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.

Sunday, November 21, 2021

Spasticity after stroke: Physiology, assessment and treatment

This review missed the objective diagnosis of spasticity.

quantitative measure of muscle spasticity

Elbow spasticity during passive stretch-reflex: clinical evaluation using a wearable sensor system

 

 

Bobath is mentioned as a treatment when it has been proven not to work.

 Bobath should  have been shitcanned since 2003.

My best therapist supposedly used it but I really think her competence came from her knowledge of anatomy.

Physiotherapy Based on the Bobath Concept for Adults with Post-Stroke Hemiplegia: A Review of Effectiveness Studies 2003

 

Also missed pelvic floor stimulation: 

Apparatus for reduction of spasticity in male and female patients having spinal cord injury as well as obtaining semen from males by stimulation of ejaculatory nerves

No mention of Sativex: Sativex Helps ALS, PLS Spasticity in Mid-Stage Trial

Or this:Oral Cannabis Spray Relieves Spasticity in Motor Neuron Disease

Or canabis use:

Summary of evidence-based guideline: Complementary and alternative medicine in multiple sclerosis - cannabis use


Bad mentorship here, retraining needed. 

Spasticity after stroke: Physiology, assessment and treatment

 Aurore Thibaut
1
, Camille Chatelle
1
, Erik Ziegler
2
, Marie-Aure´lie Bruno
1
, Steven Laureys
1
, & Olivia Gosseries
1
1
Coma Science Group, Cyclotron Research Centre, University and University Hospital of Lie`ge, Lie`ge, Belgium and
 2
Cyclotron Research Centre,University of Lie`ge, Lie`ge, Belgium
Abstract
Background
: Spasticity following a stroke occurs in about 30% of patients. The mechanisms underlying this disorder, however, are not well understood.
Method
: This review aims to define spasticity, describe hypotheses explaining its development after a stroke, give an overview of related neuroimaging studies as well as a description of themost common scales used to quantify the degree of spasticity and finally explore which treatments are currently being used to treat this disorder.
Results
: The lack of consensus is highlighted on the basis of spasticity and the associated absence of guidelines for treatment, use of drugs and rehabilitation programmes.
Conclusions
: Future studies require controlled protocols to determine the efficiency of pharmacological and non-pharmacological treatments for spasticity. Neuroimaging may help predict the occurrence of spasticity and could provide insight into its neurological basis. 

More at link.

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