Deans' stroke musings: Electrically assisted movement therapy in chronic stroke patients with severe upper limb paresis: A pilot, single-blind, randomized crossover study

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, September 10, 2017

Electrically assisted movement therapy in chronic stroke patients with severe upper limb paresis: A pilot, single-blind, randomized crossover study

By 6 months most stroke patients are discharged and don't have any more sessions left in their insurance. You'll have to get the protocol and where to get the equipment from your therapist.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J76705&phrase=no&rec=134447&article_source=Rehab&international=0&international_language=&international_location=
Archives of Physical Medicine and Rehabilitation , Volume 98(8) , Pgs. 1628-1635, 1635.e1-1635.e2.

NARIC Accession Number: J76705. What's this?
ISSN: 0003-9993.
Author(s): Carda, Stefano; Biasiucci, Andrea; Maesani, Andrea; Ionta, Silvio; Moncharmont, Julie; Clarke, Stephanie; Murray, Micah M.; Milian, Jose R..
Publication Year: 2017.
Number of Pages: 10.
Abstract: Study evaluated the effects of electrically assisted movement therapy (EAMT) in patients with severe upper-limb paresis, more than 6 months after their stroke. During EAMT, patients use a custom functional electrical stimulation device to control and modulate the electrical currents using the unaffected hand in order to produce task-specific movements of the affected limb, which enables them to engage in intensive goal-oriented training. Eleven patients with chronic, severe stroke more participated in a randomized, crossover, assessor-blinded, 5-week trial with follow-up at 18 weeks. Both EAMT and the control intervention (dose-matched, goal-oriented standard care) consisted of 10 sessions of 90 minutes per day, 5 sessions per week, for 2 weeks. After the first 10 sessions, group allocation was crossed over, and patients received a 1-week therapy break before receiving the new treatment. Five patients received EAMT before standard care, and 6 received standard care before EAMT. Outcome measures included the Fugl-Meyer Motor Assessment for the Upper Extremity, the Wolf Motor Function Test, spasticity, and 28-item Motor Activity Log. EAMT produced higher improvements in the Fugl-Meyer scale than standard care. Median improvements were 6.5 Fugl-Meyer points and 1 Fugl-Meyer point after the experimental treatment and standard care, respectively. The improvement was also significant in subjective reports of quality of movement and amount of use of the affected limb during activities of daily living. The findings indicate that EAMT produces a clinically important impairment reduction in stroke patients with chronic, severe upper-limb paresis.
Descriptor Terms: BODY MOVEMENT, ELECTRICAL STIMULATION, HEMIPLEGIA, LIMBS, MOBILITY IMPAIRMENTS, MOTOR SKILLS, STROKE.

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

Citation: Carda, Stefano, Biasiucci, Andrea, Maesani, Andrea, Ionta, Silvio, Moncharmont, Julie, Clarke, Stephanie, Murray, Micah M., Milian, Jose R.. (2017). Electrically assisted movement therapy in chronic stroke patients with severe upper limb paresis: A pilot, single-blind, randomized crossover study. Archives of Physical Medicine and Rehabilitation , 98(8), Pgs. 1628-1635, 1635.e1-1635.e2. Retrieved 9/10/2017, from REHABDATA database.