Deans' stroke musings: Trunk Muscle Coordination During Upward and Downward Reaching in Stroke Survivors

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, March 1, 2016

Trunk Muscle Coordination During Upward and Downward Reaching in Stroke Survivors

I don't give a shit about the analysis. What was learned from here to make survivors lives better? That should be the function of any stroke research if we had any stroke leaders or strategy at all. But we have absolutely NOTHING. You're screwed, your children are screwed, your grandchildren are screwed.
http://journals.humankinetics.com/mc-current-issue/mc-volume-20-issue-1-january/trunk-muscle-coordination-during-upward-and-downward-reaching-in-stroke-survivors
Authors: Geetanjali Gera, Kelsey E. McGlade, Darcy S. Reisman, John P. Scholz

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2016, 20, 50 – 69

http://dx.doi.org/10.1123/mc.2014-0038
This study investigated deficits in trunk muscle modes coordination involved in the stabilization of the trunk’s trajectory for reaching upward and downward beyond functional arm length. Trunk muscle activity from ten stroke survivors (8M, 2F; 64.1±10.5 yrs) and nine healthy control (7M, 2F; 59.3±9.3 yrs) subjects was analyzed. Coordination of trunk muscle modes to stabilize the trunk trajectory was investigated using the uncontrolled manifold analysis (UCM). The UCM analysis decomposes the variability of muscle modes into good and bad variability. The good variability does not affect the control of trunk motion, whereas the bad variability does. In stroke survivors, deficits in the ability to flexibly combine trunk muscle modes was associated with reduced ability to minimize those combinations of trunk muscle modes that led to an error in trunk trajectory (bad variability), more so for reaching upward. This reduced coordination of trunk muscle modes during reaching was correlated with a clinical measure of trunk impairment.

Nothing on Trunk Impairment Scale.
Why wasn't it used?