Electrical Stimulation (E-Stim)
- E-Stim to Reduce Spasticity in the Leg
- Upper limb electrical stimulation exercises
- All The Things E-Stim Can Do For Stroke Recovery
- General considerations for E-Stim
- Videos: How to E-Stim any muscle group!
Bilateral Arm Training
Increasing walking speed
- Speed-Dependent Treadmill Training
- Double walking speed with verbal encouragement (QUICK READ)
- Double walking speed with verbal encouragement (FULL STUDY)
Constraint Induced Therapy (CIT)
CIT decreases spasticity and “pathological” synergies
- CIT reduces spasticity
- CIT reduces spasticity and increases functional use
- CIT increases strength and decreases spasticity
- Intensive training in patients with increased muscle tone improves function without exacerbating spasticity
CIT early after stroke may not be a good idea
Amazing CIT dissertation by STACY L. FRITZ that includes:
- MOTOR ACTIVITY LOG (MAL) Manual, WOLF MOTOR FUNCTION TEST, FUGL-MEYER Upper Extremity Motor score sheet, CIT HOME DIARY, CIT DAILY ACTIVITY LOG, BEHAVIORAL CONTRACT FORM
Why task specific practice important in neurorehab
- Taping for genu recurvatum
- How a Baclofen Pump Works
- GRAPHIC: Selective Dorsal Rhizotomy (starts @ 2 min in)
- GRAPHIC: What your brain really looks like
- GRAPHIC: Surgery for Acute Subdural Hematoma
- Great ideas for survivors to self-recover by "super-survivor" Kathy Spencer
- Brilliant vid on the great work MDs do to lessen the effects of stroke-- fantastic graphics!
- Kahn Academy: types of ischemic stroke
Researching Stroke Recovery
- Evidence-based review of stroke rehabilitation
- StrokEngine: Tons of info for therapists and survivors
- PubMed Central: Free Journal Articles
- PubMed Health: Free bottom line reviews
- Cochrane Database of Systematic Reviews
- TRIP Database: a smart, fast tool to find high quality clinical research evidence
Clinical Guidelines from around the World
Information About Other Forms of Brain Injury
Find Stroke-Recovery Research in Your Area
Two Free Stroke-Specific Magazines
- The best Rehab Outcome Measure search engine EVER!
- Calculator to score patients accurately for G-Code Med. B (Claims-Based Outcomes Reporting [CBOR])
- TONS MORE stroke recovery tests
- Nottingham Sensory Assessment
- Walking Speed: the Sixth Vital Sign
- 10m Walk Test: What Does the Data Mean?
- FUGL- MEYER: Rules for UE and LE
- FUGL- MEYER: Score sheet for UE and LE
- Motor Activity Log (MAL) Manual
- The Modified Ashworth: U.E and L.E (clean)
Cognitive (mental) Tests
Posterior Pusher Syndrome (or) posterior pelvic tilting
Articles by Pete
←See list of selected articles on the lower left column of this blog
Walking within within 24 hours after stroke: help or hurt?
· An article where they interviewed therapists, docs and nurses: Conclusion: Our study shows that most clinicians had concerns in relation to early mobilization of stroke patients and more clinicians had concerns for hemorrhagic than for ischemic stroke.
· An article looking at very early mobilization and depression: Conclusion: Very early mobilization may reduce depressive symptoms in stroke patients at 7 days post-stroke.
· Early mobilization out of bed after stroke may be all good: Conclusion: It seems to reduce severe complications but not cerebral blood flow:
· Early mobilization out of bed after stroke, maybe: Conclusions: Insufficient data are available to prove the beneficial effects of early mobilization after stroke.
· A Very Early Rehabilitation Trial for Stroke (AVERT): Conclusions: Very early mobilization of patients within 24 hours of acute stroke appears safe and feasible.
· The LEAPS trial (the largest study ever done on post-stroke rehab): "patients who received early locomotor training experienced more multiple falls."