Deans' stroke musings: Added-value of spasticity reduction to improve arm-hand skill performance in sub-acute stroke patients with a moderately to severely affected arm-hand

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

Added-value of spasticity reduction to improve arm-hand skill performance in sub-acute stroke patients with a moderately to severely affected arm-hand

If you have ever talked to any survivor with spasticity you'll immediately understand why curing spaticity is so important to recovery ,NOT JUST LAZY REDUCTION; CURE!

Added-value of spasticity reduction to improve arm-hand skill performance in sub-acute stroke patients with a moderately to severely affected arm-hand

NeuroRehabilitation , Volume 48(3) , Pgs. 321-336.

NARIC Accession Number: J86980. What's this?
ISSN: 1053-8135.
Author(s): Franck, Johan A. ; Smeets, Rob J. E. M. ; Elmanowski, Jule ; Renders, Karolien; Seelen, Henk A. M..
Publication Year: 2021.
Number of Pages: 16.
Abstract: Study investigated the added-value of reducing early signs of spasticity on improving arm-hand function (AHF) and arm-hand skill performance (AHSP) in sub-acute stroke patients with a moderately-to-severely affected upper extremity. Ten sub-acute stroke patients with a severely or moderately affected arm-hand and moderate-to-severe grades of spasticity underwent training using a well-described arm-hand regime (therapy-as-usual). Botulinum-toxin was administered once within 5 weeks after onset of therapy-as-usual. Outcome measures included changes in AHSP capacity measured using the Action Research Arm Test, AHF measured with the Fugl-Meyer Motor Assessment, perceived performance measured by the ABILHAND, the Motricity-Index, and grip-strength. At the group level, after baseline trend correction, adjusting for spontaneous recovery and therapy-as-usual effects, the added-value of botulinum-toxin-A on AHF and AHSP was not confirmed. However, non-detrended data revealed significant improvements over time on AHF and AHSP level. Conversely, at individual level, after baseline trend correction, 7 of the 10 patients improved on AHF, whereas 6 patients improved on AHSP. Application of botulinum-toxin-A may have an added-value in a substantial part of sub-acute stroke patients suffering from spasticity early post-stroke and who, at the point of therapy admission, display no dexterity. It may improve their arm-hand performance when combined with a well-defined therapy-as-usual.
Descriptor Terms: LIMBS, MOTOR SKILLS, PHYSICAL THERAPY, SPASTICITY, STROKE.

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

Citation: Franck, Johan A. , Smeets, Rob J. E. M. , Elmanowski, Jule , Renders, Karolien, Seelen, Henk A. M.. (2021). Added-value of spasticity reduction to improve arm-hand skill performance in sub-acute stroke patients with a moderately to severely affected arm-hand. NeuroRehabilitation , 48(3), Pgs. 321-336. Retrieved 9/26/2021, from REHABDATA database.