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.

Saturday, December 7, 2019

Comparative Study to Evaluate the Effectiveness of Vestibular Rehabilitation Therapy versus Dual Task Training on Balance and Gait in Posterior Cerebral Artery (PCA) Stroke

So VRT is more effective but you didn't write up a protocol on it, so completely useless.  Didn't your mentors and senior researchers tell you the only goal of stroke research is rehab protocols leading to 100% recovery?  They were that incompetent? Did you account for this possibly being the Hawthorne effect?

Comparative Study to Evaluate the Effectiveness of Vestibular Rehabilitation Therapy versus Dual Task Training on Balance and Gait in Posterior Cerebral Artery (PCA) Stroke

  • Source: Journal of Clinical & Diagnostic Research . Nov2019, Vol. 13 Issue 11, p10-17. 8p.
  • Author(s): SALEEM, SANA; ARORA, BHARTI; CHAUHAN, PRIYA

  • Abstract: 

  • Introduction: Vestibular Rehabilitation Therapy (VRT) and Dual Task (DT) training are rehabilitation approaches increasingly used in the care of stroke patients to improve balance and gait, although no comparative evidence has been provided for their efficacy. Aim: The study was aimed to compare the effectiveness of vestibular rehabilitation therapy versus dual task training on balance and gait in posterior cerebral artery stroke. Materials and Methods: A total of 30 subjects i.e., subacute Posterior Cerebral Arterystroke individuals were randomly assigned into 2 groups, group A Vestibular Rehabilitation with Conventional Therapy (n=15) and group B DT training (n=15). Each group received treatment for 45 minutes in a day, 3 times in a week for 4 weeks. Both the groups A and B were also given Conventional Physiotherapy treatment comprising of stretching, strengthening and stability exercises, over the period for 5 days for 4 weeks. Participants were assisted with Wisconsin Gait Scale (WGS) to assess the performance of gait and Mini-BEST test to assess the balance. Mean change score were calculated as the difference between post and pre-test scores and an independent t-test was used to test the difference in the changed scores between two groups. Paired t-test was used to analyse within group differences. A level of significance was set at p≤0.05. Results: The comparison of post intervention scores of Mini- BESTest between Group A and Group B showed significant difference (t-value=2.577, p-value=0.018). The comparison of post intervention scores of WGS between Group A and Group B showed significant difference (t-value= -2.356, p-value=0.028). So, result showed that Group A (Vestibular Rehabilitation) was more significant as compared to Group B (DT training) in both Mini-BESTest and WGS. 
  • Conclusion: The result of this study is encouraging to use VRT as a part of rehabilitation protocol by alleviating their gait disturbances, improving balance and gaining confidence of walking with PCA stroke patients as compared with DT Training.
  • Copyright of Journal of Clinical & Diagnostic Research is the property of JCDR Research & Publications Private Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.


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