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, October 20, 2023

Examining the Delivery Mode of Mental Practice in Reducing Hemiparesis: A Randomized Controlled TrialHemiparesis: A Randomized Controlled Trial

So write this up as a protocol and deliver it to all 10 million yearly stroke survivors

  now and into the future. Just writing this in a journal DOES NOTHING TO GET SURVIVORS RECOVERED!

 Examining the Delivery Mode of Mental Practice in Reducing
Hemiparesis: A Randomized Controlled Trial

Teresa M. GreenAdventist Healthcare Rehabilitation - USA, tgreen12@twu.edu
Nicole M. FrommAdventist Healthcare Rehabilitation - USA, Nfromm@adventisthealthcare.com
Farida Sita GayleAdventist Healthcare Rehabiliation - USA, Farida.sita@gmail.com
Jinna LeeAdventist Healthcare Rehabilitation - USA, jinna1201@gmail.com
Wanyi WangTexas Woman's University - USA, wwang@twu.edu
Asha K. VasTexas Woman's University - USA, avas@twu.edu
Follow this and additional works at: https://scholarworks.wmich.edu/ojot
Part of the Occupational Therapy Commons
Recommended Citation
Green, T. M., Fromm, N. M., Gayle, F. S., Lee, J., Wang, W., & Vas, A. K. (2023). Examining the Delivery Mode
of Mental Practice in Reducing Hemiparesis: A Randomized Controlled Trial.
The Open Journal of
Occupational Therapy, 11(4), 1-9. https://doi.org/10.15453/2168-6408.2149

Abstract

Background:  
 
Mental Practice (MP) is an effective intervention to address upper extremity (UE)
hemiparesis post-stroke. However, parameters for the delivery mode of MP have not been defined.
Therefore, this study's purpose was to define delivery mode parameters by comparing the effectiveness
of audio-guided and video-guided MP.
 
Method: 
 
Eighteen participants, < 1-month post-stroke, with UE hemiparesis were randomized to a MP,
repetitive task practice (RTP) or control group. The MP groups performed audio-guided or video-guided
MP, 5x/week. The RTP group physically performed the functional tasks. The control group received
traditional stroke rehabilitation. The Fugl-Meyer Assessment (FMA-UE) and Wolf Motor Function Test
(WMFT) were used to assess change in UE hemiparesis.
 
Results: 
 
Wilcoxon signed-rank test demonstrated audio MP increased FMA-UE scores from pretest (Mdn =
34.0, Mean = 34.0,
SD =9.56) to posttest (Mdn = 49.0, Mean = 49.6,
SD =7.5), p = .042, r = .64. Similar
improvement in FMA-UE scores was found with traditional therapy. Audio MP decreased WMFT time,
pretest (Mdn = 10.5, Mean = 49.9,
SD = 59.1) to posttest (Mdn = 4.1, Mean = 3.5,
SD = 1.4), p =.043, r =.63.
 
Conclusion: 
 
Audio MP and traditional therapy appear to decrease impairment and increase the functional
abilities of the UE following stroke.
Video MP and RTP does not have this effect.
Comments
The authors declare that they have no competing financial, professional, or personal interest that might
have influenced the performance or presentation of the work described in this manuscript

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