Tuesday, October 27, 2015

Changes in structural integrity are correlated with motor and functional recovery after post-stroke rehabilitation.

No clue what this means so go ask your doctor or stroke association to clarify how this will help your recovery. Or is this once again describing something but not putting out a stroke protocol to actually help stroke survivors?
http://europepmc.org/abstract/med/26484696

(PMID:26484696)
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Type: Journal Article
Abstract Highlight Terms
Diffusion tensor imaging (DTI) studies indicate the structural integrity of the ipsilesional corticospinal tract (CST) and the transcallosal motor tract, which are closely linked to stroke recovery. However, the individual contribution of these 2 fibers on different levels of outcomes remains unclear. Here, we used DTI tractography to investigate whether structural changes of the ipsilesional CST and the transcallosal motor tracts associate with motor and functional recovery after stroke rehabilitation.Ten participants with post-acute stroke underwent the Fugl-Meyer Assessment (FMA), the Wolf Motor Function Test (WMFT), the Functional Independence Measure (FIM), and DTI before and after bilateral robotic training.All participants had marked improvements in motor performance, functional use of the affected arm, and independence in daily activities. Increased fractional anisotropy (FA) in the ipsilesional CST and the transcallosal motor tracts was noted from pre-treatment to the end of treatment. Participants with higher pre-to-post differences in FA values of the transcallosal motor tracts had greater gains in the WMFT and the FIM scores. A greater improvement on the FMA was coupled with increased FA changes along the ipsilesional CST.These findings suggest 2 different structural indicators for post-stroke recovery separately at the impairment-based and function-based levels.
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1 comment:

  1. Geoff.WenkerOctober 27, 2015 at 8:47 PM

    Dean,
    I can't tell what this means either, but it sounds like "bilateral robotic training" is something that would help me.

    It is very frustrating that there are so many seemingly promising chronic stroke rehab ideas, but no one seems to be able to get them actually usable by a survivor.

    I also notice a lot of the most promising comes from other countries (Taiwan in this case).

    A truly great stroke organization would be international. No idea how it would be funded though.

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