Deans' stroke musings: C URRENT OPINION Motor rehabilitation in stroke and traumatic brain injury: stimulating and intense

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.

Sunday, September 27, 2020

C URRENT OPINION Motor rehabilitation in stroke and traumatic brain injury: stimulating and intense

Pretty much useless, no references to protocols used to recover. Non-specific general language like this helps no one.

CURRENT OPINION Motor rehabilitation in stroke and traumatic brain injury: stimulating and intense

Erika Y. Breceda a,b
and Alexander W. Dromerick a,b

a Washington DC Veterans Affairs Medical Center and
b Medstar National Rehabilitation Hospital, Georgetown University Department of Rehabilitation Medicine, Washington, District of Columbia, USA Correspondence to Alexander W. Dromerick, MD, Medstar National Rehabilitation Hospital, Georgetown University Department of Rehabilitation Medicine, 102 Irving Street NW, Washington, DC 20010, USA.Tel: +1 202 877 1932; fax: +1 202 726 7521; e-mail: Alexander.W.Dromerick@medstar.net
Curr Opin Neurol
2013, 26:595–601DOI:10.1097/WCO.0000000000000024
13
Purpose of review
The purpose of this review is to provide an update on the latest neurorehabilitation literature for motor recovery in stroke and traumatic brain injury to assist clinical decision making and assessing future research directions.
Recent findings
The emerging approach to motor restoration is now multimodal. It engages the traditional multidisciplinary rehabilitation team, but incorporates highly structured activity-based therapies, pharmacology, brain stimulation and robotics. Clinical trial data support selective serotonin reuptake inhibitors and amantadine to assist motor recovery post stroke and traumatic brain injury, respectively. Similarly, there is continued support for intensity as a key factor in activity-based therapies, across skilled and nonskilled interventions.Aerobic training appears to have multiple benefits; increasing the capacity to meet the demands of hemiparetic gait improves endurance for activities of daily living while promoting cognition and mood.At this time, the primary benefit of robotic therapy lies in the delivery of highly intense and repetitive motor practice. Both transcranial direct current and magnetic stimulation therapies are in early stages, but have promise in motor and language restoration.
Summary
Advancements in neurorehabilitation have shifted treatment away from nonspecific activity regimens and amphetamines. As the body of knowledge grows, evidence-based practice using interventions targeted at specific subgroups becomes progressively more feasible.