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.

Thursday, October 5, 2017

Transcranial Direct Current Stimulation Reduces Fatigue Associated With Multiple Sclerosis

NEW YORK -- October 2, 2017 -- Patients with multiple sclerosis (MS) who underwent a non-invasive form of electrical brain stimulation experienced significant reductions in fatigue, a common and often debilitating symptom of the disease, according to a study published in the Multiple Sclerosis Journal.
When compared with patients who were enrolled in a placebo arm of the study, those that received transcranial direct current stimulation (tDCS) were found to have about a 6-point reduction on a 32-point scale measuring fatigue severity.
“Fatigue is one of the most common symptoms affecting quality of life for patients with MS and practitioners have lacked good treatment options,” said senior author Lauren Krupp, MD, NYU School of Medicine Comprehensive Care Center, New York, New York. “However, the positive results from our study suggest that tDCS might offer benefit in fatigue reduction. The next step is to see if these benefits can be replicated and sustained in larger studies. But our initial findings are very promising.”
In the controlled study, 27 people with MS were randomised to receive either tDCS (n = 15) or a placebo (n = 12) treatment while playing a cognitive training game that targets processing speed and working memory. They took part in 20-minute sessions, 5 days per week, at their homes. The participants would videoconference with a member of the study team; put their headset in place; receive a unique one-time use code to activate it; and participate in the 20-minute tDCS or placebo treatment.
After 20 sessions, participants reported their level of fatigue using the Patient-Reported Outcomes Measurement Information System (PROMIS). The tDCS group experienced, on average, a 5.6-point reduction in the PROMIS scale compared with a 0.9-point decrease among patients in the placebo group.
Patients with the highest levels of fatigue at the start of the study experienced the greatest benefits.
“These data are a hopeful sign that we can use tDCS to help patients with MS manage their fatigue, and that continuing the treatment may show even better results,” says lead author Leigh Charvet, PhD, NYU Langone Health. “Importantly, tDCS can be delivered remotely to patients at home, offering a practical option for patients, especially those with travel limitations and MS-related disability.”
The exact mechanism behind tDCS is unclear and requires more research. It is thought to change the brain's cortical excitability by making it easier for neurons to fire, thereby improving connections and expediting learning that takes place during rehabilitation.
The researchers cautioned the need to validate their findings in larger studies, and strongly caution individuals with MS not to try over-the-counter stimulation technologies at home or outside of a rigorous research setting.
Reference: https://doi.org/10.1177/1352458517732842
SOURCE: NYU Langone Health

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