Deans' stroke musings: A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke

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.

Thursday, January 14, 2016

A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke

Since this seems to work, WHO is going to research this in larger trials and see if this can be extrapolated to other spasticity areas? WHO is going to create the stroke protocol on this? But this won't occur because we have NO stroke strategy or stroke leadership in any part of stroke and this will fall thru the cracks. You are fucking screwed.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J72272&phrase=no&rec=129122
NeuroRehabilitation , Volume 36(1) , Pgs. 67-72.

NARIC Accession Number: J72272. What's this?
ISSN: 1053-8135.
Author(s): Daliri, Seyedeh S.; Forogh, Bijan; Razavi, Seyedeh Z. E.; Ahadi, Tannaz; Madjlesi, Faezeh; Ansari, Noureddin N..
Publication Year: 2015.
Number of Pages: 6.
Abstract: Study examined the effects of extracorporeal shock wave therapy (ESWT) on wrist flexor spasticity after stroke. Fifteen patients with poststroke wrist flexor spasticity (12 male and 3 female with a mean age of 54 years) were enrolled. Patients received 1 sham ESWT followed by 1 active ESWT 1 week later. The outcome measures were the Modified Modified Ashworth Scale (MMAS), the Hmax/Mmax ratio, and the Brunnstrom motor recovery stage. Results showed that the sham ESWT had no effects on the outcome measures. After active ESWT, the MMAS scores of spasticity and the Hmax/Mmax ratio improved. The improvements were maintained 5 weeks after active ESWT. No significant improvements were observed for the motor recovery after sham or active ESWT. In this study, a single session of active ESWT resulted in significant improvement in wrist flexor spasticity and alpha motor neuron excitability in adult patients after stroke.
Descriptor Terms: ELECTRICAL STIMULATION, INTERVENTION, LIMBS, MOTOR SKILLS, MUSCULAR IMPAIRMENTS, OUTCOMES, SPASTICITY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Daliri, Seyedeh S., Forogh, Bijan, Razavi, Seyedeh Z. E., Ahadi, Tannaz, Madjlesi, Faezeh, Ansari, Noureddin N.. (2015). A single blind, clinical trial to investigate the effects of a single session extracorporeal shock wave therapy on wrist flexor spasticity after stroke. NeuroRehabilitation, 36(1), Pgs. 67-72. Retrieved 1/14/2016, from REHABDATA database.