Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 12645 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, November 11, 2016
Robot-assisted and conventional therapies produce distinct rehabilitative trends in stroke survivors
Comparing the efficacy of
alternative therapeutic strategies for the rehabilitation of motor
function in chronically impaired individuals is often inconclusive. For
example, a recent randomized clinical trial (RCT) compared
robot-assisted vs. conventional therapy in 77 patients who had had
chronic motor impairment after a cerebrovascular accident. While
patients assigned to robotic therapy had greater improvements in the
primary outcome measure (change in score on the upper extremity section
of the Fugl-Meyer assessment), the absolute difference between therapies
was small, which left the clinical relevance in question.
Here we revisit that study to
test whether the multidimensional rehabilitative response of these
patients can better distinguish between treatment outcomes. We used
principal components analysis to find the correlation of changes across
seven outcome measures between the start and end of 8 weeks of therapy.
Permutation tests verified the robustness of the principal components
Each therapy in fact produces
different rehabilitative trends of recovery across the clinical,
functional, and quality of life domains. A rehabilitative trend is a
principal component that quantifies the correlations among changes in
outcomes with each therapy.
These findings challenge the
traditional emphasis of RCTs on using a single primary outcome measure
to compare rehabilitative responses that are naturally multidimensional.
This alternative approach to, and interpretation of, the results of
RCTs may will lead to more effective therapies targeted for the
multidimensional mechanisms of recovery.
ClinicalTrials.gov number NCT00719433. Registered July 17, 2008.