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 17, 2017

Skeletal muscle mechanics: questions, problems and possible solutions

You doctor and therapists should have an excellent understanding of these mechanics so they can verify that the stroke protocols they are using on you will work correctly. 
https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-017-0310-6
Journal of NeuroEngineering and Rehabilitation201714:98
Received: 22 March 2017
Accepted: 11 September 2017
Published: 16 September 2017

Abstract

Skeletal muscle mechanics have been studied ever since people have shown an interest in human movement. However, our understanding of muscle contraction and muscle mechanical properties has changed fundamentally with the discovery of the sliding filament theory in 1954 and associated cross-bridge theory in 1957. Nevertheless, experimental evidence suggests that our knowledge of the mechanisms of contraction is far from complete, and muscle properties and muscle function in human movement remain largely unknown.
In this manuscript, I am trying to identify some of the crucial challenges we are faced with in muscle mechanics, offer possible solutions to questions, and identify problems that might be worthwhile exploring in the future. Since it is impossible to tackle all (worthwhile) problems in a single manuscript, I identified three problems that are controversial, important, and close to my heart. They may be identified as follows: (i) mechanisms of muscle contraction, (ii) in vivo whole muscle mechanics and properties, and (iii) force-sharing among synergistic muscles. These topics are fundamental to our understanding of human movement and movement control, and they contain a series of unknowns and challenges to be explored in the future.
It is my hope that this paper may serve as an inspiration for some, may challenge current beliefs in selected areas, tackle important problems in the area of muscle mechanics, physiology and movement control, and may guide and focus some of the thinking of future muscle mechanics research.

Keywords

Muscle mechanics Cross-bridge Theory Sarcomeres Residual Force Enhancement Muscle Modeling Force Sharing Sliding Filament Titin

Background

On June 12–16, 2016, approximately 150 scientists in the areas of biomechanics and neural control of movement met at the Deer Creek Lodge in Sterling Ohio for an unusual meeting. The meeting was unusual since it only had happened once before, 20 years earlier, and it was unusual because half of the available time was set aside for discussion, thus the ratio of discussion time vs. presentation time was highly favorable for those who like to discuss things.
I was invited to this conference with the mandate to chair a session on skeletal muscle mechanics, energetics and plasticity. The task given to me was to identify some of the major questions and problems in skeletal muscle mechanics and present those in a concise manner and understandable to the non-expert. I must admit this was a rather difficult task for a person like me who believes that we know little to nothing about muscle contraction (on the molecular level), what the basic muscle properties are (except for the most standardized conditions), and how muscles function in the in vivo, freely moving system under non-steady-state, submaximal conditions. In the end, I identified three topics that I presented and discussed. These topics, in my opinion, comprise some of the most relevant questions in muscle mechanics and movement control, but they do not comprise, by any means, the full set of questions/problems in this area of research.
At the end, I settled on topics that are highly controversial, often misunderstood, and close to my heart. They may be summarized as follows: (i) Mechanisms of muscle contraction, sarcomere stability and mechanics, (ii) whole muscle mechanics and muscle properties, and (iii) force-sharing among synergistic muscles. In the following, I will be discussing these topics concisely by raising one or more problems in the area, provide possible solutions, and may make some suggestions for future challenges that, if solved, may improve our understanding of skeletal muscle biomechanics and movement control.
Following my introductory manuscript will be four manuscripts supplied by the participants of the muscle workshop: Drs. Rick Lieber, Tom Roberts, Silvia Blemker and Sabrina Lee. Their contributions are focused on specific problems and challenges faced today by researchers in muscle mechanics and they will add important considerations to the discussion below. I sincerely hope that the BANCOM conference will be repeated in another twenty years, and that we can reflect on which of the challenges, questions and problems have been solved. Hopefully, the set of papers presented here will form a framework for what some of the young people entering this field may consider worthwhile projects.

Mechanisms of muscle contraction, sarcomere stability and mechanics

 

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