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, October 25, 2022

Tactile sensation improves following motor rehabilitation for chronic stroke: The VIGoROUS randomized controlled trial

Is this the flip side of  Margaret Yekutiel writing a whole book about this in 2001, 'Sensory Re-Education of the Hand After Stroke'. And 21 years later the protocol still hasn't been done. I'd fire a whole lot of people for such long lasting incompetence.

 Tactile sensation improves following motor rehabilitation for chronic stroke: The VIGoROUS randomized controlled trial

Neurorehabilitation and Neural Repair (NNR) , Volume 36(8) , Pgs. 525-534.

NARIC Accession Number: J90012.  What's this?
ISSN: 1545-9683.
Author(s): Borstad, Alexandra; Nichols-Larsen, Deborah; Uswatte, Gitendra; Strahl, Nancy; Simeo, Marie; Proffitt, Rachel; Gauthier, Lynne.
Publication Year: 2022.
Number of Pages: 10.
Abstract: Study compared the effect of four upper-limb motor rehabilitation programs on the recovery of tactile sensation in adults with chronic stroke. One hundred sixty-seven adults with chronic stroke and mild or moderate upper-extremity hemiparesis were enrolled in the Video Game Rehabilitation for Outpatient Stroke (VIGoROUS) multi-site randomized controlled trial. Participants completed three weeks of gaming therapy, gaming therapy with additional telerehabilition, constraint-induced movement therapy, or traditional rehabilitation. Tactile sensation was measured with monofilaments, before and after treatment, and 6 months later. A mixed-effects general linear model revealed similar positive change in tactile sensitivity regardless of the type of training. On average, participants were able to detect a stimulus that was 32 percent and 33 percent less after training and at 6-month follow-up, respectively. One-third of participants experienced recategorization of their level of somatosensory impairment (e.g., regained protective sensation) following training. Poorer tactile sensation at baseline was associated with greater change. The findings suggest that about one-third of individuals with mild/moderate chronic hemiparesis experience sustained improvements in tactile sensation following motor rehabilitation, regardless of the extent of tactile input in the rehabilitation program. Potential for sensory improvement is an additional motivator for those stroke survivors. Characteristics of those who improve and mechanisms of improvement are important future questions.
Descriptor Terms: HEMIPLEGIA, LIMBS, MOTOR SKILLS, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, REHABILITATION, STROKE, TACTILE SYSTEMS.


Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Borstad, Alexandra, Nichols-Larsen, Deborah, Uswatte, Gitendra, Strahl, Nancy, Simeo, Marie, Proffitt, Rachel, Gauthier, Lynne. (2022). Tactile sensation improves following motor rehabilitation for chronic stroke: The VIGoROUS randomized controlled trial.  Neurorehabilitation and Neural Repair (NNR) , 36(8), Pgs. 525-534. Retrieved 10/25/2022, from REHABDATA database.

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