Deans' stroke musings: Complex skill training transfers to improved performance and control of simpler tasks after stroke

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, October 11, 2017

Complex skill training transfers to improved performance and control of simpler tasks after stroke

Has to be cherry picked participants, none with spasticity would be able to accomplish this. Nothing here addresses 30% of survivors having spasticity. Lazy researchers once again, not tackling the hard cases of stroke.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J76657&phrase=no&rec=134543&article_source=Rehab&international=0&international_language=&international_location=
Physical Therapy , Volume 97(7) , Pgs. 718-728.

NARIC Accession Number: J76657. What's this?
ISSN: 0031-9023.
Author(s): Kantak, Shailesh S.; Zahedi, Nazaneen; McGrath, Robert.
Publication Year: 2017.
Number of Pages: 11.
Abstract: Study investigated whether learning a complex motor skill with the paretic arm would transfer to a simpler unpracticed motor skill (goal-directed planar reaching) in individuals with stroke. Fifteen participants with mild-to-moderate stroke practiced a complex motor skill using their paretic arm for 2 consecutive days. The complex skill (practiced task) required participants to control their paretic shoulder and elbow movements to navigate their weaker hand through a complex track with optimal speed and accuracy. Complex skill learning was quantified using change in the speed-accuracy trade-off from baseline to 1 day and 1 month post-practice. To determine transfer to a simpler task, the change in goal-directed planar reaching (transfer task) performance and kinematics from 2 baselines to 1 day, and to 1 month post-practice were assessed. Nine additional participants with stroke served as the test-alone group who only participated in the transfer tests to rule out the effects of repeated testing. Results indicated that practice improved the speed-accuracy trade-off for the practiced complex skill that was retained over a period of 1 month. Importantly, complex skill practice, but not repeated testing alone, improved the long-term performance and kinematics of the unpracticed simpler goal-directed planar reaching task. Improvements in the unpracticed transfer task (reaching) strongly correlated with improvements in the practiced complex motor skill.
Descriptor Terms: BIOENGINEERING, BODY MOVEMENT, LEARNING, LIMBS, MOTOR SKILLS, PHYSICAL THERAPY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Kantak, Shailesh S., Zahedi, Nazaneen, McGrath, Robert. (2017). Complex skill training transfers to improved performance and control of simpler tasks after stroke. Physical Therapy , 97(7), Pgs. 718-728. Retrieved 10/11/2017, from REHABDATA database.