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

Friday, March 3, 2017

Nerve 'Zap' Treatment May Speed Stroke Recovery

Just when the fuck will this become a standard stroke protocol? It has even been tested in humans. Does no one ever take a stand and put protocols out there for real world use? It always seems to be more study needed or waiting for SOMEONE ELSE TO SOLVE THE PROBLEM.


Safety, Feasibility, and Efficacy of Vagus Nerve Stimulation Paired With Upper-Limb Rehabilitation After Ischemic Stroke  Jan. 2016 

Earlier research on this is here July, 2012;

Nerve stimulation plus standard therapy may accelerate stroke recovery

and here Jan. 2013;

UK docs aim to `rewire` brains of stroke patients

and here - Sept. 2013;

Researchers Find Early Success in New Treatment for Stroke Recovery

The latest repeat research:

Nerve 'Zap' Treatment May Speed Stroke Recovery

WebMD News from HealthDay
By Maureen Salamon
HealthDay Reporter
WEDNESDAY, March 1, 2017 (HealthDay News) -- An implanted device that provides electrical stimulation of the vagus nerve leading to the brain enhanced arm movement in a small group of stroke patients, researchers report.
Evaluating 17 stroke patients with chronic arm weakness who also received intense physical therapy, scientists found that three-quarters improved with vagus nerve stimulation (VNS), while only one-quarter of those receiving "sham" nerve stimulation did.
"Arm weakness affects three of every four of our stroke patients and persists to a disabling degree in at least 50 percent of them, so it's a hugely important problem in the long term," explained study author Dr. Jesse Dawson. He's director of the Scottish Stroke Research Network and a clinical researcher at University of Glasgow.
"A unique aspect of this [device] is that patients can deliver the brain stimulation technique in their own home during exercise . . . which is an important breakthrough that opens a huge number of possibilities for increasing patient access to this potential treatment," Dawson added.
The study was funded by the VNS device's manufacturer, MicroTransponder Inc., based in Texas.
About 700,000 Americans suffer a stroke each year, two-thirds of whom need post-stroke rehabilitation to help them regain skills lost due to stroke-related brain damage, according to the U.S. National Institute of Neurological Disorders and Stroke.
The vagus nerve is the longest nerve leading to the head, which passes through the neck and down into the abdomen. Surgically implanted just below the collarbone, the VNS device stimulates the brain with small electrical pulses through an internal wire as patients simultaneously move.
All 17 study participants (average age nearly 60) had the device implanted, but Dawson and his team randomly assigned half to receive VNS and half to receive "sham" stimulation. All had suffered clot-caused strokes and took part in six weeks of intensive physical therapy. Their strokes had occurred up to five years prior to the study and had caused chronic arm weakness.
Not only did more patients receiving VNS experience enhanced arm movement, but those patients continued to improve throughout the 90-day study period, Dawson said.

Stimulating the vagus nerve, Dawson said, triggers the release of various chemicals in the brain, two of which are known to increase the brain's potential to recover after injury.
"We can conclude that VNS does drive a change and have an effect for patients recovering from stroke, but we can't [yet] conclude there's magnitude enough to introduce it into clinical practice," he said.
A larger clinical trial enrolling 120 patients from the United States and the United Kingdom will begin this summer, Dawson added.
Dr. Daniel Labovitz is director of the Stern Stroke Center for the Montefiore Health System in New York City. He said the new research was promising, but the study's design and small number of participants made it difficult to discern if results are "sustainable."
"I think it's exciting to at least be working toward proof of concept -- that we can influence the brain to organize itself and enhance recovery long after a stroke occurs," said Labovitz, who wasn't involved in the new research.
"This is the holy grail of rehabilitation," Labovitz said. "And this technique may be the first time where we can actually get the brain to heal itself better than just having the patient move their limb around [during physical therapy]."
Dawson pointed out that implanting the VNS device does carry certain potential risks, such as infection around the device; anesthesia complications; and temporary hoarseness due to vocal cord trauma.
The study was presented at the recent International Stroke Conference in Houston. Research presented at medical meetings should be considered preliminary until published in a peer-reviewed journal.

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