Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, September 13, 2017

TUM scientists pave way for better diagnosis of motor deficits following stroke

I don't see how this can help at all. They have not identified which of these 9 causes is the real basis of the disability. I expect that each cause should have a different protocol 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. 

https://www.news-medical.net/news/20170907/TUM-scientists-pave-way-for-better-diagnosis-of-motor-deficits-following-stroke.aspx

After a stroke, many people are unable to successfully perform basic hand movements in everyday life. The reason are symptoms of hemiparesis resulting from damage to the brain. These very frequently affect fine motor skills. A team from the Technical University of Munich (TUM) is now paving the way to better diagnosis and more targeted therapy.
The fact that patients experience restricted mobility when attempting to grasp, hold and use simple everyday objects and tools after a stroke is assessed by classical tests of their manual dexterity. Very often, it is the Jebsen Taylor Hand Function Test which is performed, where a sentence must be written on a piece of paper. "However, the Jebsen and other tests do not reveal which individual factors lead to stroke patients having difficulty in dealing with grasping and handling simple things, such as a leaf,” says Professor Joachim Hermsdörfer from the Chair of Human Movement Science at the TUM Department of Sport and Health Sciences. "This is why we developed tests ourselves in order to derive more targeted therapeutic approaches based on the influencing factors identified.” Joachim Hermsdörfer and lead author Kathrin Allgöwer have just published their results in the journal “Clinical Neurophysiology.”
What are the factors that trigger fine motor deficits?
The TUM scientists tested the lifting of objects of different weight classes and different surfaces, anticipatory and responsive grip control, visual motor skills, and a number of other skills. A group of 22 patients aged 32 to 78 with (mild to moderate) hemiparesis on one side of their body after a stroke , participated in this study. They were joined by an equally large control group of healthy volunteers.
Of the parameters where the two groups could be distinguished, three factors were identified that were decisive for classifying deficits in fine motor skills: control of the grip force, motor coordination, and the speed of movement. Using statistical methods, the team then proved that these three factors predict 69 percent of the everyday deficits of the more comprehensive Jebsen test.
Results enable more targeted therapy following a stroke
"Thanks to our results, patients can now be treated more specifically after a stroke in the areas where their weaknesses are evident,” says Professor Hermsdörfer. Custom-developed devices were used for the tests, including the "Gripforce Box", with which the grip force of the hand is examined. In future, this could be further developed for therapists so that they can be used for the purpose of diagnosing the status quo of individual deficits following a stroke. “We are still working on this,” the movement scientist explains. “Along with two short classical tests, the future goal is to be able to make a precise diagnosis regarding the background of fine motor deficits in stroke patients in everyday life with the GF Box.”

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