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, June 23, 2015

Task-Based Mirror Therapy Augmenting Motor Recovery in Poststroke Hemiparesis: A Randomized Controlled Trial

DEMAND your doctor get the protocol for this mirror therapy. It shouldn't take longer than a couple of email or phone calls. They should be able to at least do that much for you since they are doing nothing else useful. Then it should be widely publicized on the ASA and NSA websites, except I bet they won't do that because it might interfere with the doctor/patient relationship. Well I had no relationship with my doctor at all, I may as well not even bothered to have a doctor for all the good it did me.
http://www.strokejournal.org/article/S1052-3057%2815%2900138-X/abstract
Shanta Pandian, MOT
,
Dharmendra Kumar, MS, DNB
,
Vinod Puri, DM
Received: February 11, 2015; Received in revised form: March 6, 2015; Accepted: March 17, 2015; Published Online: June 18, 2015
Publication stage: In Press Corrected Proof
DOI: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.026

Background

To establish the effect of the task-based mirror therapy (TBMT) on the upper limb recovery in stroke.

Methods

A pilot, randomized, controlled, assessor-blinded trial was conducted in a rehabilitation institute. A convenience sample of 33 poststroke (mean duration, 12.5 months) hemiparetic subjects was randomized into 2 groups (experimental, 17; control, 16). The subjects were allocated to receive either TBMT or standard motor rehabilitation—40 sessions (5/week) for a period of 8 weeks. The TBMT group received movements using various goal-directed tasks and a mirror box. The movements were performed by the less-affected side superimposed on the affected side. The main outcome measures were Brunnstrom recovery stage (BRS) and Fugl-Meyer assessment (FMA)—FMA of upper extremity (FMA-UE), including upper arm (FMA-UA) and wrist–hand (FMA-WH).

Results

The TBMT group exhibited highly significant improvement on mean scores of FMA-WH (P < .001) and FMA-UE (P < .001) at postassessment in comparison to the control group. Furthermore, there was a 12% increase in the number of subjects at BRS stage 5 (out of synergy movement) in the experimental group as compared to a 0% rise at the same stage in the control group.

Conclusions

This pilot trial confirmed the role of TBMT in improving the wrist–hand motor recovery in poststroke hemiparesis. MT using tasks may be used as an adjunct in stroke rehabilitation.

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