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, July 14, 2017

Comparison of the effects of bilateral and unilateral training after stroke: A meta-analysis

Without coming up with a stroke protocol this is totally useless for stroke survivors.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J76246&phrase=no&rec=133902&article_source=Rehab&international=0&international_language=&international_location=
NeuroRehabilitation , Volume 40(3) , Pgs. 301-313.

NARIC Accession Number: J76246.  What's this?
ISSN: 1053-8135.
Author(s): Lee, Yejin; Kim, Moon Y.; Park, Ji-Hyuk; Park, Hae Y..
Publication Year: 2017.
Number of Pages: 14.
Abstract: Study compared the effectiveness of bilateral and unilateral training on upper-extremtiy (UE) function and activities of daily living (ADL) after stroke. Randomized controlled trials (RCTs) were selected for inclusion by two reviewers after searching the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and KoreaMed. Methodological qualities were assessed using the PEDro scale. Effect size was estimated by calculating the standardized mean difference (SMD). Eleven RCTs of sufficient quality were included in the meta-analysis. The effect size on UE capacity was statistically significant in favor of the constraint-induced movement therapy (CIMT) groups. No other SMDs were significant. The findings indicated that the CIMT tasks were more effective than bilateral training with regard to increased UE capacity; however, this result should be cautiously interpreted since the evaluation tools were designed for assessment of unilateral UE function, not bilateral UE function. Further, the effect of the CIMT tasks on UE capacity was not translated into ADL. Considering the disadvantages of CIMT such as fatigue, bilateral training may be more appropriate for improving ADL.
Descriptor Terms: BODY MOVEMENT, DAILY LIVING, EXERCISE, LIMBS, LITERATURE REVIEWS, PHYSICAL THERAPY, STROKE.


Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Lee, Yejin, Kim, Moon Y., Park, Ji-Hyuk, Park, Hae Y.. (2017). Comparison of the effects of bilateral and unilateral training after stroke: A meta-analysis.  NeuroRehabilitation , 40(3), Pgs. 301-313. Retrieved 7/14/2017, from REHABDATA database.

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