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, May 26, 2024

The impact of bilateral therapy on upper limb function after chronic stroke: a systematic review

In 14 years has your doctor, therapists and hospital put together an EXACT PROTOCOL on this for your recovery? NO? So you are at an incompetent everything to do with stroke? RUN AWAY!

Do you prefer your  doctor, therapist and hospital  incompetence NOT KNOWING? OR NOT DOING?

 


 The impact of bilateral therapy on upper limb function after chronic stroke: a systematic review 

Accepted November 2009
CHRISTOPHER PAUL LATIMER, JUSTINE KEELING, BRODERICK LIN, MEREDITH HENDERSON & LEIGH ANNE HALE Centre for Physiotherapy Research, University of Otago, Dunedin, New Zealand Accepted November 2009  
 

Abstract  

 
Purpose. 
 
 To determine the evidence for bilateral therapy interventions aimed at improving upper limb (UL) function in adults with a range of UL activity limitations due to a first time chronic stroke. Method. Seven databases were searched prior to 2008 for articles reporting experimental studies investigating bilateral UL interventions on functional outcome in participants with a first stroke, 6 or more months prior. Included articles were evaluated with the quality index, a tool which evaluates the quality of both randomised and non-randomised studies. Data relating to study design and functional outcome were extracted. Results. Nine articles were included; three reported on randomised controlled trials (RCT) and six on cohort studies. Eight studies incorporated a mechanical device as their bilateral intervention. Bilateral arm training with rhythmic auditory cueing (BATRAC) was the most commonly used mechanically based intervention, and three of the four uncontrolled BATRAC studies reported significant improvements in UL function post-intervention, however these results were not substantiated by a RCT study of the BATRAC intervention. One study demonstrated significant functional improvements after 6 days of training with a non-mechanical bilateral task. Of the four studies that performed a follow-up assessment, three reported significant improvement in UL function. Quality index ratings of the included studies ranged from 18 to 25 out of 27.  
 
Conclusion.  
 
There is some evidence that bilateral therapy improves function in adults with chronic stroke, however more quality RCTs(This had better not be the excuse for doing nothing!) are required to strengthen this evidence.

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