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.

Sunday, May 22, 2016

Accumulated Evidence of Robotic Gait Trainings now included in the AHA Stroke Rehabilitation Guidelines

You can see how long before your stroke department starts following these.  My doctor at the time thought the Lokomat wasn't any good. I however loved it because it felt like normal walking and the therapists used it constantly.
https://www.linkedin.com/groups/1774685/1774685-6138302618323136513
The newest Guidelines for Adult Stroke Rehabilitation and Recovery by the American Heart Association (AHA)/American Stroke Association (ASA) have just been published (Winstein et al. 2016). Whereas in earlier Guidelines, evidence on electromechanically assisted gait training was often considered to be insufficient to draw conclusions, these new Guidelines now cite level A evidence that the benefits of using electromechanical gait trainers for stroke rehabilitation outweigh the harms. Specifically, the following recommendations were made:

► Robot-assisted movement training to improve motor function and mobility after stroke in combination with conventional therapy may be considered.
» Evidence Class IIb (Benefit outweighs risks) level A (Data derived from multiple RCTs or Meta Analyses)
► Mechanically assisted walking (treadmill, electromechanical gait trainer, robotic device, servo-motor) with body weight support may be considered for patients who are nonambulatory or have low ambulatory ability early after stroke.
» Evidence Class IIb (Benefit outweighs risks) level A (Data derived from multiple RCTs or Meta Analyses)
► Virtual reality may be beneficial for the improvement of gait.
» Evidence Class IIb (Benefit outweighs risks) level B (Data derived from a single RCT or nonrandomized studies)

This is a big step and shows that the research efforts in this field over the past years are starting to affect every-day clinical practice. Congratulations to all those who dedicated their time and efforts to this research for the benefit of our patients. May this success provide motivation to further push the field forward.

Winstein, C. J. et al. (2016). "Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association." Stroke. Epub ahead of print. May 4th 2016.

http://stroke.ahajournals.org/content/early/2016/05/04/STR.0000000000000098.abstrac
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