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, April 22, 2020

Visual cue training to improve walking and turning after stroke: a study protocol for a multi-centre, single blind randomised pilot trial

7 years, what the hell happened to this? Where is the protocol  located?  Bad news; they cherry picked participants.

Visual cue training to improve walking and turning after stroke: a study protocol for a multi-centre, single blind randomised pilot trial

 Hollands et al. Trials 2013, 14:276
http://www.trialsjournal.com/content/14/1/276
  Kristen L Hollands 1*, 
Trudy Pelton 2, 
Andrew Wimperis 3, 
Diane Whitham 4, 
Sue Jowett 2, 
Catherine Sackley 5,
Wing Alan 2
Paulette van Vliet 6

Abstract

Background:
 Visual information comprises one of the most salient sources of information used to control walkingand the dependence on vision to maintain dynamic stability increases following a stroke. We hypothesize,therefore, that rehabilitation efforts incorporating visual cues may be effective in triggering recovery andadaptability of gait following stroke
.
 This feasibility trial aims to estimate probable recruitment rate, effect size,treatment adherence and response to gait training with visual cues in contrast to conventional overground walkingpractice following stroke.
Methods/design:
 A 3-arm, parallel group, multicentre, single blind, randomised control feasibility trial will compareoverground visual cue training (O-VCT), treadmill visual cue training (T-VCT), and usual care (UC). Participants(n = 60) will be randomly assigned to one of three treatments by a central randomisation centre using computer generated tables to allocate treatment groups. The research assessor will remain blind to allocation. Treatment,delivered by physiotherapists, will be twice weekly for 8 weeks at participating outpatient hospital sites for the O-VCT or UC and in a University setting for T-VCT participants.Individuals with gait impairment due to stroke, with restricted community ambulation (gait speed <0.8m/s), residual lower limb paresis and who are able to take part in repetitive walking practice involving visual cues (i.e., no severe visual impairments, able to walk with minimal assistance and no comorbid medical contraindications for walking practice) will be included. The primary outcomes concerning participant enrolment, recruitment, retention, and health and social careresource use data will be recorded over a recruitment period of 18 months. Secondary outcome measures will be undertaken before randomisation (baseline), after the eight-week intervention (outcome), and at three months(follow-up). Outcome measures will include gait speed and step length symmetry; time and steps taken to complete a 180° turn; assessment of gait adaptability (success rate in target stepping); timed up and go; Fugl-Meyer lower limb motor assessment; Berg balance scale; falls efficacy scale; SF-12; and functional ambulation category.
Discussion:
 Participation and compliance measured by treatment logs, accrual rate, attrition, and response variation will determine sample sizes for an early phase randomised controlled trial and indicate whether a definitive late phase efficacy trial is justified.
Trial registration:
 Clinicaltrials.gov, NCT01600391.
Keywords:
 Gait, Rehabilitation, Stroke, Vision
* Correspondence: k.hollands@salford.ac.uk

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