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, January 19, 2017

Eclectic/mixed model method for upper extremity functional recovery in stroke rehabilitation: A pilot study

Just the definition of eclectic means this research would not be able to attribute recovery to any specific intervention. It should never have been allowed to proceed.Still not using objective endpoints for measuring.
http://www.jnsbm.org/article.asp?issn=0976-9668;year=2017;volume=8;issue=1;spage=75;epage=81;aulast=Kumar



1 Department of Physiotherapy, Center for Basic Sciences, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India
2 Department of Physiotherapy, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India
3 Department of Neurology, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India
4 Department of Community Medicine, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India

Date of Web Publication13-Jan-2017
Correspondence Address:
K Vijaya Kumar
Department of Physiotherapy, Center for Basic Sciences, Kasturba Medical College, Manipal University, Mangaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-9668.198357
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   Abstract
Background: Eclectic treatment method is a flexible approach that uses techniques drawn from various schools of thought involving several treatment methods and allows the therapist to adapt to each client's individual needs. Wider application for eclectic approach is however limited in stroke rehabilitation.
Aim: The objective is to find out whether eclectic approach improves upper extremity (UE) functional recovery in acute stroke rehabilitation.  
Methodology: Twenty-five postacute unilateral supratentorial stroke subjects recruited from tertiary care hospitals recovered with Stage 2–5 in Brunnstorm stage of UE motor recovery (BRS-UE) underwent 45 min of eclectic approach for UE every day involving seven different treatment methods (5 min for each method) for 6 days consecutively. The outcome was UE subscale of the Fugl-Meyer Motor test (UE-FM), UE subscale of the Stroke Rehabilitation Assessment of Movement (UE-STREAM), Wolf Motor Function test (WMFT-FAS), and Stroke Impact Scale-16 (SIS-16) was collected at the end of the sixth session.  
Results: All the participants showed significant improvement in all the outcome measures. The Stage 2 and 3 subjects showed UE-STREAM (P = 0.007) WMFT-FAS (P < 0.001), SIS (P = 0.023) respectively and for Stage 4 and 5 the subjects have shown UE FM (P < 0.001), WMFT-FAS (P < 0.001), SIS (P = 0.004) with large magnitude of treatment effect for all stages of BRS-UE. Conclusion: Our study findings are in favor of integrating eclectic approach than single intervention/approach in clinical practice to improve the UE functional recovery for motor rehabilitation when the stroke occurs.
Keywords: Eclectic approach, stroke, upper extremity interventions

How to cite this article:
Kumar K V, Joshua AM, Kedambadi R, Mithra P P. Eclectic/mixed model method for upper extremity functional recovery in stroke rehabilitation: A pilot study. J Nat Sc Biol Med 2017;8:75-81

How to cite this URL:
Kumar K V, Joshua AM, Kedambadi R, Mithra P P. Eclectic/mixed model method for upper extremity functional recovery in stroke rehabilitation: A pilot study. J Nat Sc Biol Med [serial online] 2017 [cited 2017 Jan 19];8:75-81. Available from: http://www.jnsbm.org/text.asp?2017/8/1/75/198357


1 comment:

  1. Focusing exclusively on the hand for 35 minutes (5x7) in every treatment session rather than treating the arm and trunk or teaching compensation is an alternative explanation.

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