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

Tuesday, February 21, 2017

Clarkson University Study on Walking Ability Shows Path to Treatment for Stroke Survivors

Damn it all , still no protocol listed so other survivors and therapists could reuse it. If you can walk for six minutes you are already at a high functioning level. This research told me nothing new.
http://www.clarkson.edu/news/2017/news-release_2017-02-20-1.html
Stroke is the leading cause of disability in older adults in the United States, but research by Clarkson University Associate Professor of Physical Therapy George Fulk and his colleagues is pointing the way to recovery for people who are relearning how to walk.
Clarkson University doctor of physical therapy students work with patients with stroke. Using data collected over a number of years from two other large clinical trials, the Potsdam, N.Y. researcher and his team were able to create and analyze one large database. Their results show a six-minute walk test is the strongest predictor of walking activity in the home and community for stroke survivors. That information, in turn, helps map the most effective steps for physical rehabilitation and independence.
“One of my main focuses in research and my passion in physical therapy is to better understand how physical therapy interventions help people with stroke to relearn to walk again, so we need to better understand how to measure walking activity," says Fulk. "We can't follow patients around all day, so we measure how they walk in the clinic to try to understand out how they will function in the community and at home. A lot of times clinic and at-home experiences don't match, though."
For example, some people perform better in a clinic because it's a closed safe environment with not as many obstacles to walking. Sometimes, patients could be afraid of falling or they may not have the social support to get out, he notes. Then again, some people may not seem to be as likely to succeed but they just do it.
Step activity monitors turned out to be the answer to the puzzle of how much and how well stroke survivors were walking. Among the factors they measured, researchers found that walking endurance with the six-minute walk test was the strongest individual predictor of community walking activity.
The study matches Fulk's belief that a person's walking endurance, motor function, and balance are essential for walking activity after a stroke, so rehabilitation interventions should focus on these areas to improve a stroke survivor’s ability to walk once they leave the hospital or clinic.
“The more we can learn, the more we can help them have a better recovery,” Fulk says.
He and his Clarkson University colleague, Assistant Professor of Mathematics Ying He, and Assistant Professor of Rehabilitation Sciences Pierce Boyne and Associate Professor of Rehabilitation Sciences Kari Dunning, both of the University of Cincinnati, published their results online in the journal Stroke on Jan. 5.
Clarkson University educates the leaders of the global economy. One in five alumni already leads as an owner, CEO, VP or equivalent senior executive of a company. With its main campus located in Potsdam, New York, and additional graduate program and research facilities in the Capital Region and Beacon, N.Y., Clarkson is a nationally recognized research university with signature areas of academic excellence and research directed toward the world's pressing issues. Through more than 50 rigorous programs of study in engineering, business, arts, education, sciences and the health professions, the entire learning-living community spans boundaries across disciplines, nations and cultures to build powers of observation, challenge the status quo and connect discovery and innovation with enterprise.
Photo caption: Above, Clarkson University doctor of physical therapy students work with patients with stroke. Research by Associate Professor of Physical Therapy George Fulk and his colleagues is pointing the way to recovery for people who are relearning how to walk.

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