Deans' stroke musings: Evidence-based physiotherapeutic concepts for improving arm and hand function in 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.

Wednesday, October 23, 2024

Evidence-based physiotherapeutic concepts for improving arm and hand function in stroke patients

So ask your competent? doctor if in the succeeding 22 years we have gotten past 'concepts' to actually delivering EXACT REHAB PROTOCOLS! I can guarantee the answer is NO, incompetence for decades at a time and still no one gets fired for such cesspools of incompetence!

Evidence-based physiotherapeutic concepts for improving arm and hand function in stroke patients

J Neurol (2002) 249 : 518 – 528 © Steinkopff Verlag 2002

Hartwig Woldag

Horst Hummelsheim

Dr. H. Woldag () · H. Hummelsheim Neurologisches Rehabilitationszentrum Leipzig University of Leipzig Muldentalweg 1 04828 Bennewitz bei Leipzig, Germany Tel.: +49-34 25/8 88-3 90 Fax: +49-3425/888-877 E-Mail: woldag@sachsenklinik.de

Abstract

In recent years, our understanding of motor learning, neuroplasticity and functional recovery after the occurrence of brain lesion has grown significantly. New findings in basic neuroscience provided stimuli for research in motor rehabilitation. Repeated motor practice and motor activity in a real world environment have been identified in several prospective studies as favorable for motor recovery in stroke patients. EMG initiated elec- trical muscle stimulation – but not electrical muscle stimulation alone – improves motor function of the centrally paretic arm and hand.

Although a considerable number of physiotherapeutic “schools” has been established, a conclusive proof of their benefit and a physiological model of their effect on neuronal structures and processes are still missing. Nevertheless, evidence-based strategies for motor rehabilitation are more and more available, particularly for patients suffering from central paresis.