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, July 1, 2020

Study: Walking backward to get ahead

Been done already.

If your doctor/hospital didn't do anything with this from 14 years ago or any of the following then s/he needs to be fired.  Why is your board of directors being so incompetent in not demanding new interventions from any stroke research?

Effectiveness of backward walking treadmill training in lower extremity function after stroke - Oct. 2006

“A Backward Walking Training Program to Improve Balance and Mobility in Acute Stroke: A Pilot Randomized Controlled Trial” Oct. 2017 

Walking backwards boosts creativity April 2015

 The latest here:

Study: Walking backward to get ahead



Oluwole Awosika, MD, assistant professor in the department of neurology and rehabilitative medicine at the University of Cincinnati and a UC Health stroke expert. He is also a member of the UC Gardner Neuroscience Institute. Credit: Colleen Kelley/UC Creative + Brand
Walking backward may seem counterintuitive, but to athletes in training, doing so on a treadmill builds strength and agility.
Now, a researcher with the University of Cincinnati Gardner Neuroscience Institute thinks this practice could also help patients who have experienced stroke learn to walk again.
Oluwole Awosika, MD, assistant professor in the department of neurology and rehabilitative medicine at UC and a UC Health stroke expert, is leading research examining how walking backward on a might impact sensory signaling in the brain and body to improve walking in this group of patients.
He received funding from the American Academy of Neurology ($450,000 over three years) and the National Institutes of Health ($100,000 over two years) to help continue this study.
"Despite current walking rehabilitation strategies, the majority of stroke survivors are unable to walk independently and remain at an for falls," Awosika explains. "Backward treadmill is a novel training approach used by elite athletes to enhance speed, agility and balance; however, it is currently unknown(How fucking out-of-date are you?) how this exercise interacts with the central nervous system or if it could benefit stroke survivors with remaining walking impairment.
"Knowledge gained from our study will likely lead to more effective walking rehabilitation strategies in stroke and related disorders."
In this study, researchers will use sensors to measure training-related changes to the sensory pathways in the brain and spinal cord that affect balance and position of the body, as well as walking symmetry. These changes will be compared to study participants who are assigned to walk forward on the treadmill.
"What is known is that backwards walking exercises additional groups of muscles which are underactivated and underutilized with traditional forward walking," he says. "The use of a treadmill produces a more challenging training, which may lead to faster results and greater cardiovascular conditioning.
"From a neuroscience perspective, we think that backward treadmill training requires continuous awareness of where the foot is in space to keep from falling during training. Therefore, it is possible that it may increase sensory responses, essential for signaling to brain regions controlling balance and walking symmetry, and may improve walking speed."
The basis for this project originated from a led by Awosika, and funded by the Neuroscience Institute, which tested and confirmed the safety and likelihood of this rehabilitation approach. This study was published in the journal Brain Communications.
"Walking impairment impacts nearly 66% of survivors which often leads to falls and injuries. Newer and more comprehensive approaches are needed to improve walking recovery in these survivors. We hope our research reveals a more effective strategy to help this group improve their quality of life and achieve independence."

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