A great stroke association president would ensure that all stroke research is understandable and usable by survivors in order to bring such research to the attention of their doctors and therapists. Anything less is pure incompetency.
These prediction research efforts would also be deep-sixed as total wastes of effort.
We need to know exactly what is going on so we can train our doctors in how we can recover using the latest research. We have to do it this way since our doctors and stroke hospitals don't read or implement new or even ancient research. You can easily prove that incompetence by asking 2 questions.- What was the last stroke research you read? Explain in detail.
- What was the last stroke research implemented in your hospital? Explain the efficacy and patient disabilities that it will cover.
Abstract
Background and Purpose—Transcranial
magnetic stimulation is used to measure the functional integrity of the
corticomotor system via motor evoked potentials (MEPs) in stroke. The
association between corticomotor mechanisms and walking recovery is
still not completely understood. This study determined the association
between transcranial magnetic stimulation–induced MEPs and walking
outcomes and examined the contribution of the contralesional hemisphere
to walking recovery.
Methods—Contralateral
and ipsilateral transcranial magnetic stimulation responses from the
contralesional and ipsilesional hemispheres were collected from 61
chronic stroke survivors. Clinical assessments included gait speeds,
6-minute walk distance, Timed Up and Go test, Fugl Meyer lower extremity
scale, and strength measurements.
Results—Stroke
participants were classified based on the presence (MEP+ [n=28]) or
absence (MEP− [n=33]) of MEPs in the paretic tibialis anterior and
rectus femoris muscles. A between-group analyses showed no significant
differences for any gait variable. MEP+ group showed significantly
higher Fugl Meyer lower extremity and ankle dorsiflexor strength.
Ipsilateral conductivity was not significantly different between groups.
Finally, in the MEP+ group, MEP parameters did not predict gait
recovery.
Conclusions—Our
study investigated the association between walking outcomes and
neurophysiological parameters of lower limb function in a large cohort
of stroke survivors. We did not find an associations between
transcranial magnetic stimulation–induced tibialis anterior and rectus
femoris MEPs and walking speeds. Further work is required to develop
more comprehensive models in stroke for predicting walking recovery.(Who the fuck cares about prediction you lazy bastards, 100% RECOVERY! GET THERE!)
- cerebrovascular disorders
- evoked potentials, motor
- stroke
- transcranial magnetic stimulation
- walking speed
- Received January 23, 2018.
- Revision received May 15, 2018.
- Accepted June 8, 2018.
- © 2018 American Heart Association, Inc.
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