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

Treadmill training to improve mobility for people with sub-acute stroke: a phase II feasibility randomized controlled trial

But no mention of what kind of treadmill training. So once again we will need followup research to identify the best intervention via treadmill. What a fucking waste just because we have NO stroke leadership and NO stroke strategy. No clue what the protocol was.

Stroke Rehabilitation and the AlterG - Anti-gravity treadmill

The treadmill bike!?

air pressure treadmill 

Turning-Based Treadmill 

Air pressure treadmill instantly sheds 80% of your weight

underwater treadmill

Split Belt Treadmill 

rotating treadmill

 

 

 

 

 

 


http://journals.sagepub.com/doi/abs/10.1177/0269215517720486?
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Gillian D Baer, Lisa G Salisbury, Mark T Smith, ...
First Published July 21, 2017 Research Article


Abstract


Objective:

This phase II study investigated the feasibility and potential effectiveness of treadmill training versus normal gait re-education for ambulant and non-ambulant people with sub-acute stroke delivered as part of normal clinical practice.

Design:

A single-blind, feasibility randomized controlled trial.

Setting:

Four hospital-based stroke units.

Subjects:

Participants within three months of stroke onset.

Interventions:

Participants were randomized to treadmill training (minimum twice weekly) plus normal gait re-education or normal gait re-education only (control) for up to eight weeks. (Speed?, inclined?, mileage?, length of time?)

Main Measures:

Measures were taken at baseline, after eight weeks of intervention and at six-month follow-up. The primary outcome was the Rivermead Mobility Index. Other measures included the Functional Ambulation Category, 10-metre walk, 6-minute walk, Barthel Index, Motor Assessment Scale, Stroke Impact Scale and a measure of confidence in walking.

Results:

In all, 77 patients were randomized, 39 to treadmill and 38 to control. It was feasible to deliver treadmill training to people with sub-acute stroke. Only two adverse events occurred. No statistically significant differences were found between groups. For example, Rivermead Mobility Index, median (interquartile range (IQR)): after eight weeks treadmill 5 (4–9), control 6 (4–11) p = 0.33; or six-month follow-up treadmill 8.5 (3–12), control 8 (6–12.5) p = 0.42. The frequency and intensity of intervention was low.

Conclusion:

Treadmill training in sub-acute stroke patients was feasible but showed no significant difference in outcomes when compared to normal gait re-education. A large definitive randomized trial is now required to explore treadmill training in normal clinical practice.
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