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, May 24, 2016

Effect of Rehabilitation on Oligodendrocyte Progenitor Cells in a Mouse Model of White Matter Stroke

Your doctor should be able to translate this into a stroke protocol. I don't give a shit that this was just done in mice, What is the downside?
http://www.neurology.org/content/86/16_Supplement/P5.224.short
  1. S. Carmichael1
  1. Neurology vol. 86 no. 16 Supplement P5.224

Abstract

Objective: To determine the effect of rehabilitation on oligodendrocyte progenitor cell (OPC) activity and neural repair in a mouse model of white matter stroke (WMS). Background: Physical activity has profound effects on white matter function. In humans, exercise mitigates the effect of progressive WMS on gait. Moreover, constraint-induced repeated use of the affected arm in both stroke patients and animal models enhances recovery. OPCs, which can mature into myelinating oligodendrocytes, are potential mediators of white matter repair. OPC proliferation and myelination in rodent cortex are promoted by neuronal activity and environmental stimulation. However, the effects of a specific motor task (like those performed by post-stroke patients in rehabilitation) in WMS have not yet been studied. Here we evaluated the effect of a skilled reach task on OPC activity in WMS. Methods: Three- and 20-month-old mice were trained on a skilled reach task for three weeks. WMS was then induced in the subcortical white matter underlying the motor cortex contralateral to the trained limb via injection of a vasoconstrictor. Mice were then divided into two groups: three weeks of continued reach task (to model the skilled limb use employed in human neurorehabilitation), or no reach task. Functional recovery of the mice was quantified with a skilled forelimb eating task. Brain tissues were analyzed using immunohistochemistry. Results: Relative to mice receiving no post-stroke rehabilitation, the skilled reach mice show greater numbers of OPCs in subcortical white matter. The effect is more pronounced for 3-month-old mice compared to 20-month-old mice. Lineage tracing via immunohistochemistry suggests OPCs in the skilled reach group have increased potential to develop into mature oligodendrocytes. Conclusions: Rehabilitation with skilled reach after WMS in this mouse model potentiates two critical components of white matter repair: the number of OPCs, as well as their ability to mature.

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