Deans' stroke musings: Neuroplasticity-Based Physiotherapy Approaches in Stroke Rehabilitation: A Systematic Review

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.

Tuesday, September 30, 2025

Neuroplasticity-Based Physiotherapy Approaches in Stroke Rehabilitation: A Systematic Review

But you KNOW NOTHING ABOUT MAKING NEUROPLASTICITY REPEATABLE ON DEMAND. Useless. Creating EXACT PROTOCOLS IS NEEDED! Where the fuck are they?

We don't SPECIFICALLY know why a neuron gives up its' current job and takes on a neighbors. Thus nothing on neuroplasticity is scientifically repeatable on demand. So, DEMAND your doctor give you EXACT PROTOCOLS to use. Don't allow your doctor to give you generalities or guidelines.

The latest useless crapola here:

Neuroplasticity-Based Physiotherapy Approaches in Stroke Rehabilitation: A Systematic Review

https://doi.org/10.21203/rs.3.rs-7696362/v1

This work is licensed under a CC BY 4.0 License

Background: Stroke is a leading cause of adult disability worldwide, with motor impairments being the most common sequel. Neuroplasticity the brain’s capacity to reorganize neural networks underpins functional recovery and is enhanced by specific physiotherapy interventions.

Objective: This systematic review aimed to evaluate the effectiveness of neuroplasticity-based physiotherapy approaches in improving motor recovery and functional independence among stroke survivors.

Methods: A comprehensive search was conducted across PubMed, Scopus, PEDro, and Web of Science for randomized controlled trials (RCTs) published between January 2010 and August 2025. Eligible studies included adult stroke patients undergoing neuroplasticity-based physiotherapy interventions such as constraint-induced movement therapy (CIMT), mirror therapy, task-specific training, robotic-assisted therapy, and virtual reality. Two reviewers independently screened studies, extracted data, and assessed methodological quality using the PEDro scale. The PRISMA guidelines were followed.

Results: Twenty-three RCTs (n = 1,465 participants) met the inclusion criteria. CIMT and task-specific training consistently demonstrated significant improvements in upper limb motor function and activities of daily living (ADL). Mirror therapy showed moderate evidence for upper limb recovery, particularly in subacute stroke. Robotic-assisted therapy and virtual reality yielded positive but heterogeneous results, with effectiveness influenced by stroke chronicity and intervention intensity. Risk of bias was moderate, mainly due to small sample sizes and lack of blinding.

Conclusion: Neuroplasticity-based physiotherapy approaches are effective in enhancing motor recovery after stroke, especially CIMT and task-specific training. However, heterogeneity in study protocols limits definitive conclusions. Larger, multicenter RCTs with standardized protocols are recommended