Deans' stroke musings: A new definition of poststroke spasticity and the interference of spasticity with motor recovery from acute to chronic stages

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 26, 2021

A new definition of poststroke spasticity and the interference of spasticity with motor recovery from acute to chronic stages

Defining it differently does absolutely nothing to get survivors cured of spasticity. Useless.

A new definition of poststroke spasticity and the interference of spasticity with motor recovery from acute to chronic stages

Neurorehabilitation and Neural Repair (NNR) , Volume 35(7) , Pgs. 601-610.

NARIC Accession Number: J86910. What's this?
ISSN: 1545-9683.
Author(s): Li, Sheng ; Francisco, Gerard E. ; Rymer, W. Zev.
Publication Year: 2021.
Number of Pages: 10.

Abstract:

Article examines the relationship between poststroke spasticity and motor recovery. “True” motor recovery refers to return of motor behaviors to pre-stroke state with the same end-effectors and temporo-spatial pattern. This requires neural recovery and repair, and presumably occurs mainly in the acute and subacute stages. However, according to the International Classification of Functioning, Disability and Health, motor recovery after stroke is also defined as “improvement in performance of functional tasks,” i.e., functional recovery, which is mainly mediated by compensatory mechanisms. Therefore, stroke survivors can execute motor tasks despite disordered motor control and the presence of spasticity. The authors assert that spasticity results from upregulation of medial cortico-reticulospinal pathways that are disinhibited due to damage of the motor cortex or corticobulbar pathways. Spasticity emerges as a manifestation of maladaptive plasticity in the early stages of recovery and can persist into the chronic stage. It coexists and shares similar pathophysiological processes with related motor impairments, such as abnormal force control, muscle coactivation and motor synergies, and diffuse interlimb muscle activation. Accordingly, the authors propose a new definition of spasticity to better account for its pathophysiology and the complex nuances of different definitions of motor recovery.
Descriptor Terms: HEALTH PROMOTION, MOTOR SKILLS, MUSCULAR IMPAIRMENTS, OUTCOMES, SPASTICITY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Li, Sheng , Francisco, Gerard E. , Rymer, W. Zev. (2021). A new definition of poststroke spasticity and the interference of spasticity with motor recovery from acute to chronic stages. Neurorehabilitation and Neural Repair (NNR) , 35(7), Pgs. 601-610. Retrieved 9/26/2021, from REHABDATA database.