Emerging Treatments for Motor Rehabilitation After Stroke

Do you really think your doctor and hospital are going to take this and create stroke protocols without YOU demanding they do something about their appalling recovery statistics?
And they still do not talk about the best way to improve rehabilitation outcomes would be stopping the neuronal cascade of death.

http://nho.sagepub.com/content/early/2014/11/13/1941874414561023.abstract?

1. Edward S. Claflin, MD1⇑
2. Chandramouli Krishnan, PhD, PT1
3. Sandeep P. Khot, MD2

1. ¹Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA
2. ²Department of Neurology, University of Washington, Seattle, WA, USA

1. Edward S. Claflin, Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, 325 E Eisenhower Pkwy, Ann Arbor, MI 48108, USA. Email: clafline@med.umich.edu

Abstract

Although numerous treatments are available to improve cerebral perfusion after acute stroke and prevent recurrent stroke, few rehabilitation treatments have been conclusively shown to improve neurologic recovery. The majority of stroke survivors with motor impairment do not recover to their functional baseline, and there remains a need for novel neurorehabilitation treatments to minimize long-term disability, maximize quality of life, and optimize psychosocial outcomes. In recent years, several novel therapies have emerged to restore motor function after stroke, and additional investigational treatments have also shown promise. Here, we familiarize the neurohospitalist with emerging treatments for poststroke motor rehabilitation. The rehabilitation treatments covered in this review will include selective serotonin reuptake inhibitor medications, 

constraint-induced movement therapy, 

noninvasive brain stimulation,  

mirror therapy, 

and motor imagery or mental practice.