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:

Thursday, August 10, 2017

Physical Factors Affecting the Improvements of Gait Ability after Botulinum Treatment and Physical Therapy for Stroke Patients

Nothing here specifies the objective measurement of spasticity in leg muscles so you can't use this as any basis for a stroke protocol.
Rigakuryoho Kagaku , Volume 31(6) , Pgs. 841-845.

NARIC Accession Number: I243404.  What's this?
Publication Year: 2016.
Abstract: The purpose of this study was to determine the relationship between gait ability improvement and physical factors after botulinum treatment and physical therapy for patients with hemiparetic stroke. Participants were 41 chronic hemiparetic stroke patients with lower limb extensor spasticity. Depending on their cases, BoNT-A injections of 300 units were given to the gastrocnemius, soleus, tibialis posterior, flexor digitorum longus, and/or flexor hallucis longus. Physical therapy was conducted for 4 weeks from the day after the injection. Pearson and Spearman correlation coefficients were used to examine the relationships between the gait-speed improvement rate after the intervention and the items measured before the intervention. No significant correlations were found between the gait-speed improvement rate and age, weight, or degree of paralysis, but there were significant correlations between the gait-speed improvement rate and Motor Assessment Scale, Berg Balance Scale, gait speed, and gait type. These results suggest that the combination of botulinum treatment and physical therapy improves the gait speed irrespective of age, weight, or degree of paralysis, and that its efficacy is higher in patients with severe spasticity and poor walking ability.
Descriptor Terms: Gait, Hemiplegia, Physical therapy, Stroke.
Language: Japanese
Geographic Location(s): Japan, East & Southeast Asia.

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Citation: KAZUKI FUJITA, HIDEAKI HORI, YASUTAKA KOBAYASHI. (2016). Physical Factors Affecting the Improvements of Gait Ability after Botulinum Treatment and Physical Therapy for Stroke Patients.  脳卒中片麻痺患者に対する下肢ボツリヌス療法および 理学療法後の歩行能力改善に影響を及ぼす身体的因子.  Rigakuryoho Kagaku , 31(6), Pgs. 841-845. Retrieved 8/10/2017, from REHABDATA database.

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