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:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Sunday, January 14, 2018

Cross-education of strength has a positive impact on post-stroke rehabilitation: A systematic literature review

Something for your doctor to explain to you. Lazy bastards recommending followup rather than writing at least a preliminary  stroke protocol on this.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77349&phrase=no&rec=135286&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(2) , Pgs. 126-135.

NARIC Accession Number: J77349.  What's this?
ISSN: 1074-9357.
Author(s): Ehrensberger, Monika; Simpson, Daniel; Broderick, Patrick; Monaghan, Kenneth.
Publication Year: 2016.
Number of Pages: 10.
Abstract: This review examined the evidence regarding the implication of cross-education in the rehabilitation of the post-stroke hemiplegic patient and its role in motor function recovery. Since its discovery in 1894, cross-education of strength, a bilateral adaptation after unilateral training, has been shown to be effective in the rehabilitation after one-sided orthopedic injuries. Electronic databases were searched by two independent assessors for studies that described interventions which examined the phenomenon of cross-education of strength from the less-affected to the more-affected side in stroke survivors. Study quality was assessed using the PEDro scale and the Cochrane risk of bias assessment tool. Only two controlled trials met the eligibility criteria. The results of both studies show a clear trend towards cross-educational strength transfer in post-stroke hemiplegic patients with 31.4 percent and 45.5 percent strength increase in the untrained, more-affected dorsiflexor muscle. Results also suggest a possible translation of strength gains towards functional task improvements and motor recovery. Based on best-evidence synthesis guidelines, the combination of the results included in this review suggest at least a moderate level of evidence for the application of cross-education of strength in stroke rehabilitation. Following this review, it is recommended that additional high-quality randomized controlled trials be conducted to further support the findings.
Descriptor Terms: EXERCISE, HEMIPLEGIA, LIMBS, LITERATURE REVIEWS, MOTOR SKILLS, MUSCLES, OUTCOMES, STROKE, THERAPEUTIC TRAINING.


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

Citation: Ehrensberger, Monika, Simpson, Daniel, Broderick, Patrick, Monaghan, Kenneth. (2016). Cross-education of strength has a positive impact on post-stroke rehabilitation: A systematic literature review.  Topics in Stroke Rehabilitation , 23(2), Pgs. 126-135. Retrieved 1/14/2018, from REHABDATA database.

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