So still no clue as to what rehab creates functional gains. Once again everything in your recovery is up to you. You find the appropriate research and deduce what the protocol is. What the fuck is your doctor for?
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J78167&phrase=no&rec=136199&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation
, Volume 24(5)
, Pgs. 394-403.
NARIC Accession Number: J78167. What's this?
ISSN: 1074-9357.
Author(s): Wonsetler, Elizabeth C.; Bowden, Mark G..
Publication Year: 2017.
Number of Pages: 10.
Abstract: This systematic review explored potential
mechanisms of change that may explain improvements in gait speed and
quantify motor recovery following physical therapy interventions in the
stroke population. PubMed, Ovid, and CINAHL databases were searched
relevant rehabilitation trials with a statistically significant change
in self-selected walking speed post-intervention that concurrently
collected mechanistic variables. Twenty-five studies met the inclusion
criteria and examined. Methodological quality was assessed using
Cochrane Collaboration’s tool. Walking speed changes, mechanistic
variables, and intervention data were extracted. The physical therapy
interventions used within the included studies that were found to
produce improvements in gait speed were: cardiorespiratory function,
muscle activation, force production, and movement analysis.
Interventions included: aerobic training, functional electrical
stimulation, multidimensional rehabilitation, robotics, sensory
stimulation training, strength/resistance training, task-specific
locomotor rehabilitation, and visually-guided training. No systematic
approach or set of outcome measures to mechanistically explain changes
observed in walking speed were identified. Nor is there a theoretical
basis to drive the complicated selection of outcome measures, as many of
these outcomes are not independent of walking speed. Since
rehabilitation literature has not yet identified a causal, mechanistic
link for post-stroke functional gains, a systematic, multimodal approach
to stroke rehabilitation will be necessary in doing so.
Descriptor Terms: AMBULATION, BIOENGINEERING,
ELECTROPHYSIOLOGY, EXERCISE, LITERATURE REVIEWS, OUTCOMES, PHYSICAL
THERAPY, REHABILITATION SERVICES, STROKE, THERAPEUTIC TRAINING.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Wonsetler, Elizabeth C., Bowden, Mark G.. (2017). A
systematic review of mechanisms of gait speed change post-stroke. Part
2: Exercise capacity, muscle activation, kinetics, and kinematics.
Topics in Stroke Rehabilitation
, 24(5), Pgs. 394-403. Retrieved 4/19/2018, from REHABDATA database.
*
The majority of journal articles, books, and reports in our collection
are only available by regular mail, rather than downloadable electronic
format. Learn more about our digital collection and our document delivery service.
More information about this publication:
Topics in Stroke Rehabilitation.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,006 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
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