Imagine you have two people; one person has an absolutely stellar sense of direction. They never seem to get lost. The other person has no sense direction at all. They get lost in their own neighborhood. Let's say the “neighborhood looser” buys a GPS. Now who has a better sense of direction?
Imagine you have two therapists; one therapist is very smart, intuitive, conscientious, and caring. Everyone says they are a great therapist. The other therapist is sloppy, snotty and disorganized. Let's say snotty therapist reads a lot of stroke recovery research and implements what he reads. Now who is the better therapist?
By: "stroke recovery blog" "stroke blog" "stronger after stroke blog"
9 comments:
Ok I'll bite Peter,
What should a therapist say when presented with dead brain? Can't move the arm because that part of the motor cortex is dead. We do have to make an assumption that the therapist learned about this by stealing a look at an MRI.
Any evidence-based therapy out there?
Dean
The first thing that should happen is the subacute period should not be squandered. Ton of neurons are in play during that period. 2nd, practice should be repetitive and demanding. BUT. There are survivors who don't respond no matter what. It may have to do with a genetic anomaly. Reference here:
http://www.ncbi.nlm.nih.gov/pubmed/21228186
Can't let you get off that easily.
Do we even know how long we have before the neuronal cascade of death is complete?
So true.I used to have a therappist who is plain ignorant of what neuroplasticity is.Most of her patients didn't improve except me.I switched to a different therapist who was so intelligent, and made me worked so hard.My response to therapy was slow because no one noticed at that time I was developing symptoms of hemidystonia.I'm such a believer of neuroplasticty,I am ready to bet anytime that any brain disorder can be cured by neuroplasticity unless other diseases are intervening.
Dean: yes we do know when the "neuronal cascade " (I might have to steal that) ends. But you'll have to buy the 2nd Ed. of my book to find out. Kidding! In fact, I'll be asking the publisher to send you a copy. Back to the question: neurons come back on line during the subacute phase and that phase ends at the plateau. These epochs are measurable with brain scans. But they are also visible.
I love the term neuronal cascade of death, not only because I have been promoting it but because it creates a much better sense of urgency than the bland term - neuroprotective.
thanks for the ncbi reference.i'll study this bdnf polymorphism the moment i return to our research lab.
i have begun my bdnf research by checking out the most recent studies.Found this one interesting:
http://www.ncbi.nlm.nih.gov/pubmed/22221491
this paper is very important as i plan to make a switch from basic science to the world of rehabilitation: http://www.ncbi.nlm.nih.gov/pubmed/21482550
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