Deans' stroke musings: Effects of Combining Electric Stimulation With Active Ankle Dorsiflexion While Standing on a Rocker Board: A Pilot Study for Subjects With Spastic Foot After Stroke

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, December 1, 2019

Effects of Combining Electric Stimulation With Active Ankle Dorsiflexion While Standing on a Rocker Board: A Pilot Study for Subjects With Spastic Foot After Stroke

'Can' is not good enough. We need EXACT STROKE PROTOCOLS leading to recovery.

Effects of Combining Electric Stimulation With Active Ankle Dorsiflexion While Standing on a Rocker Board: A Pilot Study for Subjects With Spastic Foot After Stroke

Ju-Shao Cheng, MS, Yea-Ru Yang, PhD, Shih-Jung Cheng, MD, Pei-Yi Lin, MS, Ray-Yau Wang, PhD, PT

ABSTRACT.

Effects of combining electric stimulation with active ankle dorsiﬂexion while standing on a rocker board: a pilot study for subjects with spastic foot after stroke. Arch Phys Med Rehabil 2010;91:505-12.Objective:
To investigate the therapeutic effects of combining electric stimulation (ES) with active ankle dorsiﬂexion while standing on a rocker board in subjects with plantar ﬂexor spasticity after stroke.
Design:
Randomized controlled trial.
Setting:
A rehabilitation medical center.
Participants:
Subjects (N=15) with spastic foot after stroke.
Interventions:
Subjects were randomly assigned to an experimental or a control group. The experimental group received ES of ankle dorsiﬂexors in concert with a motor training paradigm that required the subject to dorsiﬂex the ankles in response to a cue while standing on a rocker board. After 30minutes of this exercise, subjects received ambulation training focusing on ankle control for 15 minutes. The control group received general range of motion and strength exercises for 30minutes, followed by 15 minutes of ambulation training focusing on ankle control. Sessions occurred 3 times a week for 4weeks.
Main Outcome Measures:
Dynamic spasticity of plantar-ﬂexors, dorsiﬂexor muscle strength, balance performance, gait kinematics, and functional gait performance as assessed by the Emory Functional Ambulation Proﬁle (EFAP) were used as out-come measurements.
Results:
The experimental group demonstrated a greater decrease in dynamic ankle spasticity at a comfortable gait speed (P=.049), a greater improvement in spatial gait symmetry (P=.015), and a greater improvement in functional gait ability as indicated by the EFAP (P=.015) than the control group.
Conclusions:
Our results suggest that repeated ES with volitional ankle movements can decrease dynamic ankle spasticity in subjects with stroke. Furthermore, such improvement parallels better gait symmetry and functional gait performance.
.015) than the control group.
Conclusions:
Our results suggest that repeated ES with volitional ankle movements can decrease dynamic ankle spasticity in subjects with stroke. Furthermore, such improvement parallels better gait symmetry and functional gait performance.