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, September 27, 2022

Bilateral Lower Limb Training for Post-stroke Survivors: A Bibliometric Analysis

 You're not doing anything here that will help survivors recover, just regurgitating  existing research. Useless.

Bilateral Lower Limb Training for Post-stroke Survivors: A Bibliometric Analysis



Abstract

Stroke is one of the most disabling conditions affecting the middle-aged population all around the world. This study aims to explore the rehabilitation of stroke patients using bibliometric analysis, which includes statistical analysis of recent articles, books, and other kinds of publications, to assess scientific output and determine the significance of scientific investigations in terms of both quality and quantity. In this study, an analysis of global trends in research in bilateral lower limb training for training balance and walking for patients in the subacute stage post-stroke between 1988 and 2021 was done. All the articles were obtained from PubMed databases. CiteSpace software was used to analyze the relationship between publications and country, journals, institutions, authors, references, and the keywords used. A total of 160 publications were included in the analysis. There was a tremendous increase in the research of physiotherapy intervention in patients who had residual disability post-stroke with a publication rate of 7.1 articles per year of publications. The use of the sophisticated PubMed database to extract articles allowed for a thorough and powerful bibliometric analysis of stroke rehabilitation research published between 1988 and 2020. In general, the number of studies on bilateral training has increased in recent decades. This historical overview of rehabilitation for post-stroke survivors will serve as a valuable starting point for future study into possible collaborators, focus issues, and trends. This bibliometric analysis highlights the potential value of exercise therapy for stroke survivors in creating more effective hemiplegia rehabilitation programs. This research may encourage the use of strengthening in the therapeutic therapy of hemiplegia balance. The groundwork will be laid for future research on strengthening stroke to be organized and given top priority.

Introduction & Background

Stroke as defined by the World Health Organization is “Fast-developing clinical evidence of localized (or general) brain dysfunction, with symptoms lasting 24 hours or more or leading to death, with no obvious etiology other than vascular origin” [1,2]. Its prevalence is increasing day by day and has reached to a point that 0.84 individuals out of 1,000 have a high risk of getting a stroke, leading to hemiplegia and hemiparesis [3-7]. Post-stroke the weakness leads to difficulty in performing daily activities and deteriorating the life of the individual. Early rehabilitation not only provides quality of life but also increases longevity [8,9].

As there is affection on the opposite side of the lesion, the unaffected side is supposed to be having no change in its performance [8,10,11]. But, in reality, it is not so, it is also affected, but less than the opposite one [12]. There is bilateral paralysis due to the uncrossed fibers affecting the overall individual’s life. Training the individual in a task-oriented pattern along with strengthening not only helps in improving balance but also makes the person ambulate independently [13-15].

For the hemi patients, while planning any protocol, we focus on the affected side, thus the other side goes into further deterioration [16-19]. Training both sides equally, although focusing on the affected side helps to improve the overall well-being of the individual [20]. There are many studies done for the upper limb for the same objective, but there is ample gap for the lower limb. Thus, this research will milestone in its own way.

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