Deans' stroke musings: Rehabilitation of stroke patients with plegic hands: Randomized controlled trial of expanded constraint-induced movement therapy

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.

Thursday, June 21, 2018

Rehabilitation of stroke patients with plegic hands: Randomized controlled trial of expanded constraint-induced movement therapy

So this works for severe hand hemiparesis. Write up a protocol on this and get it distributed around the world. That is what leaders would do.
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J78670&phrase=no&rec=136670&article_source=Rehab&international=0&international_language=&international_location=
Restorative Neurology and Neuroscience , Volume 36(2) , Pgs. 225-244.

NARIC Accession Number: J78670. What's this?
ISSN: 0922-6028.
Author(s): Uswatte, Gitendra; Taub, Edward; Bowman, Mary H.; Delgado, Adriana; Byrson, Camille; Morris, David M.; McKay, Staci; Barman, Joydip; Mark, Victor W..
Project Number: H133G050222.
Publication Year: 2018.
Number of Pages: 20.
Abstract: Study evaluated the efficacy of an expanded form of constraint-induced movement therapy (eCIMT) that renders CIMT, originally designed for treating mild-to-moderate upper-extremity hemiparesis, suitable for treating severe hemiparesis. Twenty-one adults with severe upper-extremity hemiparesis (with little or no capacity to make movements with the more-affected hand) were randomly assigned to eCIMT, a placebo-control procedure, or usual care. The participants who received usual care were crossed over to eCIMT four months after enrollment. The CIMT protocol was altered to include fitting of orthotics and adaptive equipment, selected neurodevelopmental techniques, and electromyography-triggered functional electrical stimulation. Treatment was given for 15 consecutive weekdays with 6 hours of therapy scheduled daily for the immediate eCIMT group and 3.5 hours daily for the cross-over eCIMT group. At post-treatment, the immediate eCIMT group showed significant gains relative to the combination of the control groups on the Grade-4/5 Motor Activity Log (MAL) and a convergent measure, the Canadian Occupational Performance Measure. At 1-year follow-up, the MAL gains in the immediate eCIMT group were only 13 percent less than at post-treatment. The short- and long-term outcomes of the crossover eCIMT group were similar to those of the immediate eCIMT group. The results suggest that eCIMT produces a large, meaningful, and persistent improvement in everyday use of the more-affected arm in adults with severe upper-extremity hemiparesis long after stroke.
Descriptor Terms: EXERCISE, HEMIPLEGIA, LIMBS, MOTOR SKILLS, OUTCOMES, PHYSICAL THERAPY, REHABILITATION SERVICES, STROKE.

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

Citation: Uswatte, Gitendra, Taub, Edward, Bowman, Mary H., Delgado, Adriana, Byrson, Camille, Morris, David M., McKay, Staci, Barman, Joydip, Mark, Victor W.. (2018). Rehabilitation of stroke patients with plegic hands: Randomized controlled trial of expanded constraint-induced movement therapy. Restorative Neurology and Neuroscience , 36(2), Pgs. 225-244. Retrieved 6/21/2018, from REHABDATA database.