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.

Saturday, April 9, 2016

Mirror therapy in children with hemiparesis: a randomized observer-blinded trial

How many more research articles repeating the same things on this subject need to be written before our stroke leaderships steps up and declares that there already is a written protocol on this and to stop writing on this. Well never, since we have NO stroke leadership and NO stroke rehabilitation protocols. You are fucking screwed and what stroke leadership there is doesn't care.
Mirror training has been considered useful since at least 1999. I've written 29 posts on mirror therapy since 2012. But since nobody is listening to me, nothing has been done about writing a fucking simple stroke protocol on this. Do not do this on your own, way too dangerous.
http://onlinelibrary.wiley.com/doi/10.1111/dmcn.13117/abstract;jsessionid=4A0AFD868FACC0761722EA16D70FBA5A.f04t03?userIsAuthenticated=false&deniedAccessCustomisedMessage=

  1. Roselyn Bruchez1,†,
  2. Marine Jequier Gygax1,†,
  3. Sylvie Roches1,
  4. Joel Fluss2,
  5. David Jacquier1,
  6. Pierluigi Ballabeni3,
  7. Sebastian Grunt4 and
  8. Christopher J Newman1,*
Article first published online: 5 APR 2016
DOI: 10.1111/dmcn.13117

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Aim

To determine the efficacy of mirror therapy in children with hemiparesis.

Method

The design was an observer-blinded parallel-group randomized controlled trial (International Standard Randomised Controlled Trial Number 48748291). Randomization was computer-generated, 1:1 allocation to mirror therapy or comparison groups. The settings were home-based intervention and tertiary centre assessments. Participants were 90 children with hemiparesis aged 7 to 17 years. Intervention was 15 minutes per day of simultaneous arm training, 5 days a week, for 5 weeks. The mirror therapy group used a mirror; those in the comparison group looked at their paretic limb. Assessments comprised measures of upper limb strength, function (Melbourne Assessment 2), daily performance (ABILHAND-Kids), and sensory function at weeks 0 (T0), 5 (T1), and 10 (T2).

Results

There were no significant differences in outcomes and their progression over time between the mirror therapy and comparison groups. Post-hoc intention-to-treat analyses showed significant improvements in both groups for grasp strength (T0−T1+12.6%), pinch strength (T0−T2+9.1%), upper limb function in terms of accuracy (T0−T2+2.7%) and fluency (T0−T2+5.0%), as well as daily performance (T0−T2+16.6%). Per protocol analyses showed additional improvements in dexterity (T0−T2+4.0%).

Interpretation

The use of the mirror illusion during therapy had no significant effect on treatment outcomes. However, 5 weeks of daily simultaneous arm training significantly improved paretic upper limb strength, function, and daily use. These two sentences contradict each other, how did they separate the results from the separate therapies?
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