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.

Tuesday, July 17, 2018

Deficits in ankle joint mechanics during running can be resolved with rehabilitation in people with traumatic brain injury

Can the same be said for stroke? Will it fix my ankle spasticity? I haven't even attempted running yet. Whom is going to followup for stroke? We need a protocol, not just tell us to read the book, 'Teaching Me to Run' by Tommye-K. Mayer.

Deficits in ankle joint mechanics during running can be resolved with rehabilitation in people with traumatic brain injury

Epworth Authors: Williams, Gavin
Other Authors: Schache, Anthony
Keywords: Traumatic Brain Injury
TBI
Lower-Limb Power Generation
Running
Lower-Limb Joint Mechanics
Biomechanical Variables
High-Level Mobility
Rehabilitation
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2018
Conference: Epworth HealthCare Research Week 2018
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: Background: Many people with traumatic brain injury experience difficulty running. We recently demonstrated the first-ever evidence for the recovery of lower-limb power generation for walking. The aim of this study was to determine if a period of rehabilitation could also lead to the recovery of lower-limb power generation for running. Specifically the aims were 1) To compare lower-limb joint mechanics during running for people with traumatic brain injury (TBI) to equivalent data obtained from a group of healthy controls (HC); and 2) To determine if deficits identified in biomechanical variables during running for people with TBI were responsive to a six-month period of rehabilitation.
Methods: Participants: Twelve ambulant people with extremely-severe TBI who were attending physiotherapy at Epworth Healthcare for mobility limitations, and a comparative sample of 10 healthy controls (HCs). Design: Cross-sectional observational cohort study with six-month follow-up. Main Outcome Measures: Average power (i.e. over time) absorbed and generated at the hip, knee and ankle joints during stance. Results: Compared to HCs, participants with TBI at baseline ran with greater average power absorption at the hip (-0.27 W/kg vs -0.61 W/kg; p<0.05), reduced average power absorption at the knee (-2.03 W/kg vs -1.02 W/kg; p<0.05) and reduced average power generation at the ankle (2.86 W/kg vs 2.06 W/kg; p<0.05). Only average power generation at the ankle improved following six months of rehabilitation for the participants with TBI (2.06 W/kg vs 2.79 W/kg; p<0.05).
Conclusion: In the cohort of participants with TBI included in the present study, recovery of running and high-level mobility was related to an improvement in ankle joint mechanics. This is the first-ever evidence for the recovery of lower-limb power generation for running in any adult or paediatric neurological population.
URI: http://hdl.handle.net/11434/1413
Type: Conference Poster
Affiliated Organisations: School of Physiotherapy, The University of Melbourne. Melbourne, Australia
School of Mechanical Engineering, The University of Melbourne. Melbourne, Australia
Type of Clinical Study or Trial: Cross-Sectional Study
Appears in Collections:Rehabilitation

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