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:

Wednesday, May 3, 2017

Repetitive task training can help recovery after stroke

This is the reason stroke rehab is so painfully useless, only 10% full recovery. We are given guidelines not protocols. And our stroke medical professionals(including Dr. Sarah F Tyson) don't realize how useless that is.

Following a stroke, people who received repetitive task training showed greater improvements in performing functional tasks, such as picking up a cup, standing up and walking. These improvements were sustained for up to six months.
Disability following stroke is common, affecting around half of all stroke survivors. This NIHR-funded review of over thirty trials found that repetitive task training provided small gains in arm and leg function, balance and walking distance (about 35 metres).
We do not yet know the optimum number of sessions, or the ideal duration or intensity. However, it is a versatile and relatively easy intervention which can be delivered by physiotherapists/occupational therapists in groups, individually, in hospital, in the community or at home. Depending on the nature of the exercise, there is also potential for people to continue to practice on their own or with carer support.
This review shows that it can help people to improve functionality and mobility and should be considered as part of routine rehabilitation, in line with national guidance.

Expert commentary

This is a very useful review for clinical practice(Really?). It shows that repetitive task training improves mobility and upper limb function for people with stroke in both the short and long term, whether undertaken soon or long after the stroke. Although the evidence is only moderately strong, it eclipses the evidence for current commonly used approaches. The challenge now is to develop rehabilitation to incorporate as much repetitive task training as possible, during patients’ daily routines as well therapy sessions. There is, of course, further work to be done to develop individualised doses and types of practice but in the meantime just do it.
Sarah F Tyson, Professor of Rehabilitation, University of Manchester


  1. This is so not useful. If I could pick up a cup, I WOULD practice it obsessively; I'd get in enough repetitions to... to do what? Instead, I have to practice obsessively TRYING to open my hand so that after a million repetitions, I'll be able to ... pick up a cup. Maybe.

    1. I agree, if I could get rid of my spasticity I could recover completely