Deans' stroke musings: Modern approaches to the management of early rehabilitation period after ischemic stroke

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, July 25, 2025

Modern approaches to the management of early rehabilitation period after ischemic stroke

Early mobilization has been discussed forever; WHERE IS THE PROTOCOL LOCATED? And you incompetently DIDN'T CREATE A PROTOCOL?

Early Mobilization (20 posts to May 2014)

Modern approaches to the management of early rehabilitation period after ischemic stroke

Authors: Galimov A.R.¹, Stenkina N.V.¹, Gaikina E.A.², Shafikova E.S.¹, Bashirova A.R.¹, Yapparov A.R.¹, Amirkhanyan A.V.³, Rozhkov M.I.³, Morozov N.P.¹, Davletbaeva N.R.¹, Gimranova N.M.¹, Yamgurova R.R.¹, Shagiakhmetova D.R.¹, Sultanmuratov I.R.¹, Reshetnikova A.A.¹

Affiliations:

1.Bashkir State Medical University, Ufa, Russia

2. Ulyanovsk State University, Ulyanovsk, Russia

3. Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russia

Section: Reviews
URL: https://rjmseer.com/1560-9537/article/view/680937
DOI: https://doi.org/10.17816/MSER680937
ID: 680937

Abstract

Ischemic stroke (IS) is a form of acute cerebral circulatory failure (ACBF), the pathogenesis of which is based on occlusion of the head or neck arteries supplying blood to the brain, which leads to ischemia and, as a consequence, to the death of cortical areas of the brain and the development of focal neurological disorders. This disease remains one of the leading causes of death and disability in the world. According to the latest statistical data, about 16.9 million cases of IS are registered annually and this figure is steadily increasing, especially in connection with the increase in life expectancy of the population. The present review is devoted to the analysis of modern approaches to the management of early rehabilitation period after IS, which remains one of the leading causes of disability and mortality in the world. The authors analyze the pathophysiological basis of the early rehabilitation period, including the role of neuroplasticity, neuroinflammation, and interhemispheric cortical reorganization. Special attention is paid to innovative rehabilitation methods such as robotic technology, transcranial magnetic stimulation, virtual reality and cell therapy. The efficacy of these techniques is reviewed based on data from randomized controlled trials and meta-analyses. The results demonstrate significant improvement in functional outcomes with early initiation of rehabilitation programs and combined use of traditional and innovative techniques.