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.

Wednesday, October 16, 2019

Effects of electrode configurations in transcranial direct current stimulation after stroke

 Useless. I see nothing here that any objective starting points were identified, so not repeatable. No protocols came from it so not helpful in any regard for survivors.

Using Fugl-Meyer for anything in stroke is the height of stupidity, nothing objective in it, so nothing is repeatable.

tDCS wouldn't work on me since it is not going to enervate dead neurons, so I'm still screwed until something more useful comes along.  

And they didn't do hd-tDCS so more research still needed. 

Do mentors and senior researchers even think before starting research?

Effects of electrode configurations in transcranial direct current stimulation after stroke

  Kenneth Chelette
¹
, Cheryl Carrico
¹
, Laurie Nichols
¹
, Emily Salyers
¹
, Lumy Sawaki
¹

¹
 University of Kentucky, Physical Medicine and Rehabilitation Cardinal Hill Rehabilitation Hospital Lexington, KY, USA

 Abstract

 —Transcranial direct current stimulation (tDCS) is a form of non-invasive brain stimulation that can modulate neuroplasticity (the capacity for brain reorganization). Neuroplastic change correlates with upper extremity (UE) recovery after brain lesions. Different electrode configurations of tDCS paired with UE motor training can have different effects in distinct populations. We are conducting the first randomized, double-blind, placebo-controlled trial to investigate which tDCS configuration may best enhance outcomes of UE motor training for stroke survivors with chronic,
severe hemiparesis (i.e., little or no wrist or hand movement). We have assigned subjects to 1 of 4 groups: 1) “Anodal”: anodal tDCS to excite ipsilesional motor cortex; 2) “Cathodal”: cathodal tDCS to inhibit contralesional motor cortex; 3) “Dual”: a simultaneous combination of anodal and cathodal tDCS; or 4) “Sham” tDCS. Intervention (10 sessions) consists of tDCS followed by 3 hours of intensive, task-oriented UE training in each session. Our primary outcome measure is Fugl-Meyer Assessment. Our secondary outcome measures are Action Research Arm Test and Stroke Impact Scale. We have conducted evaluations at baseline and post-intervention. Preliminary results from 26 of (projected) 44 subjects indicate substantially greater improvement for the “Cathodal” group than other groups. These findings differ from evidence about tDCS in rehabilitation of mild-to-moderate hemiparesis. Completion of our study will include full analysis of neuroplastic change associated with intervention.

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