Deans' stroke musings: Direction-specific Disruption of Paretic Arm Movement in Post-stroke Patients

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, July 25, 2024

Direction-specific Disruption of Paretic Arm Movement in Post-stroke Patients

For those with spasticity like me, there is NO reaching whatsoever. So these patients had to be high functioning already.

Direction-specific Disruption of Paretic Arm Movement in Post-stroke Patients

2020, Progress in Rehabilitation Medicine

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9 Pages

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Medicine,

Physical Medicine and Rehabilitation

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Publisher: Japanese Association of Rehabilitation Medicine

Publication Date: 2020

Publication Name: Progress in Rehabilitation Medicine

Kiyoshi Yoshioka, RPT, PhD a,* Tatsunori Watanabe, RPT, PhD b,* Mizuki Yoshioka, RPT a Keita Iino, RPT a Kimikazu Honda, RPT a Koshiro Hayashida, RPT a and Yuji Kuninaka, RPT a

Objective:

This study aimed to characterize reaching movements of the paretic arm in diferent directions within the reachable workspace in post-stroke patients.

Methods:

A total of 12 post- stroke patients participated in this study. Each held a ball with a tracking marker and performed back-and-forth reaching movements from near the middle of the body to one of two targets in front of them located on the ipsilateral and contralateral sides of the arm performing the movement. We recorded and analyzed the trajectories of the tracking marker. The stability of arm movements was evaluated using areas and minimum Feret diameters to assess the trajectories of both the paretic and non-paretic arms. The speed of the arm movement was also calculated.

Results:

For the paretic arm, contralateral movement was more impaired than ipsilateral movement, whereas for the non-paretic arm, no diference was observed between the directions. The maximum speed of the contralateral movement was signifcantly slower than that of the ipsilateral movement in both the paretic and non-paretic arms.

Conclusion:

The paretic arm shows direction-specifc instability in movement toward the contralateral side of the arm.