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.

Friday, August 19, 2016

Rehabilitation of motor function after stroke: a multiple systematic review focused on techniques to stimulate upper extremity recovery

After looking at 5712 publications they still refuse to write up a stroke protocol. What do we have to do to get protocols written up? Does every single person in stroke leadership need to have a stroke to personally experience how fucking bad stroke rehab is? Would that finally get a strategy going?
http://journal.frontiersin.org/article/10.3389/fnhum.2016.00442/abstract
Samar M. Hatem1, 2, 5*, Geoffroy Saussez2, Margaux della Faille2, Vincent Prist6, Xue Zhang3, Delphine Dispa2, 4 and Yannick Bleyenheuft2
  • 1Physical and Rehabilitation Medicine, Brugmann University Hospital, Belgium
  • 2Institute of Neuroscience, Université catholique de Louvain, Belgium
  • 3Department of Kinesiology, Katholieke Universiteit Leuven, Belgium
  • 4Physical and Rehabilitation Medicine, Cliniques universitaires St-Luc, Belgium
  • 5Faculty of Medicine and Pharmacy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium
  • 6Physical and Rehabilitation Medicine, Centre Hospitalier de l’Ardenne, Belgium
Stroke is one of the leading causes for disability worldwide. Motor function deficits due to stroke affect the patients’ mobility, their limitation in daily life activities, their participation in society and their odds of returning to professional activities. All of these factors contribute to a low overall quality of life.
Rehabilitation training is the most effective way to reduce motor impairments in stroke patients. This multiple systematic review focuses both on standard treatment methods and on innovating rehabilitation techniques used to promote upper extremity motor function in stroke patients. A total number of 5712 publications on stroke rehabilitation was systematically reviewed for relevance and quality with regards to upper extremity motor outcome. This procedure yielded 270 publications corresponding to the inclusion criteria of the systematic review. Recent technology-based interventions in stroke rehabilitation including non-invasive brain stimulation, robot-assisted training and virtual reality immersion are addressed. Finally, a decisional tree based on evidence from the literature and characteristics of stroke patients is proposed.(Who gives a shit about a decision tree? Fucking worthless crap. We are continually screwed from the incompetence of the stroke medical world)
At present, the stroke rehabilitation field faces the challenge to tailor evidence-based treatment strategies to the needs of the individual stroke patient. Interventions can be combined in order to achieve the maximal motor function recovery for each patient. Though the efficacy of some interventions may be under debate, motor skill learning and some new technological approaches give promising outcome prognosis in stroke motor rehabilitation.
Keywords: Rehabilitation, Upper Extremity, Stroke, review, Paresis, Systematic review
Citation: Hatem SM, Saussez G, della Faille M, Prist V, Zhang X, Dispa D and Bleyenheuft Y (2016). Rehabilitation of motor function after stroke: a multiple systematic review focused on techniques to stimulate upper extremity recovery. Front. Hum. Neurosci. 10:442. doi: 10.3389/fnhum.2016.00442
Received: 13 Jul 2016; Accepted: 18 Aug 2016.
Edited by:
Bernard Dan, Université libre de Bruxelles, Belgium
Reviewed by:
Veena A. Nair, University of Wisconsin-Madison, USA
Sahil Bajaj, University of Arizona, USA  
Copyright: © 2016 Hatem, Saussez, della Faille, Prist, Zhang, Dispa and Bleyenheuft. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Prof. Samar M. Hatem, Brugmann University Hospital, Physical and Rehabilitation Medicine, Brussels, Belgium, samar.hatem@chu-brugmann.be
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