Deans' stroke musings: Role of corrected-assisted-synchronized-periodic therapy in post-stroke rehabilitation

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.

Friday, September 21, 2018

Role of corrected-assisted-synchronized-periodic therapy in post-stroke rehabilitation

You'll have to ask your doctor what the fuck the corrected-assisted-synchronized-periodic therapy protocol looks like.

Role of corrected-assisted-synchronized-periodic therapy in post-stroke rehabilitation

Sunil Pradhan, Robin Bansal
Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Date of Web Publication

17-Sep-2018

Correspondence Address:
Dr. Sunil Pradhan
Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh
India
Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.241405

» Abstract

Background: Stroke is one of the common causes of chronic disability among neurological disorders. The role of various physiotherapy techniques has been extensively described in the literature. Here, we introduce a new physiotherapy technique, “Corrected-Assisted-Synchronized-Periodic (CASP) therapy.” In this study, we aimed to compare CASP therapy with conventional physiotherapies.
Materials and Methods: This was a prospective, parallel, quasi-randomized, double-blind controlled intervention trial. The study was carried out at a tertiary care teaching and research centre. Sixty-one stroke affected patients with functional modified Rankin Scale (mRS) ranging from 1 to 5 suffering from post-stroke spasticity (grade 1–4) and muscle weakness were included in the study. Patients were randomly allocated into two groups. The first group followed conventional passive stretching exercises and the second group was offered CASP therapy. They were prospectively followed up at 3 monthly intervals for 6 months. The main outcome-measures were improvement in power, reduction in spasticity, and improvement in overall functional outcome.
Results: Mann–Whitney U-test for statistical significance was applied. At follow-up, CASP recipients reported improvement on functional scales such as Barthel index of activity of daily living, and modified Rankin scale (mRS), along with reduction in post-stroke spasticity and improvement in muscle power at 3 and 6 months of follow-up.
Conclusion: CASP therapy has a major role in post-stroke rehabilitation particularly in limiting disability, reducing post-stroke spasticity, and providing an improvement in major functional outcomes.

Keywords: CASP therapy, conventional physiotherapy, rehabilitation, spasticity, stroke
Key Message: A new exercise technique called corrected-assisted-synchronized-periodic (CASP) therapy has been introduced to address post-stroke spasticity and weakness. On evaluating its role in different aspects of stroke outcome by utilizing objective stroke functional scales, in comparison to the conventional forms of physiotherapy, it was found that CASP therapy has a major role in improving functional outcome.

How to cite this article:
Pradhan S, Bansal R. Role of corrected-assisted-synchronized-periodic therapy in post-stroke rehabilitation. Neurol India 2018;66:1345-50

How to cite this URL:
Pradhan S, Bansal R. Role of corrected-assisted-synchronized-periodic therapy in post-stroke rehabilitation. Neurol India [serial online] 2018 [cited 2018 Sep 20];66:1345-50. Available from: http://www.neurologyindia.com/text.asp?2018/66/5/1345/241405

Stroke is a leading cause of long-term disability worldwide. Post-stroke spasticity often predisposes stroke survivors to a highly compromised lifestyle that adversely affects functional, emotional, and social dimensions. It also predisposes them to physical trauma in the form of increased risk of falls that adversely affect activities of daily living. Thus, post-stroke spasticity is an important cause of physical dependence.(Really? Dr. William M. Landau doesn't think so.) The potential role of various forms of physiotherapy and exercise techniques have been clearly highlighted in the available literature on stroke survivors. However, the currently available exercise techniques have demonstrated varying degrees of beneficial effects in different aspects of motor, psychological, and functional outcomes among stroke survivors. We introduce a new exercise technique called Corrected-Assisted-Synchronized -Periodic (CASP) therapy. In the present paper, we evaluated its role in different aspects of stroke outcome in comparison to conventional forms of physiotherapy.