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, June 22, 2021

Muscle changes after stroke and their impact on recovery: Time for a paradigm shift? Review and commentary

Will you stop with this biomarker crapola. You ask the survivors a binary question. 'Are you 100% recovered? Y/N?' Then you deliver whatever protocols are needed to get to 100% recovery.

 Muscle changes after stroke and their impact on recovery: Time for a paradigm shift? Review and commentary

Abstract: 

This review was set out to shine new light on the debate of biomarkers in stroke rehabilitation by linking fundamental insights from biogerontological sciences to neurorehabilitation sciences. In particular, skeletal muscle changes and inflammation are addressed as two potential constructs from which biomarkers for stroke rehabilitation can be derived. Understanding the interplay between these constructs as well as their relationship to recovery could enhance stroke rehabilitation in the future. The rationale for the selection of these constructs is three-fold. First, recent stroke literature emphasizes the importance of identifying muscle wasting (also called stroke-induced muscle wasting) in stroke patients, a concept that is widely investigated in geriatrics but less in the stroke population. Second, insights from transdisciplinary research domains such as gerontology have shown that inflammation has severe catabolic effects on muscles, which may impede rehabilitation outcomes such as gait recovery. Last, it has been proven that high-intensity muscle strengthening exercises have strong anti-inflammatory effects in a non-stroke population. The findings emphasize the need for a paradigm shift in stroke rehabilitation research. The time course of muscle adaptions and inflammation should further be studied to develop optimal windows for treatment and strategies to optimize recovery post-stroke. Therefore, an evidence-based rationale is presented for developing research on individual changes of muscle and inflammation after a stroke. Descriptor Terms: BIOCHEMISTRY, IMMUNE SYSTEM DISORDERS, MUSCLES, MUSCULAR IMPAIRMENTS, REHABILITATION RESEARCH, RESEARCH REVIEWS, STROKE. Can this document be ordered through NARIC's document delivery service*?: Y. Citation: Beckwée, David , Lefeber, Nina , Bautmans, Ivan , Lotte Cuypers, , De Keersmaecker, Emma, De Raedt, Sylvie , Kerckhofs, Eric , Nagels, Guy , Njemini, Rose , Perkisas, Stany , Scheys, Ellen , Swinnen, Eva. (2021). Muscle changes after stroke and their impact on recovery: Time for a paradigm shift? Review and commentary. Topics in Stroke Rehabilitation , 28(2), Pgs. 104-111. Retrieved 6/22/2021, from REHABDATA database. 
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