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

Tuesday, May 29, 2018

NERVE STIMULATION ENHANCES TASK-ORIENTED TRAINING FOR MODERATE-TO-SEVERE HEMIPARESIS 3-12 MONTHS AFTER STROKE: A RANDOMIZED TRIAL

Don't be lazy and recommend future studies, write up a fucking stroke protocol on what you have. It can be corrected as better research comes in.  Because we have NO stroke leadership we have no followup and we don't get any closer to solving stroke. EVERYTHING IS STROKE IS A FAILURE. Until that is acknowledged nobody will attempt to solve the problems in stroke.  This meme from a couple years ago exemplifies the head in the sand mentality of stroke leadership.

This research is nothing more than an update as explained in a Margaret Yekutiel  book about this in 2001, 'Sensory Re-Education of the Hand After Stroke'. So 17 years and still no stroke protocol on this. God, the extreme incompetence of the stroke medical world is galaxy class. 
https://journals.lww.com/ajpmr/Abstract/publishahead/NERVE_STIMULATION_ENHANCES_TASK_ORIENTED_TRAINING.98486.aspx 


Carrico, Cheryl, MS, OT/L; Westgate, Philip, M., PhD; Powell, Elizabeth, Salmon, MS; Chelette, Kenneth, C., MS; Nichols, Laurie, BS, OT/L; Pettigrew, L., Creed, MD, MPH; Sawaki, Lumy, MD, PhD
American Journal of Physical Medicine & Rehabilitation: May 22, 2018 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000000971
Research Article: PDF Only
Objective: Determine whether somatosensory stimulation affects outcomes of motor training for moderate-to-severe upper extremity hemiparesis less than 12 months post-stroke.
Design 55 adults participated in 18 intervention sessions pairing 2 hours of active (n=33) or sham (n=22) somatosensory stimulation with 4 hours of intensive task-oriented motor training. Wolf Motor Function Test, Action Research Arm Test, Fugl-Meyer Assessment, and Stroke Impact Scale were administered at baseline, post-intervention, and 1- and 4-month follow-up.
Results: Statistically significant between-groups differences favored the active condition on Wolf Motor Function Test at post (p=0.04) and Action Research Arm Test at post (p=0.02), 1-month (p=0.01), and 4-month (p=0.01) but favored the sham condition on Stroke Impact Scale at 1-month (p=0.03). There were no significant between-groups differences on Fugl-Meyer Assessment.
Conclusion: Somatosensory stimulation can improve objective outcomes of motor training for moderate-to-severe hemiparesis less than 12 months after stroke, although the magnitude of between-groups differences in this study needs to be determined if they are clinically relevant. Future studies should investigate the intervention’s impact on disability and functional recovery for this population as well as neurophysiological mechanisms underlying intervention effects.
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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