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, February 23, 2024

The muscle shortening maneuver in individuals with stroke: A consideration-of-concept randomized pilot trial

You can ask your doctor about this.

The Muscle Shortening Maneuver (MSM) is derived from Feldman's λ model of motor control, and seems to induce a more balanced agonist- antagonist-muscular action. The hypothesized mechanism of action is a modulation of the Tonic Stretch Reflex Threshold (TSRT).

 The muscle shortening maneuver in individuals with stroke: A consideration-of-concept randomized pilot trial

Topics in Stroke Rehabilitation. Volume 30(8), Pgs. 807-819.

NARIC Accession Number: J93486. What's this?
Author(s): Longo, Diego, Santini, Guido, Cherubini, Giulio, Melchiorre, Daniela, Ferrarello, Francesco, Bagni, Maria A..
Publication Year: 2023.
Abstract: Study investigated the mechanisms of action of the Muscle Shortening Maneuver (MSM), a noninvasive physical therapy approach that involves muscle shortening and solicitation in traction. The hypothesized mechanism of action is a modulation of the tonic stretch reflex thresholds (TSRTs). A secondary aim was to explore the implementation of the MSM as a stroke rehabilitation intervention to improve body functions and activities in individuals with limitations due to chronic stroke. Ten participants with chronic stroke were randomly assigned to MSM or conventional physical therapy (CPT) treatments. The TSRTs were assessed by the Montreal Spasticity Measure device. A selection of clinical and instrumental outcome measures assessed function and activity levels. Data were collected at baseline, end-of-treatment, and one month after the end-of-treatment. No adverse events were observed. In both between- and within-group post-treatment assessments, in the affected ankle the MSM group showed decreased TSRTs of the plantar flexor, increased strength of the dorsiflexor and active range of motion; also, the time needed to perform the Timed Up and Go test decreased. No changes were evident across assessments in the CPT group. The MSM seems able to modulate the TSRTs in individuals with stroke. Although with the limitations due to the pilot design, the variation in participants’ responses appears to be promising. Many methodological issues must be clarified and specified conceiving the progression toward a confirmatory trial.
Descriptor Terms: ELECTROPHYSIOLOGY, INTERVENTION, MOTOR SKILLS, MUSCLES, PHYSICAL THERAPY, SPASTICITY, STROKE.


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Citation: Longo, Diego, Santini, Guido, Cherubini, Giulio, Melchiorre, Daniela, Ferrarello, Francesco, Bagni, Maria A.. (2023.) The muscle shortening maneuver in individuals with stroke: A consideration-of-concept randomized pilot trial. Topics in Stroke Rehabilitation., 30(8), Pgs. 807-819. Retrieved 2/23/2024, from REHABDATA database.

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