Deans' stroke musings: These legs were made for propulsion: Advancing the diagnosis and treatment of post-stroke propulsion deficits

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, December 27, 2020

These legs were made for propulsion: Advancing the diagnosis and treatment of post-stroke propulsion deficits

So we have NO OBJECTIVE DAMAGE DIAGNOSIS FOR WALKING. Without that we can never get to stroke protocols that will recover from that damage; NOT JUST COMPENSATE. This is all because our stroke medical world still believes in this crapola statement; 'All strokes are different, all stroke recoveries are different' Whomever spouts that at you needs to be keel-hauled.

These legs were made for propulsion: Advancing the diagnosis and treatment of post-stroke propulsion deficits

Journal of NeuroEngineering and Rehabilitation , Volume 17(139)

NARIC Accession Number: J84921. What's this?
ISSN: 1743-0003.
Author(s): Awad, Louis N. ; Lewek, Michael D. ; Kesar, Trisha M. ; Franz, Jason R. ; Bowden, Mark G..
Publication Year: 2020.
Number of Pages: 16.

Abstract:

Article discusses recent advances in the understanding of post-stroke propulsion deficits, reviews emerging approaches to systematically diagnose and treat the underlying impairment, and highlights the substantial research and development effort that is required before these approaches can alter clinical practice. Advances in medical diagnosis and treatment have facilitated the emergence of precision medicine. In contrast, locomotor rehabilitation for individuals with acquired neuromotor injuries remains limited by the dearth of (1) diagnostic approaches that can identify the specific neuromuscular, biomechanical, and clinical deficits underlying impaired locomotion and (2) evidence-based, targeted treatments. In particular, impaired propulsion by the paretic limb is a major contributor to walking-related disability after stroke; however, few interventions have been able to target deficits in propulsion effectively and in a manner that reduces walking disability. Current rehabilitation paradigms emphasize the rapid attainment of walking independence, not the restoration of normal propulsion function. Although walking independence is an important goal for stroke survivors, independence achieved via compensatory strategies may prevent the recovery of propulsion needed for the fast, economical, and stable gait that is characteristic of healthy bipedal locomotion. The authors suggest that post-stroke rehabilitation should aim to promote independent walking, in part, through the acquisition of enhanced propulsion. They present the biomechanical and functional consequences of post-stroke propulsion deficits, review advances in understanding the nature of post-stroke propulsion impairment, and discuss emerging diagnostic and treatment approaches that have the potential to facilitate new rehabilitation paradigms targeting propulsion restoration.
Descriptor Terms: AMBULATION, DIAGNOSIS, EVALUATION, INTERVENTION, LIMBS, MOBILITY IMPAIRMENTS, MOTOR SKILLS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00747-6.

Citation: Awad, Louis N. , Lewek, Michael D. , Kesar, Trisha M. , Franz, Jason R. , Bowden, Mark G.. (2020). These legs were made for propulsion: Advancing the diagnosis and treatment of post-stroke propulsion deficits. Journal of NeuroEngineering and Rehabilitation , 17(139) Retrieved 12/27/2020, from REHABDATA database.