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:

Friday, March 10, 2017

Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study

Are our doctors and therapists EVER going to write up a stroke walking protocol? EVER?
With no protocol we can never make appropriate improvements to get this better for every survivor.
You'll hear the fuckingly stupid excuse of: 'All strokes are different, all stroke recoveries are different'.
It's time to start screaming at your 'stroke medical professionals'. With no protocols you are essentially dealing with amateurs.
My god, all this earlier research and NO protocol came out of it.

Partial body weight support treadmill training speed influences paretic and non-paretic leg muscle activation, stride characteristics, and ratings of perceived exertion during acute stroke rehabilitation  Feb. 2016 

Stroke Rehabilitation and the AlterG - Anti-gravity treadmill  Aug. 2015 

Varied Overground Walking Training Versus Body-Weight-Supported Treadmill Training in Adults Within 1 Year of Stroke  March 2015 

Influence of visual and auditory biofeedback on partial body weight support treadmill training of individuals with chronic hemiparesis: a randomized controlled clinical trial.  Feb. 2015 

Physiological responses and energy cost of walking on the Gait Trainer with and without body weight support in subacute stroke patients  April 2014 

And the latest here: still with no protocol specified. 

Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study

Annals of Physical and Rehabilitation Medicine , Volume 59(4) , Pgs. 235-241.

NARIC Accession Number: J75408.  What's this?
ISSN: 18770657.
Author(s): Srivastava, Abhishek; Taly, Arun B.; Gupta, Anupam; Kumar, Sendhil; Murali, Thyloth.
Publication Year: 2016.
Number of Pages: 7.
Abstract: Study evaluated the role of bodyweight-supported treadmill training (BWSTT) for chronic stroke survivors. Forty-five patients with a first episode of supratentorial arterial stroke of more than 3 months’ duration were randomly allocated to 3 groups: overground gait training, treadmill training without bodyweight support, and BWSTT (20 sessions, 30 minutes a day, 5 days a week, for 4 weeks). The primary outcome was overground walking speed and endurance and secondary outcome was improvement by the Scandinavian Stroke Scale and locomotion by the Functional Ambulation Category. Data were analyzed within groups (pre-training vs post-training and pre-training vs 3-month follow-up) and between groups (at post-training and 3-month follow-up). Forty patients (89.9 percent) completed training and 34 (75.5 percent) were followed up at 3 months. All primary and secondary outcome measures showed significant improvement in the 3 groups at the end of training, which was sustained at 3-month follow-up (except walking endurance in the overground training group). Outcomes were better with BWSTT but not significantly. Results suggest that BWSTT offers improvement in gait but has no significant advantage over conventional gait-training strategies for chronic stroke survivors.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Srivastava, Abhishek, Taly, Arun B., Gupta, Anupam, Kumar, Sendhil, Murali, Thyloth. (2016). Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study.  Annals of Physical and Rehabilitation Medicine , 59(4), Pgs. 235-241. Retrieved 3/10/2017, from REHABDATA database.

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