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.

Monday, November 11, 2019

Ergometer training in stroke rehabilitation: systematic review and meta-analysis

I wish I'd known about this when going thru my divorce, I would have requested our Concept II ergometer.  But followup needed for your doctor and stroke hospital to ensure it gets done. No followup have your board of directors and president fired. We need to clean out a lot of dead wood in stroke because NOTHING is being done to get to 100% recovery.

Ergometer training in stroke rehabilitation: systematic review and meta-analysis

Dr. Jitka Veldema1,∗,'Correspondence information about the author Dr. Jitka Veldema
,
Prof. Petra Jansen1
Abstract



Objective

Ergometer training is routinely used in stroke rehabilitation. How robust is the evidence of its effects?



Data source

The PubMed database and PEDro database were reviewed prior to 22/01/2019.



Study selection

Randomized controlled trials investigating the effects of ergometer training on stroke recovery were selected.



Data extraction

Two reviewers independently selected the studies, performed independent data extraction, and assessed the risk of bias.



Data synthesis

A total of 28 studies (including 1115 stroke subjects) were included. The data indicates that (1) ergometer training leads to a significant improvement of walking ability, cardiorespiratory fitness, motor function and muscular force of lower limbs, balance and postural control, spasticity, cognitive abilities, as well as the brain’s resistance to damage and degeneration, (2) neuromuscular functional electrical stimulation assisted ergometer training is more efficient than ergometer training alone, (3) high-intensity ergometer training is more efficient that low-intensity ergometer training, and (4) ergometer training is more efficient than other therapies in supporting cardiorespiratory fitness, independence in activities of daily living, and balance and postural control, but less efficient in improving walking ability.



Conclusion

Ergometer training can support motor recovery after stroke. However, current data is insufficient for evidence-based rehabilitation. More data is required about the effects of ergometer training on cognitive abilities, emotional status, and quality of life in stroke subjects.

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