Deans' stroke musings: Optimal Strategies of Upper Limb Motor Rehabilitation after Stroke

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.

Saturday, April 19, 2014

Optimal Strategies of Upper Limb Motor Rehabilitation after Stroke

Well I the guess the strategies to recover upper limb function are out there. Everyone else in the world is too dumb to find them. I think whatever is in the paper really doesn't work because there is no defined way to recover functionality that was in a dead brain area. But have your doctor get the paper because your doctor never knows what useful tidbits are found there.
http://synapse.koreamed.org/DOIx.php?id=10.12786/bn.2014.7.1.21

Myung Jun Shin, M.D., Sang Hun Kim, M.D., Chang-Hyung Lee, M.D., Ph.D.,¹ and Yong-Il Shin, M.D., Ph.D.¹
Department of Rehabilitation Medicine, Pusan National University Hospital, Korea.
¹Department of Rehabilitation Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Korea.
Correspondence to: Yong-Il Shin, Department of Rehabilitation Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan 626-770, Korea. Tel: 055-360-2872, Fax: 055-360-4251, Email: rmshin@pusan.ac.kr



Go to: Abstract
The purpose of this review is to provide a comprehensive approach for optimal strategies of upper limb motor rehabilitation after stroke. Stroke is a common, serious, and disabling global health-care problem. Optimal organization of rehabilitation for stroke patients has been extensively documented. (Bullshit) However, between 30% and 66% of individuals with stroke do not obtain satisfactory motor recovery of the affected upper limb with rehabilitative interventions. The recovery of the affected upper extremity depends on intensity, task progression, and repetition to neural plasticity, namely, the ability of central nervous system cells to modify their structure and function in response to external stimuli. Recently, constraint-induced movement therapy, motor imagery, action observation, or mirror therapy has emerged as interesting options as add-on interventions to standard physical therapies. In this review, we will discuss to establish a framework by which several promising interventions for neural plasticity.