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.

Tuesday, January 29, 2019

Transcranial Direct Current Stimulation in Stroke Rehabilitation: Present and Future

Don't just lazily write that results have been inconclusive and future studies needed.  Make them conclusive. Isn't that what research is about? And you ARE A RESEARCHER? 

Which tDCS?

Transcranial Direct Current Stimulation in Stroke Rehabilitation: Present and Future


  • Oluwole O. AwosikaEmail author
  • Leonardo G. Cohen
  • Oluwole O. Awosika
    • 1
    • 2
    Email author
  • Leonardo G. Cohen
    • 1
  1. 1.Human Cortical Physiology and Stroke Neurorehabilitation SectionNational Institutes of HealthBethesdaUSA
  2. 2.Department of Neurology and Rehabilitation MedicineUniversity of Cincinnati College of MedicineCincinnatiUSA
Chapter

Abstract

Stroke is the leading cause of severe lasting adult disability around the world. Despite efforts to standardize post-stroke care and rehabilitation a significant percentage of patients remain permanently disabled. Life expectancy after stroke is on the rise in part due to improvements in health care. Hence, it is necessary to develop cost efficient ways to improve the beneficial effects of customary neurorehabilitative interventions (i.e., physical and occupational therapy) on motor and cognitive function after stroke. Over the years, transcranial direct current stimulation has emerged as a possible neuromodulatory tool adjuvant to standard neurorehabilitative therapy. Recent meta-analysis suggested moderate beneficial effects of tDCS on motor function after stroke. However, results from clinical trials have not been conclusive, suggesting the need to understand mechanisms underlying tDCS effects, including optimal stimulation protocols, timing, duration and magnitude of stimulation, and the identification of patient groups more amenable to tDCS effects. Here we discuss study results (organized by functional deficits) to date and discuss critically available evidence. Future studies could benefit from tighter experimental designs, more detailed description of methodologies, preregistration when appropriate and enhanced replication efforts.

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