Deans' stroke musings: The effects of stroke lesions and timing of rehabilitation on the compensatory movement patterns during stroke recovery

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, January 27, 2022

The effects of stroke lesions and timing of rehabilitation on the compensatory movement patterns during stroke recovery

'Probably' IS NOT GOOD ENOUGH! Will you please come up with concrete solutions to stroke rehab. THIS EQUIVOCATING HAS TO STOP!

The effects of stroke lesions and timing of rehabilitation on the compensatory movement patterns during stroke recovery

Lee, Kyoung-hee¹; Jeong, Eun-Hwa²; Joa, Kyung-Lim³

Author Information

American Journal of Physical Medicine & Rehabilitation: January 19, 2022 - Volume - Issue -

doi: 10.1097/PHM.0000000000001968

Abstract

Objective

The aims of this study were to distinguish between behavioral compensation and behavioral recovery and to determine the role of stroke lesions and the optimal timing of rehabilitation in true recovery.

Design

Single pellet-reaching test have been performed to analyze both quantitative and qualitative measures of forelimb function in a stroke animal model with lesions in the motor cortex (Mc), somatosensory cortex (Sc), or sensorimotor cortex (SMc). The four gestures of compensatory movement patterns (CMPs) that comprised a reach were head lift, limb withdrawal, pellet chasing, and phantom grasp.

Results

Functional recovery improved in all the stroke groups after rehabilitation (p < 0.001). However, the CMPs of the Mc and Sc stroke groups initially increased and subsequently decreased (p = 0.0054), whereas those of the SMc stroke group increased and persisted (p = 0.0063). In the SMc stroke group, CMPs significantly decreased when training was initiated 5 and 14 days after stroke (p = 0.0083, p = 0.0226, respectively), while they increased and persisted when training was initiated 1 day after stroke.

Conclusion

These findings suggest that true recovery by task-specific training after stroke depends, probably, on the lesion size and the timing of rehabilitation.