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, June 27, 2020

Home-Based Motor Imagery Training for Gait Rehabilitation of People With Chronic Poststroke Hemiparesis

How are you going to set this up so all 10 million yearly stroke survivors  can take advantage of it? Is it better than action observation?

Home-Based Motor Imagery Training for Gait Rehabilitation of People With Chronic Poststroke Hemiparesis

Ayelet Dunsky, PhD, Ruth Dickstein, DSc, Emanuel Marcovitz, MD, Sandra Levy, MA, Judith Deutsch, PT, PhD
ArchPhys Med Rehabil 2008;89:1580-8.

ABSTRACT.

Objective:
To test the feasibility and efficacy of a home based motor imagery gait training program to improve walking performance of individuals with chronic post stroke hemiparesis.
Design:
Nonrandomized controlled trial.
Setting:
Local facility.
Participants:
Participants (N

17) were community dwelling volunteers with hemiparesis caused by a unilateral stroke that occurred at least 3 months before the study.
Intervention:
Participants received 15 minutes of supervised imagery gait training in their homes 3 days a week for 6 weeks. The intervention addressed gait impairments of the affected lower limb and task specific gait training. Walking ability was evaluated by kinematics and functional scales twice before the intervention, 3 and 6 weeks after the intervention began, and at the 3-week follow-up.
Main Outcome Measures:
Spatiotemporal, kinematic, and functional walking measurements.
Results:
Walking speed increased significantly by 40% after training, and the gains were largely maintained at the 3-week follow-up. The effect size of the intervention on walking speed was moderate (.64). There were significant increases in stride length, cadence, and single-support time of the affected lower limb, whereas double-support time was decreased. Improvements were also noted on the gait scale of the Tinetti Performance-Oriented Mobility Assessment as well as in functional gait. Sixty-five percent of the participants advanced 1 walking category in the Modified Functional Walking Categories Index.
Conclusions:
Although further study is recommended, the findings support the feasibility and justify the incorporation of home-based motor imagery exercises to improve walking skills for post stroke hemiparesis.
Key Words:
Gait; Hemiparesis; Home care services; Rehabilitation; Stroke.©
2008 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and  Rehabilitation

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