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.

Sunday, February 4, 2024

Testing spasticity mechanisms in chronic stroke before and after intervention with contralesional motor cortex 1 Hz rTMS and physiotherapy

If this really worked, where is the EXACT PROTOCOL located so survivors can find it and deliver it to their doctor and therapists?  It's been proven many times that no one in the stroke medical 'profession' keeps current with stroke research!

 Testing spasticity mechanisms in chronic stroke before and after intervention with contralesional motor cortex 1 Hz rTMS and physiotherapy

Journal of NeuroEngineering and Rehabilitation. Volume 20(150)

NARIC Accession Number: J93169. What's this?
Author(s): Mahmoud, Wala, Hultborn, Hans, Zuluaga, Jagoba, Zrenner, Christoph, Zrenner, Brigitte, Ziemann, Ulf, Ramos‑Murguialday, Ander.
Publication Year: 2023.
Abstract: Study examined the effects of an intervention combining repetitive transcranial magnetic stimulation (rTMS) and physiotherapy on spasticity of the wrist flexors in chronic stroke patients. The effects of 1 Hz rTMS in combination with 50 minutes of physiotherapy, 3 times a week for 4 to 6 weeks on spasticity of the wrist flexor muscles was measured in 54 chronic stroke patients using a hand-held dynamometer for objective quantification of the stretch reflex response. In addition, researchers measured the excitability of three spinal mechanisms thought to be related to post-stroke spasticity: post-activation depression, presynaptic inhibition and reciprocal inhibition before and after the intervention. Effects on motor impairment and function were also assessed using standardized stroke-specific clinical scales. The stretch reflex-mediated torque in the wrist flexors was significantly reduced after the intervention, while no change was detected in the passive stiffness. Additionally, there was a significant improvement in the clinical tests of motor impairment and function. There were no significant changes in the excitability of any of the measured spinal mechanisms. This study demonstrated that contralesional motor cortex 1 Hz rTMS and physiotherapy can reduce the stretch reflex-mediated component of resistance to muscle stretch without affecting passive stiffness in chronic stroke. The specific physiological mechanisms driving this spasticity reduction remain unresolved, as no changes were observed in the excitability of the investigated spinal mechanisms.
Descriptor Terms: BRAIN, ELECTRICAL STIMULATION, INTERVENTION, MOTOR SKILLS, MUSCLES, NEUROMUSCULAR DISORDERS, PHYSICAL THERAPY, SPASTICITY, STROKE.


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Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01275-9(link is external).

Citation: Mahmoud, Wala, Hultborn, Hans, Zuluaga, Jagoba, Zrenner, Christoph, Zrenner, Brigitte, Ziemann, Ulf, Ramos‑Murguialday, Ander. (2023.) Testing spasticity mechanisms in chronic stroke before and after intervention with contralesional motor cortex 1 Hz rTMS and physiotherapy. Journal of NeuroEngineering and Rehabilitation., 20(150) Retrieved 1/30/2024, from REHABDATA database.

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