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:

Friday, July 14, 2017

Gait training with hybrid assistive limb enhances the gait functions in subacute stroke patients: A pilot study

There are many assistive walking devices. You'll have to ask your doctor what the results were for all the other ones.  3 posts on wallking assist, bet your doctor knows none of them.
NeuroRehabilitation , Volume 40(1) , Pgs. 87-97.

NARIC Accession Number: J76229.  What's this?
ISSN: 1053-8135.
Author(s): Yoshikawa, Kenichi; Mizukami, Masafumi; Kawamoto, Hiroaki; Sano, Ayumu; Koseki, Kazunori; Sano, Kumiko; Asakawa, Yasutsugu; Kohno, Yutaka; Nakai, Kei; Gosho, Masahiko; Tsurushima, Hideo.
Publication Year: 2017.
Number of Pages: 11.
Abstract: Study examined the effects of gait training with the Hybrid Assistive Limb (HAL) on walking ability by HAL and determined the most effective improvement measure for use in future large-scale trials. HAL is a wearable robot that interactively provides motion according to the wearer’s voluntary activity. Sixteen first-ever hemiplegic stroke patients completed at least 20 sessions over 5 weeks. Per session, the experimental group received no more than 20 minutes of gait training with HAL and 40 minutes of conventional physiotherapy, whereas the control group received at least 60 minutes of conventional physiotherapy. The primary outcome was maximum walking speed (MWS). The HAL group had a significantly greater increase in MWS than the control group during the intervention period. The change in MWS from baseline at week 5 was 11.6 meters per minute for the HAL group and 2.2 meters per minute for control subjects. In HAL subjects there were significant increases in self-selected walking speed (SWS; a secondary outcome) and in step length (a secondary outcome) at MWS and SWS compared with controls. Training with HAL improved walking speed in hemiplegic sub-acute stroke patients.

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

Citation: Yoshikawa, Kenichi, Mizukami, Masafumi, Kawamoto, Hiroaki, Sano, Ayumu, Koseki, Kazunori, Sano, Kumiko, Asakawa, Yasutsugu, Kohno, Yutaka, Nakai, Kei, Gosho, Masahiko, Tsurushima, Hideo. (2017). Gait training with hybrid assistive limb enhances the gait functions in subacute stroke patients: A pilot study.  NeuroRehabilitation , 40(1), Pgs. 87-97. Retrieved 7/14/2017, from REHABDATA database.

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