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:

Monday, November 7, 2016

Combined rehabilitation with scalp cluster acupuncture and constraint-induced movement therapy significantly improved functional recovery in patients with acute ischemic stroke

How the hell can scalp acupuncture have any mechanism of action? Bad research design, you never have two variables. Three in this case; spontaneous recovery, acupuncture, CIMT. The head researcher is incompetent and should never be allowed near research again.

Yancheng Song, Liqing Kang, Honghuan Dong, Yong Chen
Cangzhou Central Hospital, 16 West Xinhua Road, Yunhe District, Cangzhou 061001, Hebei, China
Received March 29, 2016; Accepted August 19, 2016; Epub October 15, 2016; Published October 30, 2016
Background and purpose: Scalp cluster acupuncture and constraint-induced movement therapy (CIMT)
have been shown to improve functional recovery in patients with acute stroke. However, stroke rehabilitation usually requires a multidisciplinary care which combing different therapeutic approaches. The combined effects of scalp cluster acupuncture and CIMT were unknown. Methods: A prospective randomized clinical trial was performed to compare the functional recovery in acute ischemic stroke patients received either combined therapy of scalp cluster acupuncture and CIMT (experimental group) or body acupuncture and traditional rehabilitation therapy (control group). Patients with first time unilateral cerebral infarction in internal carotid artery system, onset within 3 days, and muscle strength of the affected upper limb less than grade III without obvious sensory disturbance and speech disorder were enrolled. Patients’ functional recovery, as evaluated by Fugl-Meyer assessment (FMA) scale and blood oxygenation level dependent functional magnetic resonance imaging (BOLD-fMRI), was recorded and compared
after two weeks’ interventions. Results: FMA scale and BOLD-fMRI showed statistically significant improvements after intervention rehabilitations in both groups. This improvement was more prominent in the experimental group. Conclusions: A novel therapy which combined scalp cluster acupuncture and CIMT could significantly improve functional recovery in patients with acute ischemic stroke.

No comments:

Post a Comment