Deans' stroke musings: Using subthreshold vibratory stimulation during poststroke rehabilitation therapy: A case series

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.

Thursday, June 23, 2022

Using subthreshold vibratory stimulation during poststroke rehabilitation therapy: A case series

You'll have to ask your doctor how to get this. It probably works on acute patients also so your hospital should be bringing this in. My Google searches brought up nothing out there, so no clue what subthreshold is.

Using subthreshold vibratory stimulation during poststroke rehabilitation therapy: A case series

OTJR: Occupation, Participation and Health (formerly The Occupational Therapy Journal of Research) , Volume 42(1) , Pgs. 30-39.

NARIC Accession Number: J88725. What's this?
ISSN: 1539-4492.
Author(s): Vatinno, Amanda A.; Hall, Lucion; Cox, Hannah; Fluharty, Alison; Taylor, Catilyn; Wease, Alexandra; Davis, Allison; Cain, Shannon; Ramakrishnan, Viswanathan; Woodbury, Michelle; Seo, Na Jin.
Publication Year: 2022.
Number of Pages: 40.

Abstract:

Study assessed the feasibility, safety, and preliminary efficacy of subthreshold vibratory stimulation to the paretic wrist to improve upper-extremity (UE) therapy outcomes over a typical 6-week therapy duration. Four chronic stroke survivors received stimulation for 2 hours per session, 3 sessions per week for 6 weeks, for a total of 18 sessions. Feasibility, safety, and efficacy were assessed at baseline, posttherapy, and 1-month follow-up. For feasibility, all participants wore the device throughout therapy and perceived the stimulation as comfortable and safe. Regarding safety, no serious/moderate intervention-related adverse events occurred. For efficacy, all participants improved in Wolf Motor Function Test and UE use in daily living based on accelerometry and stroke impact scale. Mean improvements at posttherapy/follow-up were greater than the minimal detectable change/clinically important difference and other trials with similar therapy without stimulation. Findings suggest that the stimulation is feasible and safe for 6-week use. Preliminary efficacy encourages a larger trial to further evaluate the stimulation as a therapy adjunct.
Descriptor Terms: BODY MOVEMENT, DAILY LIVING, DEXTERITY, FEASIBILITY STUDIES, INTERVENTION, LIMBS, MOTOR SKILLS, OCCUPATIONAL THERAPY, OUTCOMES, REHABILITATION, SAFETY, STROKE, TASK ANALYSIS.

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

Citation: Vatinno, Amanda A., Hall, Lucion, Cox, Hannah, Fluharty, Alison, Taylor, Catilyn, Wease, Alexandra, Davis, Allison, Cain, Shannon, Ramakrishnan, Viswanathan, Woodbury, Michelle, Seo, Na Jin. (2022). Using subthreshold vibratory stimulation during poststroke rehabilitation therapy: A case series. OTJR: Occupation, Participation and Health (formerly The Occupational Therapy Journal of Research) , 42(1), Pgs. 30-39. Retrieved 6/23/2022, from REHABDATA database.