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 17, 2016

Neuroplasticity and functional recovery in rehabilitation after stroke

I got nothing useful out of this, all just regurgitating what is already known about neuroplasticity. Nothing useful to be able to provide to survivors.

Neuroplasticity and functional recovery in rehabilitation after stroke


Thais Raquel Martins Filippo
1
, Fabio Marcon Alfieri
1
, Flavio Rodrigo Cichon
1
, Marta Imamura
1
,
Linamara Rizzo Battistella

ABSTRACT
The concept of rehabilitation in stroke is currently based on evidence of neuroplasticity, considered
to be responsible for recovery after a stroke. The scarcity of information in the literature, especially
concerning methods that specifically evaluate neuroplasticity, does not match its functional
importance. In general, the literature discusses the functional evaluations of limbs after a
stroke and a few studies focus on cerebral impairment.
Objective:
To review the literature and evaluate current rehabilitation programs for stroke and their potential to promote functional improvement and neuronal plasticity.
Method:
A literature review was conducted searching the PubMed database with articles published from 2000 to 2015. The descriptors used were: “Stroke/rehabilitation” OR “Stroke/therapy” AND “Neuronal Plasticity”.
Results:
From the 86 studies found, 36 were classified as Therapy/Narrow, with 17 articles being excluded either for not meeting the inclusion criteria or for not presenting a theme relevant to the study. After the selection by title and abstract, 19 articles were read entirely. Of those, six were excluded for not addressing the objective of the present study. In all, 13 articles were reviewed. The evaluation instruments in those 13 articles varied between functional magnetic resonance, transcranial magnetic stimulation, and single photon emission computed tomography (SPECT). The interventions used were specific for the upper limbs, except for one article about an intervention through hyperbaric oxygen therapy.
Conclusion:
Few studies evaluated the neuronal plasticity in rehabilitation after a stroke, and most articles presented improvements in function as well as in neuroplasticity. However, larger studies should investigate and correlate both aspects in the rehabilitation of stroke patients.

 

1 comment:

  1. I agree with your assessment that there is nothing new, but I actually like these “systematic review” (see http://www.researchcore.org/faq/answers.php?recID=5) studies that research the existing literature, and try to assess where things are on an aspect of stroke.
    Hopefully, the reviewers are smart critical thinkers who understand what they are reading, since it is often over my head.
    I mostly look for studies related to chronic stroke, upper limb deficits, and how to stimulate neuroplasticity, since this is what I think I need 3.5 years post stroke.
    This paper has a good description of spasticity,
    And the following sentence may provide some direction:
    “Pilot studies using TMS, tDCS, or rTMS, have shown beneficial effects on motor abilities and motor learning. In addition, the combination of tDCS and peripheral stimulation (e.g., the stimulation of the peripheral nerve or peripheral sensory activities) seemed to increase the effects of each intervention by themselves.”

    ReplyDelete