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.

Sunday, June 30, 2019

Researchers propose new approach for post-stroke rehabilitation

Well duh, the lack of effectiveness is because the research out there never had an objective starting point so you didn't know which patient the rehab worked on and could map the stroke protocols to objective damage. This is so fucking easy to understand, get the hell out of the way and let stroke survivors run stroke.

 

Researchers propose new approach for post-stroke rehabilitation

Press Trust of India  |  Moscow 

The existing approach for brain stimulation to rehabilitate patients after a stroke does not take into account the diversity of lesions and the individual characteristics of patients' brains, a study has found.
In recent decades, non-invasive neuromodulation methods such as electric and magnetic stimulation of various parts of the nervous system have been increasingly used to rehabilitate patients after a stroke.
Stimulation selectively affects different parts of the brain, which allows you to functionally enhance activity in some areas while suppressing unwanted processes in others that impede the restoration of brain functions.
This is a promising mean of rehabilitation after a stroke. However, its results in patients remain highly variable.
Authors of the study, which was published in the journal 'Frontiers in Neurology', argued that the main reason for the lack of effectiveness in neuromodulation approaches after a stroke is an inadequate selection of patients for the application of a particular brain stimulation technique.
They said the existing approach does not take into account the diversity of lesions after a stroke and the variability of individual responses to brain stimulation as a whole.
The researchers have proposed two criteria for selecting the optimal brain stimulation strategy.
The first is an analysis of the interactions between the hemispheres. Now, all patients, regardless of the severity of injury after a stroke, are offered a relatively standard treatment regimen. This approach relies on the idea of interhemispheric competition.
"For a long time, it was believed that when one hemisphere is bad, the second, instead of helping it, suppresses it even more," said

Maria Nazarova, researcher at the HSE Institute of Cognitive Neurosciences.
"In this regard, the suppression of the activity of the "unaffected" hemisphere should help restore the affected side of the brain. However, the fact is that this particular scheme does not work in many patients after a stroke. Each time it is necessary to check what the impact of the unaffected hemisphere is -- whether it is suppressive or activating," she said.
According to the researchers, the second criterion is the neuronal phenotype.
This is an individual characteristic of the activity of the brain, which is 'unique to each person like their fingerprints'.
Such a phenotype is determined, firstly, by the ability of the brain to build effective structural and functional connections between different areas (connectivity).
Secondly, the individual characteristics of neuronal dynamics, including its ability to reach a critical state. This is the state of the neuronal system in which it is the most plastic and capable of change.
(This story has not been edited by Business Standard staff and is auto-generated from a syndicated feed.)
First Published: Fri, June 28 2019. 15:20 IST

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