Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 14769 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Deans' stroke musings
Changing stroke rehab and research worldwide now.Time is Brain!Just think of all thetrillions and trillions of neuronsthateach daybecause there areeffective hyperacute therapies besides tPA(only 12% effective). I have 493 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:
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's quite disgusting that this information is not available from every stroke association and doctors group. My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html
Friday, August 5, 2016
Potential of Stimulants to Augment Rehabilitation i n the Acute Stroke Setting: Preliminary Support
Department of Neurology, Tulane University Hospital,
New Orleans, LA 70112, United States.
Department of Epidemiology, School of Public Health,
University of Alabama at Birmingham,
Alabama, United States.
Geriatric Research, Education, and Clinical Center (G
RECC), Birmingham Veteran Affairs,
Birmingham, Alabama 35233 United States.
Department of Physical Medicine and Rehabilitation, Un
iversity of Texas Health Sciences Center at
Houston, Houston, Texas 77030, United States.
Department of Neurology, University of Texas Health Scie
nces Center at Houston, Houston,
Texas 77030, United States.
(1) Zhefeng Guo, Department of Neurology, Universit
y of California, Los Angeles, USA.
Adria Arboix, University of Barcelona, Spain.
Xing Li, Mayo Clinic, USA.
Complete Peer review History:
Ngo et al.; INDJ, 5(1): 1-6, 2016; Article no.INDJ.
The objective of these case studies is to explore the possibility of using neurostimulants
during the acute stage of stroke to facilitate effective rehabilitation of patients with severe strokes.
Presentation of Cases:
In Case 1, methylphenidate was administered to a 63 year old woman with a left anterior cerebral artery infarct who was discharged to inpatient rehabilitation, rather than
original recommendation of skilled nursing facility, prior to returning home. In Case 2, modafinil was administered to a 56 year old man with a left middle cerebral artery infarct who was discharged to inpatient rehabilitation prior to returning home. In Case 3, modafinil was administered to a 66 year old man with a left middle cerebral arery infarct who was discharged to inpatient rehabilitation. In Case 4, modafinil and methylphenidate were co-administered to a patient with a hypertensive intracerebral hemorrhage who experienced an adverse event possibly related to neurostimulants resulting in discontinuation. She was discharged to
inpatient rehabilitation and subsequently to a skilled nursing facility.
Discussion: All cases initially presented to therapists with barriers to inpatient rehabilitation.
Following neurostimulant administration, therapies recommended discharge to inpatient
rehabilitation facility due to improvement in initial barriers. Three out of the four cases tolerated the neurostimulant well, while one case required discontinuation due to an adverse event.
Conclusion: Patients with severe strokes are less likely to meet criteria for inpatient rehabilitation. Depressed consciousness and limited attention are major barriers for which neurostimulants may be of benefit in the acute post-stroke setting. Administration of neurostimulants may improve participation in therapy, thus increasing qualification for inpatient rehabilitation, and ultimately accelerate recovery. Safety data in this population during the acute stage of stroke are lacking.