Deans' stroke musings: The association between reorganization of bilateral M1 topography and function in response to early intensive hand focused upper limb rehabilitation following stroke is dependent on ipsilesional corticospinal tract integrity

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, April 17, 2020

The association between reorganization of bilateral M1 topography and function in response to early intensive hand focused upper limb rehabilitation following stroke is dependent on ipsilesional corticospinal tract integrity

I got nothing out of this, Motor Evoked Potentials mean squat to survivors. Useless. But those wonderful abbreviations, hope you can translate research jargon. I couldn't. Did it work? Because if virtual reality works then lots of patients could use it. Even me with lots of dead brain.

The association between reorganization of bilateral M1 topography and function in response to early intensive hand focused upper limb rehabilitation following stroke is dependent on ipsilesional corticospinal tract integrity

Frontiers in Neurology , Volume 10(258)

NARIC Accession Number: J83228. What's this?
ISSN: 1664-2295.
Author(s): Yarossi, Mathew ; Patel, Jigna ; Qiu, Qinyin ; Massood, Supriya ; Fluet, Gerard ; Merians, Alma ; Adamovich, Sergei Tunik, Eugene.
Project Number: 90RE5021.
Publication Year: 2019.
Number of Pages: 13.
Abstract: Study examined the relationship between changes in function/motor recovery and cortical motor topography in patients undergoing early (<3 months) and intensive hand focused upper-limb rehabilitation. Seventeen individuals received 8 one hour-sessions of training with virtual reality/robotic simulations. Participants were divided into two groups (MEP+, MEP-) based on whether motor evoked potentials (MEPs) were present in the affected first dorsal interosseous (FDI) at any time point. Clinical tests were performed prior to (PRE), directly following (POST), and 1 month following (1M) training. Measures included the Box and Blocks Test (BBT), Wolf Motor Function Test (WMFT), Upper Extremity Fugl-Meyer (UEFMA); kinematic and kinetic assessments including finger active range of motion (finger AROM) and maximum pinch force (MPF); and bilateral TMS mapping of 5 hand muscles. MEP+ individuals improved significantly more than MEP- individuals from PRE to 1M on the WMFT, BBT, and finger AROM scores. Ipsilesional hemisphere FDI area increased significantly with time in the MEP+ group. FDI area of the contralesional hemisphere was not significantly different across time points or groups. In the MEP+ group, significant correlations were observed between PRE and 1M changes in ipsilesional FDI area and WMFT, BBT, and finger AROM, and contralesional FDI area and UEFMA and MPF. In the MEP- group, no significant correlations were found between changes in contralesional FDI area and functional outcomes.
Descriptor Terms: BIOENGINEERING, BODY MOVEMENT, BRAIN, COMPUTER APPLICATIONS, ELECTRICAL STIMULATION, ELECTROPHYSIOLOGY, EXERCISE, IMAGING, LIMBS, MOTOR SKILLS, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE, THERAPEUTIC TRAINING.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://www.frontiersin.org/articles/10.3389/fneur.2019.00258/full.

Citation: Yarossi, Mathew , Patel, Jigna , Qiu, Qinyin , Massood, Supriya , Fluet, Gerard , Merians, Alma , Adamovich, Sergei Tunik, Eugene. (2019). The association between reorganization of bilateral M1 topography and function in response to early intensive hand focused upper limb rehabilitation following stroke is dependent on ipsilesional corticospinal tract integrity. Frontiers in Neurology , 10(258) Retrieved 4/17/2020, from REHABDATA database.