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

Monday, April 17, 2017

Rethinking Recovery and Rehabilitation after Stroke - John Krakauer

I've got 7 posts on Dr. John Krakauer already, he has some great ideas, virtual dolphins, calls stroke rehab medieval. You in the first days after your stroke will need to see what your doctor knows about this. Krakauer mentions lots of problems in stroke that your doctor should already know about and be addressing.
https://smartech.gatech.edu/handle/1853/56529

There are critical differences in the potential for rehabilitation of impairment early and late after stroke. Early after stroke the proportional recovery rule for spontaneous biological recovery applies, as does the idea of a sensitive period. Late after stroke, rehabilitation relies on motor learning principles. We will need new behavioral treatments augmented by pharmacology and perhaps non-invasive brain stimulation to rectify the overall ineffectiveness of current neurorehabilitation

Go to the mp4 file, it contains a 1 hour lecture which is wonderful.
Some tidbits from there:
'No computational or algorithmic theory of practice'. So we know nothing about stroke rehab.
' I have no idea why we do robotics for rehabilitation'.
'Current rehab seems to have no impact whatsoever'.
'Sensitive period can be reset with second stroke' slide.
Fluoxetine slide is good, does your doctor know about that?
85% of time is spent in bed not moving. 

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