Tuesday, April 21, 2015

Emerging Treatments for Motor Rehabilitation After Stroke

Look at that appalling word - emerging - which means our stroke teams still have no idea what to do to get you to 100% recovery or any stroke rehab protocols at all.  And yet you are still paying them  for failing to get you to recovery.
http://nho.sagepub.com/content/5/2/77?etoc
  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.

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