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, January 11, 2026

Neuroplasticity and sensory-motor synergy: Implications for hand function and rehabilitation

 Didn't your competent? doctor create protocols for this way back in 2001?

Margaret Yekutiel wrote a whole book about this in 2001, 'Sensory Re-Education of the Hand After Stroke'.

Of course, your competent? doctor put together somatosensory protocols from this earlier research a long time ago, right? Oh no, you DON'T have a functioning stroke doctor, do you? Too bad, it's your problem to solve since your stroke hospital board of directors is fucking incompetent in running their hospital! 25 years of incompetence! WOW, that's got to be a record for staying incompetent!

Neuroplasticity and sensory-motor synergy: Implications for hand function and rehabilitation

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https://doi.org/10.1016/j.jht.2025.10.004
Get rights and content
Under a Creative Commons license
Open access

Highlights

  • •
    CNS continuously adapts to changed activity, environmental changes, learning, and injury - neuroplasticity.
  • •
    Neuroplasticity is life-long and presents opportunities for therapeutic interventions.
  • •
    Training should commence early after injury due to the rapid cortical changes following input changes.
  • •
    Engagement and sense of meaningfulness are important in making training efficient.

Abstract

Background

Normal hand function relies on a finely tuned interaction between the sensory and motor systems within the central and peripheral nervous systems. The central nervous system continuously adapts to changed activity, environmental changes, learning, and injury — a phenomenon known as neuroplasticity. The neuroplasticity is a life-long ability and presents opportunities for therapeutic intervention; by directing it, lost or impaired functions can be improved through a process called "guided plasticity".

Purpose

To give an overview of methods of guided plasticity used in hand rehabilitation

Study design/Method

Expert review

Result

This overview highlights the cortical process for neuroplasticity, sensory-motor synergy, and its implications for hand function and rehabilitation.
Sensory and motor training should commence as early as possible after an injury due to the rapid cortical changes following input changes — a cortical preparation.

Conclusion

As research progresses, we can expect further refinements in rehabilitation techniques and neuro engineering, potentially leading to improved outcomes for patients with hand injuries.
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