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.

Wednesday, April 9, 2025

The impact of time on quality of motor control of the paretic upper limb after stroke

With my spasticity I have no reach to grasp at all. WHOM is working on curing spasticity?

The impact of time on quality of motor control of the paretic upper limb after stroke
Joost van Kordelaar, Erwin E.H. van Wegen, Gert Kwakkel Arch Phys Med Rehabil 2014; 95:338-44
Chapter 5100

ABSTRACT

Objective. 
To establish the time course of recovery regarding smoothness of upper limb movements in the first 6 months after stroke. 
Design. 
Cohort study with 3D kinematic measurements in week 1, 2, 3, 4, 5, 8, 12 and 26 after stroke. Setting. On-site 3D kinematic measurements in stroke units, rehabilitation centers, nursing homes and patents’ homes. Participants. Forty-four patients (19 women, 25 men; mean age: 58 ± 12 years) with a first-ever unilateral ischemic stroke and incomplete upper limb paresis (27 leftsided, 17 right sided) were included.
Main Outcome Measures. 
In each measurement, an electromagnetic motion tracker acquired hand and finger trajectories during a reach-to-grasp task. Movement duration was determined, and smoothness of hand transport and grasp aperture were quantified by normalized jerk. Using random coefficient analysis, the effect of progress of tme on smoothness of hand transport and grasp aperture was investigated. Results. During the first 5 weeks after stroke, there was a significant contribution of progress of time to reductions in movement duration and normalized jerk of hand transport and grasp aperture (p < 0.01). 
Conclusions. 
The present longitudinal 3D kinematic study showed that smoothness of paretic upper limb movements improves in the first 8 weeks after stroke. This improvement suggests that motor control normalizes in the first 8 weeks after stroke and can be mostly explained by spontaneous neurological recovery that occurs typically in the first weeks after stroke. Future 3D kinematic studies should investigate whether therapies starting early after stroke can improve the quality of motor control beyond spontaneous neurological recovery.
Recovery of upper limb control afer stroke 101 5 INTRODUCTION Time poststroke is one of the most neglected features in explaining recovery
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