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.

Friday, November 25, 2022

Stroke Rehabilitation: AB No: 176: Influence of Information Processing Speed (IPS) on Gait Asymmetry in Unilateral Stroke Survivors

Ask your doctor EXACTLY how this is going to get you recovered. You do expect your doctor to know and apply the latest, don't you?

 Stroke Rehabilitation: AB No: 176: Influence of Information Processing Speed (IPS) on Gait Asymmetry in Unilateral Stroke Survivors

Purpose:
 
 Gait abnormalities are a prevalent dysfunction in stroke patients. Even post-rehabilitation more than half of them experience gait asymmetry. It is often a result of slow and insufficient activation of muscle on the hemiplegic side(For me it's probably because most of my pre-motor cortex is dead and spasticity.). Gait abnormalities are also seen as a sequel to cognitive impairment.(I have zero cognitive impairment.)
 One of the most severe cognitive impairments in stroke patients is the decline in Information Processing Speed/Time (IPS). Processing speed decline has been seen to influence gait parameters in various populations. The neural correlates of gait and processing speed are interlinked. The study would test the hypothesis if increased IPS of the affected hemisphere influences gait asymmetry. Thus the study aims to measure the processing speed deficit of the affected side, and secondly to assess if it influences gait asymmetry. 
 
Relevance: 
To assess if gait asymmetry in stroke patients is a function of cognitive processing. 
Participants: 
23 left hemispheric stroke patients. 
Methods: 
Visual Reaction Time (VRT) was taken to measure IPS. Gait (Stride velocity and step time) was assessed through GaitRite. 
Analysis: 
 
Spearman Correlation was performed between VRT variable and Gait variables. Results: Affected hemisphere was 337milliseconds slower. VRT had negligible correlation (r=0.106, 0.631) with asymmetry. High-moderate correlation (r=0.661, 0.001; r=-0.514, 0.01) with unaffected velocity and step time and weak-negligible(r=0.473, 0.02; r=0.067, 0.7) correlation with affected side. 
Conclusion: 
 
Stroke patients suffer from increased processing time of the affected side. The increased processing time doesn’t influence the gait asymmetry, although processing of the unaffected hemisphere does influence the gait. 
Implications: 
 
Improving processing time might not reduce gait asymmetry. Further studies are required to understand the relationship between lateralization of IPS and gait retraining.




1 St Johns Medical College and Hospitals
2 Ramaiah Medical College and Hopitals

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2456-7787.361091


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