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.

Monday, November 4, 2024

Gait Pattern in Stroke Patients and Gait Rehabilitation: a systematic literature review

I blame the supervisor for not instructing this person to map recovery protocols to each problem you have in the gait cycle. My problem really only shows up on a head on view; my left foot angles out 15% due to spasticity, causing no pushoff and heel to toe rolloff doesn't occur. My physical therapists never saw that and never worked on solving it.

Gait Cycle Chart here:

The latest here:

 Gait Pattern in Stroke Patients and Gait Rehabilitation: a systematic literature review

3
1. Summary

After a stroke, patients usually struggle with physical deficits that have a direct impact on
their quality of life. Strokes cause a lot of mortality and morbidity in the population. The
challenges exist particularly for strokes survivors. Such an event in a person’s life often
brings not only physical but also mental health issues. Good motivation is crucial in the
process of rehabilitation to achieve good results.

Therefore, it should be essential to ensure accurate patient care to offer individual patients
specific procedures. It is important to be able to reintegrate people into their surroundings as
well. In that instance, recovery of motor deficits or deficits during walking should be
provided. A precise analysis of motor deficits is essential, which can be obtained in detail
using different assessment methods. This also determines the further course of therapy
options or effects of different therapy options on individual stroke patients. A basic
understanding of normal gait physiology in humans should play a role for every participating
therapist. This is particularly useful to be able to evaluate pathological gait patterns and to
recommend appropriate therapy options.

Furthermore, precise gait analyses should be carried out to record different gait parameters.
The different problems of patients are often very specific.

Gait rehabilitation can utilize many different strategies today. It is helpful to ensure a basic
need for different therapy options that positively influence different factors such as gait cycle,
stride length, step width, cadence, endurance, balance, motor deficits, step length, mobility,
etc.

Guidelines often give an approximate idea of what a therapy plan can look like. In addition,
to classic physical therapy, therapies such as proprioceptive neuromuscular facilitation,
different motor learning techniques and context- or task-specific training can be used.
Functional electrical stimulation has been used for stroke patients for many years and has
proven its effectiveness. Basic training of the complex gait cycle through treadmill training is
a crucial step in gait rehabilitation. In the next few years development of new methods may
find their way into gait rehabilitation.

More at link.

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