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

Muscle strength and poststroke hemiplegia: A systematic review of muscle strength assessment and muscle strength impairment

I don't see how anything learned here can get stroke survivors a better recovery.
 Archives of Physical Medicine and Rehabilitation , Volume 98(2) , Pgs. 368-380.

NARIC Accession Number: J75364.  What's this?
ISSN: 0003-9993.
Author(s): Kristensen, Otto H.; Stenager, Egon; Dalgas, Ulrik.
Publication Year: 2017.
Number of Pages: 13.
Abstract: Study systematically evaluated (1) the psychometric properties of criterion isokinetic dynamometry testing of muscle strength in people with poststroke hemiplegia and (2) the literature comparing muscle strength in patients poststroke with that in healthy controls assessed by criterion isokinetic dynamometry. From a systematic literature search of 7 databases, 20 studies covering 316 people with poststroke hemiplegia were included. The psychometric properties of isokinetic dynamometry were reviewed with respect to reliability, validity, and responsiveness. Furthermore, comparisons of strength between paretic, nonparetic, and comparable healthy muscles were reviewed. High intraclass correlation coefficient (ICC) inter- and intrasession reliability was reported for isokinetic dynamometry, which was independent of the tested muscle group, contraction mode, and contraction velocity. Slightly higher ICC values were found for the nonparetic extremity. Standard error of the mean (SEM) values showed that a change of 7 to 20 percent was required for a real group change to take place for most muscle groups, with the knee extensors showing the smallest SEM percentage values. The muscle strength of paretic muscles showed deficits when compared with both healthy and nonparetic muscles, independent of muscle group, contraction mode, and contraction velocity. Nonparetic muscles only showed minor strength impairments when compared with healthy muscles. Criterion isokinetic dynamometry is a reliable test in peoples with stroke, generally showing marked reductions in muscle strength of paretic and, to a lesser degree, nonparetic muscles when compared with healthy controls, independent of muscle group, contraction mode, and contraction velocity.

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

Citation: Kristensen, Otto H., Stenager, Egon, Dalgas, Ulrik. (2017). Muscle strength and poststroke hemiplegia: A systematic review of muscle strength assessment and muscle strength impairment.  Archives of Physical Medicine and Rehabilitation , 98(2), Pgs. 368-380. Retrieved 3/10/2017, from REHABDATA database.

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