Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,294 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 neuronsthatDIEeach day because there areNOeffective 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.
Wednesday, September 19, 2018
A Dual-Learning Paradigm Simultaneously Improves Multiple Features of Gait Post-Stroke
So where the fuck is the protocol for this so I can bring it to my therapists attention?
Background.
Gait impairments after stroke arise from dysfunction of one or several
features of the walking pattern. Traditional rehabilitation practice
focuses on improving one component at a time, which may leave certain
features unaddressed or prolong rehabilitation time. Recent work shows
that neurologically intact adults can learn multiple movement components
simultaneously. Objective. To determine whether a dual-learning
paradigm, incorporating 2 distinct motor tasks, can simultaneously
improve 2 impaired components of the gait pattern in people posttroke. Methods.
Twelve individuals with stroke participated. Participants completed 2
sessions during which they received visual feedback reflecting paretic
knee flexion during walking. During the learning phase of the
experiment, an unseen offset was applied to this feedback, promoting
increased paretic knee flexion. During the first session, this task was
performed while walking on a split-belt treadmill intended to improve
step length asymmetry. During the second session, it was performed
during tied-belt walking. Results. The dual-learning task
simultaneously increased paretic knee flexion and decreased step length
asymmetry in the majority of people post-stroke. Split-belt treadmill
walking did not significantly interfere with joint-angle learning:
participants had similar rates and magnitudes of joint-angle learning
during both single and dual-learning conditions. Participants also had
significant changes in the amount of paretic hip flexion in both single and dual-learning conditions. Conclusions.
People with stroke can perform a dual-learning paradigm and change 2
clinically relevant gait impairments in a single session. Long-term
studies are needed to determine if this strategy can be used to
efficiently and permanently alter multiple gait impairments.
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