Deans' stroke musings: The Re-education of Trunk Stability and Functional Sit-to-Stand Movement Using Neuroplasticity Principles in a Patient with Intracerebral Hemorrhage: A Case Report

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.

Thursday, March 19, 2026

The Re-education of Trunk Stability and Functional Sit-to-Stand Movement Using Neuroplasticity Principles in a Patient with Intracerebral Hemorrhage: A Case Report

(You incompetently didn't know of the uselessness of Bobath?

Who still uses NDT(Bobath) in stroke rehab when it should have been shitcanned since 2003? Physiotherapy Based on the Bobath Concept for Adults with Post-Stroke Hemiplegia: A Review of Effectiveness Studies 2003))

The latest here:

The Re-education of Trunk Stability and Functional Sit-to-Stand Movement Using Neuroplasticity Principles in a Patient with Intracerebral Hemorrhage: A Case Report

( Jin-mo Choi ) , ( Seung-jun Oh ) , ( Ha-eun Park )

임상인체동작과학회 2026.03

임상인체동작과학회지 vol. 30 iss. 1 65-73(9pages)

DOI 10.17817/JCMSH.2026.30.1.8

Abstract

Purpose This case report aims to evaluate the efficacy of a neuroplasticity-based intervention, grounded in the Bobath concept, for improving trunk stability and functional sit-to-stand movement in a patient with hemiplegia following an intracerebral hemorrhage(ICH). Methods A 45-year-old male with right hemiplegia and significant functional limitations underwent a four-session therapeutic intervention using Bobath-based manual facilitation(pelvic stability and intrinsic foot muscle activation). This study employed an A-B single-case experimental design focused on foundational structural alignment and dynamic functional control. Outcome measures included the Trunk Impairment Scale(TIS) for clinical trunk control, digital image analysis(ImageJ) for kinematic assessment of trunk lateral flexion and knee valgus angles, and high-resolution pressure mapping(Zebris FDM) for kinetic evaluation of weight distribution. Results Following the intervention, the TIS score improved from 11 to 16 points. Kinematic analysis revealed a reduction in excessive trunk lateral flexion from 22.104° to 18.127° and a decrease in the knee valgus angle from 30.523° to 28.334°. Kinetic data demonstrated a significant 17% shift in average force toward the affected right side, increasing from 27% to 44%. Qualitatively, the patient reported enhanced proprioceptive awareness and required markedly less assistance for functional transfers. Conclusion This study suggests that even in chronic stroke recovery, neuroplasticity-based interventions focusing on distal-proximal relationships can effectively inhibit compensatory patterns and restore functional movement. While promising, these results from a single-case study require systematic validation through future research with larger, diverse clinical populations.