Deans' stroke musings: Slower Reorientation of Trunk for Reactive Turning while Walking in Hemiparesis Stroke Patients

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, January 8, 2019

Slower Reorientation of Trunk for Reactive Turning while Walking in Hemiparesis Stroke Patients

Don't just describe a problem. Provide a solution to that problem. You now have left research hanging that will never be followed up on. We need to have a serious discussion on the point of stroke research with these mentors and senior researchers. SOLUTIONS and PROTOCOLS needed!

Slower Reorientation of Trunk for Reactive Turning while Walking in Hemiparesis Stroke Patients

Takahito Nakamura, Takahiro Higuchi, Toyo Kikumoto, Takanori Takeda, Hideyuki Tashiro & Fumihiko Hoshi

Abstract

We examined the behavioral characteristics of reactive turning in hemiplegic stroke patients when they were informed of the turning direction just before turning was required at an unpredictable time. Eleven stroke patients and 20 healthy elderly control people were asked to initiate a turn as soon as a visual cue to inform them of the turning direction was activated unpredictably using a foot switch. Both the segmental reorientation and stepping type when turning 90° while walking were measured. The results indicated preserved segmental reorientation of the head and pelvis in stroke patients. Stroke patients showed delays in pelvic turning but not in head turning. Their delayed pelvic movement might be due to motor dysfunction and the time taken to ensure stability when deciding when to turn.

Keywords: Stroke, turning, reactive, segmental reorientation, step