Deans' stroke musings: Understanding gait control in post-stroke: Implications for management

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.

Friday, December 13, 2019

Understanding gait control in post-stroke: Implications for management

We don't need 'management', we need recovery solutions for gait. Do you not understand?

Understanding gait control in post-stroke: Implications for management

Rajesh Verma, DM (Neurology), DNB (Neurology), Professor, Kamal Narayan Arya, MOT, PhD (Scholar), Sr. Occupational Therapist*,Pawan Sharma, MD (Medicine), Sr. Resident, DM (Neurology)-III,R.K. Garg, DM (Neurology), Professor & HOD
Department of Neurology, CSM Medical University (KGMU), Lucknow 226003, UP, India
Received 7 September 2010; received in revised form 2 December 2010; accepted 3 December 2010
KEYWORDS
Gait; Locomotion; Stroke; Hemiparesis; Rehabilitation
Summary
The role of the brain in post-stroke gait is not understood properly, although the ability to walk becomes impaired in more than 80% of post-stroke patients. Most, however, re-gain some ability to walk with either limited mobility or inefﬁcient, asymmetrical or unsafe gait. Conventional intervention focuses on support of weak muscles or body part by use of foot orthosis and walking aids. This review provides an overview of available evidence of neuro-kinesiology & neurophysiology of normal and post-stroke gait. The role of the spinal cord has been explored, more in animals than humans. Mammalian locomotion is based on a rhythmic, “
pacemaker
” activity of the spinal stepping generators. Bipedal human locomotion is different from quadripedal animal locomotion. However, knowledge derived from the spinal cord investigation of animals, is being applied for management of human gait dysfunction. The potential role of the brain is now recognized in the independent activation of muscles during walking. The brain modiﬁes the gait pattern during the complex demands of daily activities. Though the exact role of the motor cortex in control of gait is unclear, available evidence may be applied to gait rehabilitation of post-stroke patients.
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2010 Elsevier Ltd. All rights reserved.