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.

Friday, June 23, 2023

Prediction of Rehabilitation Induced Motor rEcovery afteR Stroke using a multi-dimensional and multi-modal approach (PRIMERS)

 We still have researchers that think predicting failure to recover is useful. I'd fire any researcher that did that type of research, it is totally fucking useless!

Prediction of Rehabilitation Induced Motor rEcovery afteR Stroke using a multi-dimensional and multi-modal approach (PRIMERS) 

 Silvia Salvalaggio1, 2*,  Andrea Turolla3, 4, Martina Ando'2, Rita Barresi2, Francesca Burgio2, Pierpaolo Busan2,  Anna Maria Cortese5, Daniela D'imperio2, Laura Danesin2,  Giulio Ferrazzi2, 6,  Lorenza Maistrello2, Eleonora Mascotto7, Ilaria Parrotta2, Rachele Pezzetta2, Elena Rigon2,  Anna Vedovato8, Sara Zago2, Marco Zorzi2, 9, Giorgio Arcara2,  Dante Mantini10 and  Nicola Filippini2*
  • 1Padova Neuroscience Center, Università degli Studi di Padova, Italy
  • 2IRCCS San Camillo Hospital, Italy
  • 3Department of Biomedical and Neuromotor Sciences – DIBINEM, Alma Mater Università di Bologna, Italy
  • 4Unit of Occupational Medicine, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy
  • 5Rehabilitation Medicine Department, AULSS 3 Serenissima, Italy
  • 6Philips Healthcare, Italy
  • 7Department of Physical Medicine & Rehabilitation, Venice Hospital, Italy
  • 8General Hospital San Camillo of Treviso, Italy
  • 9University of Padova, Department of General Psychology, Italy
  • 10Movement Control and Neuroplasticity Research Group, KU Leuven, Belgium

The final, formatted version of the article will be published soon.

Background: Stroke is a debilitating disease affecting millions of people worldwide. Despite the survival rate has significantly increased over the years, many stroke survivors are left with severe impairments impacting their quality of life. Rehabilitation programs have proved to be successful in improving the recovery process. However, a reliable model of sensorimotor recovery and a clear identification of predictive markers of rehabilitation-induced recovery are still needed. This paper introduces the cross-modality protocols designed to investigate the rehabilitation treatment's effect in a group of stroke survivors.

Methods/Design: A total of 75 stroke patients, admitted at the IRCCS San Camillo rehabilitation Hospital in Venice (Italy), will be included in this study. Here, we describe the rehabilitation programs, clinical, neuropsychological and physiological/imaging (including EEG, TMS and MRI techniques) protocols set up for this study. Blood collection for the characterisation of predictive biological biomarkers will also be taken. Measures derived from data acquired will be used as predictors of motor recovery.

Discussion/Summary: The integration of cutting-edge physiological and imaging techniques, with clinical and cognitive assessment, dose of rehabilitation and biological variables will provide a unique opportunity to define a predictive model of recovery in stroke patients.Taken together, the data acquired in this project will help to define a model of rehabilitation induced sensorimotor recovery, with the final aim of developing personalised treatments promoting the greatest chance of recovery of the compromised functions.

Keywords: Stroke, rehabilitation-induced recovery, prediction, prognosis, Neurophysiology, Neuroimaging, biomarkers, upper limb ha formattato: Italiano

Received: 13 Apr 2023; Accepted: 19 Jun 2023.

Copyright: © 2023 Salvalaggio, Turolla, Ando', Barresi, Burgio, Busan, Cortese, D'imperio, Danesin, Ferrazzi, Maistrello, Mascotto, Parrotta, Pezzetta, Rigon, Vedovato, Zago, Zorzi, Arcara, Mantini and Filippini. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Mx. Silvia Salvalaggio, Padova Neuroscience Center, Università degli Studi di Padova, Padova, Italy
Mx. Nicola Filippini, IRCCS San Camillo Hospital, Venice, Italy

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