Deans' stroke musings: Progressive abduction loading therapy with horizontal-plane viscous resistance targeting weakness and flexion synergy to treat upper limb function in chronic hemiparetic stroke: A randomized clinical trial

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, January 25, 2020

Progressive abduction loading therapy with horizontal-plane viscous resistance targeting weakness and flexion synergy to treat upper limb function in chronic hemiparetic stroke: A randomized clinical trial

Hope you are smarter than me. Viscous? Progressive abduction loading therapy? Try explaining that to your therapist to have them use that on you.

Progressive abduction loading therapy with horizontal-plane viscous resistance targeting weakness and flexion synergy to treat upper limb function in chronic hemiparetic stroke: A randomized clinical trial

Frontiers in Neurology , Volume 9(71)

NARIC Accession Number: J82535. What's this?
ISSN: 1664-2295.
Author(s): Ellis, Michael D.; Carmona, Carolina ; Drogos, Justin ; Dewald, Julius P. A..
Project Number: 90IF0020 (formerly H133G110245).
Publication Year: 2018.
Number of Pages: 14.

Abstract:

Study examined the therapeutic effects of horizontal-plane viscous resistance in combination with progressive abduction loading therapy. Thirty-two individuals with chronic hemiparetic stroke were randomly allocated to two groups. The two groups had equivalent baseline characteristics on all demographic and outcome metrics including age, time post stroke, and motor impairment. Both groups received therapy three times a week for 8 weeks while the experimental group included additional horizontal-plane viscous resistance. Quantitative standardized progression of the intervention was achieved using a robotic device. The primary outcomes of reaching distance and velocity under maximum abduction loading and secondary outcomes of isometric strength and a clinical battery were measured at before, after, and 3 months following therapy. There was no difference between groups on any outcome measure. However, for combined groups, there was a significant increase in reaching distance and velocity at post-testing that persisted for 3 months and also a significant increase in abduction, elbow extension, and external rotation strength at post-testing that did not persist 3 months. Similarly, the clinical battery demonstrated a significant improvement in participant-reported measures of "physical problems" and "overall recovery" across all participants. The strengthening approach of incorporating horizontal-plane viscous resistance did not enhance the reaching function improvements observed in both groups. Data do not support the postulation that one can be trained to "overpower" the flexion synergy with resistance training targeting constitutive joint torques of reaching. Instead, flexion synergy must be targeted with progressive abduction loading to improve reaching function.
Descriptor Terms: EXERCISE, LIMBS, PHYSICAL THERAPY, REHABILITATION, ROBOTICS, STROKE, THERAPEUTIC TRAINING.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Ellis, Michael D., Carmona, Carolina , Drogos, Justin , Dewald, Julius P. A.. (2018). Progressive abduction loading therapy with horizontal-plane viscous resistance targeting weakness and flexion synergy to treat upper limb function in chronic hemiparetic stroke: A randomized clinical trial. Frontiers in Neurology , 9(71) Retrieved 1/25/2020, from REHABDATA database.