Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective 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

Saturday, September 10, 2016

Effectiveness and safety of Chinese massage therapy (Tui Na) on post-stroke spasticity: A prospective multicenter randomized controlled trial

Invalid comparison, should have been compared to other massages.
It didn't work for Thai massage;

The efficacy of traditional Thai massage in decreasing spasticity in elderly stroke patients

http://cre.sagepub.com/content/early/2016/08/09/0269215516663009.abstract?rss=1 
  1. Yu-jie Yang1
  2. Jun Zhang2
  3. Ying Hou3
  4. Bao-yin Jiang4
  5. Hua-fei Pan5
  6. Jian Wang6
  7. Da-yong Zhong7
  8. Hai-ying Guo1
  9. Yi Zhu1,8
  10. Jie Cheng1
  1. 1The Second Clinical Medical School, Nanjing University of Chinese Medicine, Jiangsu, China
  2. 2The Graduate School, Nanjing University of Chinese Medicine, Jiangsu, China
  3. 3The Rehabilitation Department, The Suzhou Industrial Park Loufeng Hospital, Suzhou, China
  4. 4The Rehabilitation Department, The Second Xiangya Hospital of Central South University, Changsha, China
  5. 5The Rehabilitation Department, The Taixing Chinese Medicine Hospital, Taixing, China
  6. 6The Rehabilitation Department, The Dandong Hospital, Dandong, China
  7. 7The Rehabilitation Department, The Dayi Chinese Medicine Hospital, Dayi, China
  8. 8Rehabilitation Center, Hainan Provincial Nongken General Hospital, Hainan, China
  1. Yi Zhu, The Second Clinical Medical School, Nanjing University of Chinese Medicine, Road No. 138 Qixia District, Nanjing Xianlin University City, Jiangsu 210000, China; Rehabilitation center, Hainan Provincial Nongken General Hospital, Hainan 570000, China Email: zhuyi1010@163.com

Abstract

Objective: To evaluate the effectiveness and safety of Chinese massage therapy (Tui Na) for patients with post-stroke spasticity.
Design: A prospective, multicenter, blinded, randomized, placebo-controlled intervention trial.
Subject: A total of 90 patients with post-stroke spasticity were randomly assigned to the experimental (Tui Na therapy) group (n = 45) or control (placebo Tui Na therapy) group (n = 45).
Intervention: Participants in the experimental group received Tui Na therapy, while those in the control group received placebo-Tai Na (gentle rubbing) for 20–25 minutes per limb, once per day, five days per week for a total of four weeks. All participants in both groups received conventional rehabilitation.
Main measure: The Modified Ashworth Scale, the Fugl-Meyer Assessment and the Modified Barthel Index were used to assess the severity of spasticity, motor function of limbs and activities of daily living, respectively. Assessments were performed at baseline, at four weeks and at three months.
Results: Tui Na group had a significantly greater reduction in Modified Ashworth Scale in only four muscle groups than the control did (elbow flexors, P = 0.026; wrist flexors, P = 0.005; knee flexors, P = 0.023; knee extensors, P = 0.017). Improvements were sustained at three months follow-up. There was no significant difference between the two groups in Fugl-Meyer Assessment (P = 0.503) and Modified Barthel Index (P = 0.544). No adverse reaction was recorded in any of the cases mentioned at all study sites.
Conclusions: Tui Na might be a safe and effective treatment to reduce post-stroke spasticity of several muscle groups.

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