Deans' stroke musings: Effects of Dynamic Stepping Training on Nonlocomotor Tasks in Individuals Poststroke: A 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.

Wednesday, February 26, 2020

Effects of Dynamic Stepping Training on Nonlocomotor Tasks in Individuals Poststroke: A Clinical Trial

But with nothing written in protocol format this is useless.

Effects of Dynamic Stepping Training on Nonlocomotor Tasks in Individuals Poststroke: A Clinical Trial

Don D. Straube, Carey L. Holleran, Catherine R. Kinnaird, Abigail L. Leddy,Patrick W. Hennessy, T. George Hornby
Background.
During the physical rehabilitation of individuals post stroke, therapists are challenged to provide sufﬁcient amounts of task speciﬁc practice in order to maximize outcomes of multiple functional skills within limited visits. Basic and applied studies have suggested that training of one motor task may affect performance of biomechanically separate tasks that utilize overlapping neural circuits.However, few studies have explicitly investigated the impact of training one func-tional task on separate, nonpracticed tasks.
Objective.
The purpose of this preliminary study was to investigate the potential gains in speciﬁc non locomotor assessments in individuals post stroke following only stepping training of variable, challenging tasks at high aerobic intensities.
Methods.
Individuals with locomotor deﬁcits following subacute and chronic stroke (n=22) completed a locomotor training paradigm using a repeated measures design. Practice of multiple stepping tasks was provided in variable environments or contexts at high aerobic intensities for >=40 sessions over 10 weeks. The primary outcome was timed Five-Times Sit-to-Stand Test (5XSTS) performance, with secondary measures of sit-to-stand kinematics and kinetics, clinical assessment of balance,and isometric lower limb strength.
Results.
Participants improved their timed 5XSTS performance following stepping training, with changes in selected biomechanical measures. Statistical and clinically meaningful improvements in balance were observed, with more modest changes in paretic leg strength.
Conclusions.
The present data suggest that signiﬁcant gains in selected non locomotor tasks can be achieved with high-intensity, variable stepping training.Improvements in non practiced tasks may minimize the need to practice multiple tasks within and across treatment sessions.