Rajul Vasa Foundation, Center for Brain and Spinal Injury Rehab,

Mumbai

, India

Correspondence: Gunilla Elmgren Frykberg, RPT, PhD, Department of Neuroscience/Rehabilitation Medicine, Uppsala University,

SE-751 85 Uppsala

, Sweden. Tel: + 46 18 611 28 75. E-mail: gunilla.elmgren.frykberg@neuro.uu.se

Knowledge regarding neuroplasticity post-stroke is increasingly expanding. In spite of this, only a few physiotherapy interventions have been able to demonstrate effectiveness in achieving recovery of lost sensorimotor control. The aims of this review article are to highlight and discuss challenges for physiotherapists working with patients post-stroke, to question some current assessment methods and treatment approaches, and to pose critical questions indicating a possible new direction for physiotherapists in stroke rehabilitation. Differentiation between recovery and compensation post-stroke is increasingly being emphasized. Implementation of this goal in the clinic is insufficient, with a lack of assessment tools with potential to discriminate between the concepts. Large-scale reviews are performed without considering whether functional gains are achieved through “more effective” compensatory strategies or through recovery. Cortical plasticity in neurorehabilitation research and voluntary control in contemporary treatment methods are in focus. Challenges for physiotherapists in stroke rehabilitation consist of rethinking, including looking upon the body under the influence of gravity, focusing on implicit factors that impact movement control and developing new assessment tools. The introduction of a new assessment and treatment concept aiming at expanding the boundaries of center of mass movements towards the paretic side is proposed. In conclusion, we need to assume our responsibilities and step forward as the experts in movement science that we have the potential to be.