Motor Recovery Beginning 23 Years After Ischemic Stroke

Ask your doctor to find the EXACT PROTOCOL used to accomplish this. Then have them find out where this is publicly and freely published. Not doing this is complete dereliction of duty. I'm only 11 years out so there is hope for me if I can find the protocol.
Motor Recovery Beginning 23 Years After Ischemic Stroke

1. Peter Sörös1,
2. Robert Teasell2,
3. Daniel F Hanley3, and
4. J. David Spence4,*

1. ¹University of Lübeck
2. ²Western University
3. ³Johns Hopkins
4. ⁴Robarts Research Institute, Western University

1. ↵* Robarts Research Institute, Western University dspence@robarts.ca

• Submitted 7 November 2016.
• Revision received 15 May 2017.
• Accepted 15 May 2017. 

Abstract

It is widely believed that most stroke recovery occurs within 6 months, with little benefit of physiotherapy or other modalities beyond a year. We report a remarkable case of stroke recovery beginning 23 years after a severe stroke due to embolization from the innominate artery and subclavian artery, resulting from compression of the right subclavian artery by a cervical rib. The patient had a large right fronto-parietal infarction with severe left hemiparesis, and a totally non-functional spastic left hand. He experienced some recovery of hand function that began 23 years after the stroke, a year after he took up regular swimming. As a result, intensive physiotherapy was initiated, with repetetive large muscle movement and a spring-loaded mechanical orthosis that provides resistance to finger flexors and supports finger extensors. Within two years he could pick up coins with the previously useless left hand. Functional MRI studies document widespread distribution of the recovery in both hemispheres. This case provides impetus not only to more intensive and prolonged physiotherapy, but also to treatment with emerging modalities such as stem cell therapy, exosome and micro-RNA therapies.