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, March 14, 2014

Clinical feasibility of action observation training for walking function of patients with post-stroke hemiparesis: a randomized controlled trial

More proof that action observation works. When will your therapy department start using this? 
Or are they so scared that they never change the status quo?
http://cre.sagepub.com/content/early/2014/02/24/0269215514523145.abstract 
 
  1. Hye-Ryoung Park1
  2. Jong-Man Kim2
  3. Moon-Kyu Lee1
  4. Duck-Won Oh3
  1. 1Department of Physical Therapy, Gwangju City Rehabilitation Hospital, Gwangju, Republic of Korea
  2. 2Department of Physical Therapy, College of Medicine, Seonam University, Namwon-si, Republic of Korea
  3. 3Department of Physical Therapy, College of Health Science, Cheongju University, Chungbuk, Republic of Korea
  1. Duck-Won Oh, Department of Physical Therapy, College of Health Science, Cheongju University, 298 Daeseongro, Sangdang-gu, Cheongju, Chungbuk, 360-764, Republic of Korea. Email: odduck@cju.ac.kr

Abstract

Objective: To identify the effects of action observation training (AOT) on the walking ability of subjects with post-stroke hemiparesis.
Design: Randomized, single-blind, controlled pilot study.
Setting: Inpatient rehabilitation hospital.
Subjects: Twenty-one subjects with post-stroke hemiparesis were randomly allocated to either the experimental group (EG) or the control group (CG), with 11 and 10 patients, respectively.
Interventions: The subjects in the EG and CG watched video clips demonstrating four functional walking tasks and showing different landscape images, respectively. All subjects subsequently performed the walking tasks (a total of 30 min, once a day, 3 times weekly for a 4-week period).
Main measures: 10-m walk test, figure-of-8 walk test (time and steps), dynamic gait index (DGI), and gait symmetry score (swing and stance phases, and stride length) before and after the intervention.
Results: The changes between the pre- and post-test values of the 10-m walk test (median [interquartile range], -5.10 [-15.80–-1.60] versus 0.00 [-6.60–4.06]), figure-of-8 walk test (time: -3.50 [-12.60–-2.00] versus -1.25 [-4.98–0.25]; steps:-5.00 [-8.00–-2.00] versus 0.00 [-3.25–0.25]), and DGI (4.00 [3.00–6.00] versus 1.00 [-4.00–3.00]) showed significant differences between the EG and CG (p < 0.05). In the EG, the 10-m walk test, time and steps of figure-of-8 walk test, DGI, and gait symmetry score in the stance phase showed significant differences between pre- and post-test (p < 0.05).
Conclusions: The findings suggest that AOT can be beneficial in enhancing walking ability of patients with post-stroke hemiparesis, and may be clinically feasible as a practical adjunct to routine rehabilitation therapy. A power calculation on our data showed that 20 subjects in each group were required for further definitive studies.

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