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

How much exercise does the enhanced gait-oriented physiotherapy provide for chronic stroke patients?

I see nothing here that suggests that any objective measurement of gait occurred. So nothing is repeatable upon demand since there is no objective knowledge of the starting point. 

How much exercise does the enhanced gait-oriented physiotherapy provide for chronic stroke patients?

 Sinikka H.Peurala
Kauko Pitkänen 
Juhani Sivenius
Ina M.Tarkka
Received:26 May 2003Received in revised form:17 November 2003Accepted:25 November 2003S.H.Peurala,MSc.,PT (

) · K.Pitkänen · J.Sivenius · I.M.TarkkaBrain Research and Rehabilitation CenterNeuronKortejoki71130 Kuopio,FinlandTel.:+358-17/460111Fax:+358-17/460200E-Mail:sinikka.peurala@neuron.fi

Abstract

 
Background and Purpose
Physical exercise therapy in sensorimotor rehabilitation of stroke patients includes active and repetitive exercise and task-specific training. The time spent in active practice is fundamental. The purpose of this study was to analyse what was the actual amount of exercise and content of the per-formed exercise of the three-week gait-oriented physiotherapy pro-gram for chronic stroke patients in an in-patient setting.
 Methods
Twenty ambulatory post-stroke patients participated in an in-patient rehabilitation period during which a special effort was made to enhance gait training and the amount of therapy and its contents were recorded in structured form. Base-line and postintervention gait ability assessments were made, but the analysis concentrated on participation records in different forms of therapy.
Results
Patients received19 hours of instructed physiotherapy in three weeks and together with self-initiated training they practised for 28 hours. The practice time in the upright position was 62% of the total duration of the instructed physiotherapy and 35% was performed while sitting. This amount of exercise resulted in improvement of the gait tests.
Conclusions
In order to improve gait in the chronic state of disease, a sufficient amount of gait rehabilitation practice can be obtained with a combination of electromechanical gait trainer exercises, physiotherapy, instructed exercise groups and self-initiated training.

Key words
motor rehabilitation· gait · weight-supported training ·cerebrovascular diseases ·hemiparesis

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