Saturday, September 23, 2017

Agreed Definitions and a Shared Vision for New Standards in Stroke Recovery Research: The Stroke Recovery and Rehabilitation Roundtable Taskforce

I still don't see this as helping because they could agree on using the Rankin scale which has zero objectivity. I see the need for objective damage diagnosis like 3d scans of the dead and damaged areas mapped to external disabilities.  Until we get to those two points none of this stroke research is repeatable. You can have 9 different reasons for the same external disability and there is no way one intervention will correct all nine. And since they are hiding the paper behind a paywall, we can't tell how bad it is and get our non-existent stroke leadership to correct it.
1. Penumbra damage to the motor cortex.
2. Dead brain in the motor cortex.
3. Penumbra damage in the pre-motor cortex.
4. Dead brain in the pre-motor cortex.
5. Penumbra damage in the executive control area.
6. Dead brain in the executive control area.
7. Penumbra damage in the white matter underlying any of these three.
8. Dead brain in the white matter underlying any of these three.
9. Spasticity preventing movement from occurring.
http://journals.sagepub.com/doi/abs/10.1177/1545968317732668
First Published September 21, 2017 Research Article


The first Stroke Recovery and Rehabilitation Roundtable established a game changing set of new standards for stroke recovery research. Common language and definitions were required to develop an agreed framework spanning the four working groups: translation of basic science, biomarkers of stroke recovery, measurement in clinical trials and intervention development and reporting. This paper outlines the working definitions established by our group and an agreed vision for accelerating progress in stroke recovery research.

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