Deans' stroke musings: Kessler researchers test trunk-strengthening program for hemiplegia post 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.

Thursday, February 27, 2020

Kessler researchers test trunk-strengthening program for hemiplegia post stroke

Do you really think your hospital is going to buy this expensive equipment? Your doctor needs to have stroke protocols that deliver trunk strengthening without this high tech piece of equipment. At least if your doctor is competent.

Kessler researchers test trunk-strengthening program for hemiplegia post stroke

Rakesh Pilkar, Ph.D., will conduct a pilot study of the AllCore360º device for improving core strength, posture and balance in individuals with hemiplegia following chronic stroke

Kessler Foundation

East Hanover, NJ. February 26, 2020. Researchers at Kessler Foundation are studying a potential application of a trunk-strengthening program to improve posture, balance, and mobility in individuals recovering from stroke. They will test the feasibility of using an electromechanical device called the AllCore360º Core Therapy and Training System in the rehabilitation of stroke survivors with hemiplegia. Rakesh Pilkar, PhD, research scientist in the Center for Mobility and Rehabilitation Engineering Research, is the principal investigator for the study, titled, "A novel trunk-strengthening program for improving posture and balance for individuals with hemiplegia post stroke," which is supported by AllCore360º (Alpharetta, GA) and Kessler Foundation.
The impact of weakness of trunk muscles after stroke is substantial. Adverse effects on posture and balance impair the performance of activities of daily living, impede recovery, and limit independence. Poor trunk control is associated with longer hospital stays, increased risk for falls, and poorer function at discharge. "Despite evidence for the importance of trunk control to functional outcomes in this population, there is a lack of a standardized approach to trunk strengthening in stroke rehabilitation," said Dr. Pilkar, "and little information on the application of electromechanical devices for this type of therapy.(Don't allow this lack be the excuse your doctor uses for doing nothing on protocols for this.) This pilot study enables us to test a trunk-strengthening protocol using the AllCore360º in individuals with hemiplegia, examine the underlying neuromuscular mechanisms, and measure the effects on posture, balance, and walking ability," he explained. "If preliminary findings are promising, further studies of this protocol may be warranted."
The AllCore360º is an adjustable system that leverages gravity to engage all trunk muscles in a 10-minute session. While seated in the AllCore360º, the person uses isometric contraction of their trunk muscles to hold their position while the device rotates clockwise, then counterclockwise, at different angles and positions.
Participants will be recruited from the stroke rehabilitation program at Kessler Institute for Rehabilitation. All participants (10 in stroke group and 10 controls) will undergo baseline and follow-up assessments of trunk function, balance, posture, and ambulation. The stroke group will undergo the 4-week trunk-strengthening program, including neuromuscular assessment using electromyography.
"We are pleased to partner with the Kessler Foundation on this pilot study aimed at expanding options for stroke rehabilitation," said Scott Bertrand, DC, founder and inventor of AllCore360º. "Having witnessed the benefits of core strengthening in people seeking to improve their health and fitness, we are optimistic that the Kessler team will see improved outcomes in individuals recovering from stroke."

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About AllCore360º
The Patented AllCore360° Rehabilitation Core Training System allows patients, seniors, athletes and everyday people, to balance and strengthen the more than 50 muscles that comprise the core in an innovative efficient way. In multiple facilities throughout the United States, therapists and leading edge trainers utilize the System to promote faster recovery, improve fitness, and enhance physical performance. The AllCore360° harnesses the forces of gravity to challenge all of the body's core muscles in a no impact, coordinated, isometric fashion designed to improve athletic or daily performance regardless of ability. For more information, please visit http://www.AllCore360.com.