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, August 5, 2020

Changes in Structural Integrity Are Correlated With Motor and Functional Recovery After Post-stroke Rehabilitation

I saw nothing in here that suggested any way to improve structural integrity to help with recovery. Just describing  something, so useless.

Changes in Structural Integrity Are Correlated With Motor and Functional Recovery After Post-stroke Rehabilitation

Published 2015
 Yang-teng Fan a,1,
Keh-chung Lin a,b,1,
Ho-ling Liu c,
Yao-liang Chen d,
and Ching-yi Wu e,f,∗
a School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
b  Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan
c Department of Imaging Physics, Division of Diagnostic Imaging, The University of Texas MD AndersonCancer Center, Houston, TX, USA
d MRI Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
e Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine,Chang Gung University, Taoyuan, Taiwan
f  Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan

Abstract

.
Purpose:
Diffusion tensorimaging(DTI) studies indicate the structural integrity of the ipsilesional corticospinal tract(CST) and the transcallosal motor tract, which are closely linked to stroke recovery. However, the individual contribution of these 2 fiberson different levels of outcomes remains unclear. Here, we used DTI tractography to investigate whether structural changes of the ipsilesional CST and the transcallosal motor tracts associate with motor and functional recovery after stroke rehabilitation.
Methods:
 Ten participants with post-acute stroke underwent the Fugl-Meyer Assessment (FMA), the Wolf Motor Function Test(WMFT), the Functional Independence Measure (FIM), and DTI before and after bilateral robotic training.
Results:
 All participants had marked improvements in motor performance, functional use of the affected arm, and independence in daily activities. Increased fractional anisotropy (FA) in the ipsilesional CST and the transcallosal motor tracts was noted from pre-treatment to the end of treatment. Participants with higher pre-to-post differences in FA values of the transcallosal motor tracts had greater gains in the WMFT and the FIM scores. A greater improvement on the FMA was coupled with increased FAchanges along the ipsilesional CST.
Conclusions:
These findings suggest 2 different structural indicators for post stroke recovery separately at the impairment based and function based levels.

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