Deans' stroke musings: Optimal transcranial direct current stimulation polarity for enhancing motor recovery from severe post-stroke hemiparesis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, June 25, 2017

Optimal transcranial direct current stimulation polarity for enhancing motor recovery from severe post-stroke hemiparesis

If it enhances outcomes write up a fucking stroke protocol. A great stroke association president would make sure all stroke research with positive outcomes would be written up in a publicly available stroke protocol. Otherwise this research is just wasted.
http://www.brainstimjrnl.com/article/S1935-861X(17)30738-6/abstract

Abstract #76

DOI: http://dx.doi.org/10.1016/j.brs.2017.04.080

Transcranial direct current stimulation (tDCS) has been shown to enhance outcomes of motor training for subjects with mild to moderate post-stroke motor deficit. To determine which tDCS configuration optimizes motor training in cases of severe post-stroke hemiparesis (≤ 19 out of 60, Fugl-Meyer Assessment (FMA) upper extremity motor score), this study randomized 26 subjects to 1 of 4 conditions: 1) “anodal” (anodal tDCS to the ipsilesional motor cortex); 2) “cathodal” (cathodal tDCS to the contralesional motor cortex); 3) “dual” (anodal tDCS to the ipsilesional motor cortex and cathodal tDCS to the contralesional motor cortex); or 4) “sham” tDCS.