Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 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.
Saturday, October 27, 2018
Synergistic Effects of Enriched Environment and Task-Specific Reach Training on Poststroke Recovery of Motor Function
Well fuck, we don't need another article writeup on this, we need a protocol distributed to ALL stroke doctors and hospitals. This enriched environment talked about by Dr. Dale Corbett in 2011?
Wasn't good enough for clinical application? So you have wasted 7 years
that could have helped survivors? The incompetence displayed in all of
stroke is world class.
Originally published1 Jun 2018Stroke. 2018;49:1496–1503
Abstract
Background and Purpose—
Reach
training in concert with environmental enrichment provides functional
benefits after experimental stroke in rats. The present study extended
these findings by assessing whether intensive task-specific reach
training or enrichment initiated alone would provide similar functional
benefit. Additionally, we investigated whether the 70% recovery rule, or
a combined model of initial poststroke impairment, cortical infarct
volume, and rehabilitation intensity, could predict recovery in the
single-pellet task, as previously found for the Montoya staircase.
Methods—
Rats
were trained on single-pellet reaching before middle cerebral artery
occlusion via intracerebral injection of ET-1 (endothelin-1). There were
4 experimental groups: stroke+enrichment, stroke+reaching,
stroke+enrichment+reaching, and sham+enrichment+reaching. Reaching
rehabilitation utilized a modified Whishaw box that encouraged impaired
forelimb reaching for 6 hours per day, 5 days per week, for 4 weeks. All
treatment paradigms began 7 days after ischemia with weekly assessment
on the single-pellet task during rehabilitation and again 4 weeks after
rehabilitation concluded.
Results—
Rats
exposed to the combination of enrichment and reaching showed the
greatest improvement in pellet retrieval and comparable performance to
shams after 3 weeks of treatment, whereas those groups that received a
monotherapy remained significantly impaired at all time points. Initial
impairment alone did not significantly predict recovery in single-pellet
as the 70% rule would suggest; however, a combined model of cortical
infarct volume and rehabilitation intensity predicted change in pellet
retrieval on the single-pellet task with the same accuracy as previously
shown with the staircase, demonstrating the generalizability of this
model across reaching tasks.
Conclusions—
Task-specific
reach training and environmental enrichment have synergistic effects in
rats that persist long after rehabilitation ends, and this recovery is
predicted by infarct volume and rehabilitation intensity.
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