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

Thursday, October 13, 2016

Action observation training of community ambulation for improving walking ability of patients with post-stroke hemiparesis: A randomized controlled pilot trial

How many fucking times does action observation need to be proven in research before someone writes up a fucking stroke protocol on it? NEVER I BET.
http://cre.sagepub.com/content/early/2016/10/04/0269215516671982.abstract 
  1. Hyun-Ju Park1
  2. Duck-Won Oh1
  3. Jong-Duk Choi1
  4. Jong-Man Kim1
  5. Suhn-Yeop Kim1
  6. Yong-Jun Cha1
  7. Su-Jin Jeon2
  1. 1Department of Physical Therapy, Cheongju University, Cheongju-si, Republic of Korea
  2. 2Department of Rehabilitation Center, Daejeon Rehabilitation Hospital, Daejeon, Republic of Korea
  1. Duck-Won Oh, Department of Physical Therapy, College of Health Science, Cheongju University, 298 Daeseongro, Cheongwon-gu, Cheongju-si, Chungcheongbuk-do 360-764, Republic of Korea. Email: odduck@cju.ac.kr

Abstract

Purpose: To investigate the effects of action observation training involving community-based ambulation for improving walking ability after stroke.
Design: Randomized, controlled pilot study.
Setting: Inpatient rehabilitation hospital.
Subjects: A total of 25 inpatients with post-stroke hemiparesis were randomly assigned to either the experimental group (n = 12) or control group (n = 13).
Intervention: Subjects of the experimental group watched video clips demonstrating four-staged ambulation training with a more complex environment factor for 30 minutes, three times a week for four weeks. Meanwhile, subjects of the control group watched video clips, which showed different landscape pictures.
Main measures: Walking function was evaluated before and after the four-week intervention using a 10-m walk test, community walk test, activities-specific balance confidence scale, and spatiotemporal gait measures.
Results: Changes in the values for the 10-m walk test (0.17 ±0.19 m/s vs. 0.05 ±0.08 m/s), community walk test (–151.42 ±123.82 seconds vs. 67.08 ±176.77 seconds), and activities-specific balance confidence (6.25 ±5.61 scores vs. 0.72 ±2.24 scores) and the spatiotemporal parameters (i.e. stride length (19.00 ±11.34 cm vs. 3.16 ±11.20 cm), single support (5.87 ±5.13% vs. 0.25 ±5.95%), and velocity (15.66 ±12.34 cm/s vs. 2.96 ±10.54 cm/s)) indicated a significant improvement in the experimental group compared with the control group. In the experimental group, walking function and ambulation confidence was significantly different between the pre- and post-intervention, whereas the control group showed a significant difference only in the 10-m walk test.
Conclusions: Action observation training of community ambulation may be favorably used for improving walking function of patients with post-stroke hemiparesis.
 

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