Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 13987 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Deans' stroke musings
Changing stroke rehab and research worldwide now.Time is Brain!Just think of all thetrillions and trillions of neuronsthateach daybecause there areeffective 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
Wednesday, May 31, 2017
Repetitive reaching training combined with transcranial Random Noise Stimulation in stroke survivors with chronic and severe arm paresis is feasible: a pilot, triple-blind, randomised case series
Therapy that combines
repetitive training with non-invasive brain stimulation is a potential
avenue to enhance upper limb recovery after stroke. This study aimed to
investigate the feasibility of transcranial Random Noise Stimulation
(tRNS), timed to coincide with the generation of voluntary motor
commands, during reaching training.
A triple-blind pilot RCT was
completed. Four stroke survivors with chronic (6-months to 5-years) and
severe arm paresis, not taking any medications that had the potential to
alter cortical excitability, and no contraindications to tRNS or MRI
were recruited. Participants were randomly allocated to 12 sessions of
reaching training over 4-weeks with active or sham tRNS delivered over
the lesioned hemisphere motor representation. tRNS was triggered to
coincide with a voluntary movement attempt, ceasing after 5-s. At this
point, peripheral nerve stimulation enabled full range reaching. To
determine feasibility, we considered adverse events, training outcomes,
clinical outcomes, corticospinal tract (CST) structural integrity, and
reflections on training through in-depth interviews from each individual
Two participants received
active and two sham tRNS. There were no adverse events. All training
sessions were completed, repetitive practice performed and clinically
relevant improvements across motor outcomes demonstrated. The amount of
improvement varied across individuals and appeared to be independent of
group allocation and CST integrity.
Reaching training that
includes tRNS timed to coincide with generation of voluntary motor
commands is feasible. Clinical improvements were possible even in the
most severely affected individuals as evidenced by CST integrity.