Stroke Therapy Research. What works?
NeuroRehab Team
Friday, January 13th, 2023
Arm and HandElectrical StimulationHand Function SplintsMental PracticeMirror TherapyNeuroplasticityStroke Statistics
Every 2.1 seconds, someone in the world suffers a stroke. Stroke is the #1 cause of long-term disability worldwide. Globally, there are over 15 million stroke survivors. With respect to the United States, there are approximately 5.1 million stroke survivors alive today in the US. It is the third leading cause of death in USA and the numbers are expected to double by 2030.
How Long Should I Use Electrical Stimulation for My Stroke?
NeuroRehab Team
Monday, January 9th, 2023
Electrical Stimulation. How much is enough?
Over the years, many stroke survivors have stated that their therapist recommended 20-30 minutes of electrical stimulation to a targeted area for daily home use. Are we are missing an opportunity to maximize the therapeutic benefit of stimulation by limiting the total treatment time under 30 minutes?
Free Constraint-Induced Movement Therapy CEU Course for OT’s
NeuroRehab Team
Wednesday, December 28th, 2022
Course Title:
Constraint-Induced Movement Therapy. Understanding the Facts and Myths.
Overview:
This AOTA approved online self-study continuing education class will introduce you to evidence-based practice surrounding Constraint-Induced Movement Therapy to the stroke population.
The online class is intended for medical professionals (e.g. OT/OTA, PT/PTA, Physicians, etc.) directly related to the rehabilitation of a patient or client. To participate in this CEU and receive credit, the participant must be a licensed, treating clinician. Completion of this course will reward the participant with .1 CEUs or 1 contact hour, following completion of the presentation and a ≥80% score on the quiz. You will have 90 days to complete this course.
Free Online CEU Electrical Stimulation Course for OT’s
NeuroRehab Team
Monday, December 26th, 2022
Course Title:
Electrical Stimulation for Stroke Recovery. A review of evidence-based clinical considerations.
Overview:
This AOTA approved online self-study continuing education class will introduce you to evidence-based practice surrounding electrical stimulation to the stroke population.
The online class is intended for medical professionals (e.g. OT/OTA, PT/PTA, Physicians, etc.) directly related to the rehabilitation of a patient or client. To participate in this CEU and receive credit, the participant must be a licensed, treating clinician. Completion of this course will reward the participant with .1 CEUs or 1 contact hour, following completion of the presentation and a ≥80% score on the quiz. You will have 90 days to complete this course.
Stop Learned Non-Use to Improve Stroke Recovery
NeuroRehab Team
Wednesday, December 21st, 2022
If one asked 10 new stroke survivors the following question, what do you think they would say?
“Would you rather spend most of your time learning compensatory one-handed strategies with your unaffected side, or would you rather focus on improving strength, range of motion and function in your affected limb?” That’s a big question.
Stroke Shoulder Online CEU Course Now Available
NeuroRehab Team
Thursday, December 8th, 2022
Stroke Shoulder Simplified.
Demystifying subluxation, pain and stiffness.
Robotic Therapy for Stroke. Is it Overrated?
NeuroRehab Team
Friday, December 2nd, 2022
Robot-assisted therapy has become increasingly popular over the last 2 decades. In fact, it is so well-known that out of the 1,300 RCT’s in UE stroke recovery, robotic research leads the pack with 112 RCT’s! There is no doubt robotic therapy, in some form or fashion, is here to stay, however is it a MUST-HAVE or a NICE-TO-HAVE intervention?
Online Shoulder Stroke/Neuro Occupational Therapy CEUs
NeuroRehab Team
Saturday, November 26th, 2022
Shoulder pain resulting from stroke hemiplegia is a common clinical consequence. Hemiplegic shoulder pain can occur as early as two weeks post-stroke but an onset of two to three months is more typical. Frozen shoulder, pain and weakness can negatively affect rehabilitation outcomes as good shoulder function is a prerequisite for successful transfers, maintaining balance, effective hand function, and performing ADL’s activities of daily living.
Should You Strengthen a Spastic Muscle?
NeuroRehab Team
Wednesday, November 23rd, 2022
Great question. The answer is ABSOLUTELY!
For some clinicians, strengthening a hyperactive or spastic muscle is a very controversial topic. The thought of having stroke survivors squeeze their spastic finger flexors or flex their overactive biceps causes some clinicians to cringe.
How to Select a Top OT Stroke CEU – Continuing Education Class
NeuroRehab Team
Saturday, November 19th, 2022
Stroke recovery is a hard and long journey for most patients. There are therapists that “treat neuro patients” and then there are “neuro therapists”. In order for a patient to reach maximum potential with their rehab journey, they will need a clinician that understands, appreciates and knows the neurorecovery process.
Stroke Plateaus are Not Permanent
NeuroRehab Team
Friday, November 18th, 2022
Hand Function SplintsNeuroplasticity
There is no expiration date on neuroplasticity.
Just like athletes and musicians, many stroke survivors will have periodic and temporary plateaus or setbacks as they continue to improve. It is a back-and-forth process. Improve a little, then a plateau occurs. Modify the training and improve some more. Then, here comes another plateau. Modify again. You get the idea.
Free Occupational Therapy – OT CEUs
NeuroRehab Team
Wednesday, November 16th, 2022
Free OT CEUs!
Occupational Therapy (OT) CEU’s are part of the necessary requirements to maintain one’s license. In addition, a clinician may seek out paid or free continuing education classes (CEU) to advance his or her knowledge and skill set.
Improve Results Following Stroke with These Simple Steps.
NeuroRehab Team
Monday, November 14th, 2022
Mental PracticeMirror TherapyNeuroplasticitypriming
Priming the Brain Works.
Better clinical outcomes following stroke are associated with interventions such as cortical priming resulting in increased excitability of the motor cortex (Catano et al).
Priming is a technique used to enhance the brain’s ability to re-balance the 2 hemispheres following a stroke. Priming interventions include invasive and non-invasive techniques and can be administered prior to or during therapy.
The Best Way to Treat Shoulder Subluxation
NeuroRehab Team
Friday, November 4th, 2022
Electrical Stimulationshouldersubluxation
The shoulder is the most complicated joint in the human body. It’s also one of the most difficult aspects of recovery for hemiplegic stroke survivors.
Why?
Be Like Mike. Mental Practice Improves Stroke Arm and Hand Weakness.
NeuroRehab Team
Friday, October 28th, 2022
Mental PracticeNeuroplasticity
Be Like Mike.
Before each race, Michael Phelps, the 28-time Olympic medalist, would sit quietly and perform mental reps, imagining his performance step-by-step.
Stroke Survivors Should Look in the Mirror – Daily.
NeuroRehab Team
Friday, October 14th, 2022
Stroke survivors are beautiful and handsome heroes. But it’s not about vanity – it’s about recovery. Mirror Therapy (MT) is a critical intervention – yet vastly underutilized.
Neuroplasticity Following Stroke: How the Brain Improves.
NeuroRehab Team
Friday, October 7th, 2022
The Brain is Fascinating!
The brain consists of 100 billion neurons and 200 trillion synapses. It’s nearly impossible to grasp the complexity and power of this amazing organ. During a stroke, 32,000 neurons die every SECOND, totaling around 1.2 billion for the entire event. That’s a lot, but consider the total neurons in the brain, it’s around 1%. That means 99% of the brain is still intact!
Prevent Falls After Stroke
NeuroRehab Team
Sunday, August 22nd, 2021
Falls can happen anytime and anywhere to people of any age. However, as people get older, or suffer neurological injuries such as stroke, the number of falls and the severity of injury resulting from falls increases. Taking precautions to prevent falling after stroke can help save a life. Falling is the leading cause of accidental home deaths, and they are a major reason for 40% of admissions to nursing homes.
Constraint-Induced Movement Therapy (CIMT) for Stroke Therapy
NeuroRehab Team
Saturday, June 26th, 2021
Constraint-Induced Movement Therapy (CIMT) is a form of treatment designed to decrease the impact of a stroke on the upper-limb (UL) function of some stroke survivors. It is a behavioral approach to neurorehabilitation[2] based on “Learned- Nonuse”.
Gondola Medical Foot Device Helps Patients with Walking and Balance Disorders
NeuroRehab Team
Wednesday, March 24th, 2021
Electrical StimulationLegNeuroplasticity
The Gondola Medical Device provides a non-invasive mechanical stimulation based on pressure pulses. The pulses are applied in two specific areas of both feet, the head of the big toe and the first metatarsal joint. The treatment comprises four cycles of stimulation; one cycle includes a six-second stimulation of each of the four target areas (total: 24 sec). The overall treatment consists of four repetitions of the stimulation cycle (total: 2 minutes). This method of treatment is called “Automated Mechanical Peripheral Stimulation” (AMPS).
UE Ranger Helps Improve Shoulder and Arm Strength
NeuroRehab Team
Thursday, March 11th, 2021
The UE Ranger was designed to help you exercise your arm not only in the clinic during your rehab sessions, but also at home. More rehab equals more recovery, so empowering yourself with the UE Ranger at home is a game changer.
The Xtern : A Game Changer for Foot Drop Patients
NeuroRehab Team
Tuesday, February 9th, 2021
When François suffered multiple injuries from a snowmobile accident in 2001, he knew his life would change forever. After fracturing both legs and knees, he was left with a complete foot drop on one side. Over the years, he tried various ankle and foot orthosis (AFOs), but couldn’t find the one that would allow him to get his life back. That’s how Turbomed was born.
NIH Stroke Scale: What is it and how does it work?
NeuroRehab Team
Friday, January 22nd, 2021
National Institutes of Health Stroke Scale (NIHSS) is a clinical tool that measures stroke-related neurologic deficits. This measure can be quantified. NIHSS is used in modern neurology for three main objectives;
- to evaluate the violence of stroke to its patients and document the neurological status of the patients.
- To determine the treatment to be administered to patients by planning the appropriate patient care and act as a common language for the exchange of information understood by healthcare providers.
- To predict the outcome of the patient from the illness, both long and short term outcomes. It can also indicate a lesion size and be a measure of stroke severity.
Stroke Survival Statistics: Key Facts To Know
NeuroRehab Team
Wednesday, December 23rd, 2020
Stroke Statistics
Stroke is among the leading causes of severe long-term disabilities. It reduces mobility in more than 50% of its patients who are aged 65 and above. According to NINDS, 15-30% of patients develop a permanent physical disability while most patients regain their hands and legs’ functionality. Symptoms associated with stroke vary from dizziness, fatigue, blurred vision, slurred speech, fatigue, and numbness. However, according to a survey done, only 38% of the respondents knew the stroke’s significant symptoms. The most recognized sign by 98% of the respondents was numbness on one side. Knowing these symptoms is crucial because it can reduce disability in patients. Those who start receiving treatment three hours after the first symptom show less disability than those who receive delayed care.
Top Stroke Exercise for Arm Strength
NeuroRehab Team
Tuesday, December 15th, 2020
A stroke occurs when the blood vessels in your brain bleed due to a rupture. It can also happen when the blood supply to your brain is blocked. When blood supply is blocked, or blood vessels rupture, blood, and oxygen do not reach the brain tissues, and without oxygen, these cells and tissues become damaged and start dying within a short time.
Treat Shoulder Subluxation Safely With New Therapy Tool
NeuroRehab Team
Monday, December 7th, 2020
Despite many different style arm slings for stroke, current shoulder positioning devices don’t address the numerous frustrations patients and therapists describe when trying to effectively treat a subluxed shoulder that is the result of a brain injury or spinal cord injury. Common reasons reported why existing shoulder subluxation products are less than favorable and aren’t worn regularly include:
Cognitive Neuro Therapy Tool Helps Patients Improve Function and Independence
NeuroRehab Team
Wednesday, December 2nd, 2020
NeuronUP is a 3-in-1 tool to help the neurorehabilitation specialist save time in a clinical setting. The web based platform that offers professionals activities of daily living for the rehabilitation and cognitive stimulation of people with brain damage, neurodegenerative diseases (Alzheimer’s, MS, Parkinson’s), neurodevelopmental disorders (ADHD, ASD), mental and intellectual disabilities, deficits from normal aging, etc.
Must Read Stroke Recovery Book for Caregivers and Survivors
NeuroRehab Team
Wednesday, December 2nd, 2020
Readers are calling Hope After Stroke for Caregivers and Survivors: The Holistic Guide to Getting Your Life Back, the “The Stroke Bible,” that should be in every hospital and rehab facility. It’s a must read for every caregiver and survivor.
Grip Device Helps Patients with Poor Grip Strength Improve Independence
NeuroRehab Team
Wednesday, December 2nd, 2020
Adaptive EquipmentArm and HandGrip Aid
EazyHold is an innovative grip aid for children and adults who have limited grip abilities. The silicone universal cuffs adapt easily to hold eating utensils, grooming aids, crayons, sports, equip, musical instruments, and even toys! They gently hug the back of the hand and support the tool, relieving the need for grip and encouraging full arm movement. The one-piece soft silicone bands are easily washed, quick-drying, non-toxic, hypoallergenic, latex-free, and come in multiple sizes.
How Many Repetitions are Needed for Stroke Recovery?
Lynette Diaz, COTA/L
Tuesday, June 9th, 2020
How many repetitions does it take to create changes in the brain? How many repetitions must one complete before movement is strong, volitional and functional? Research indicates the number is high and the answer is more complex than we may think. Factors to be considered are, quality of repetitions, attention during repetitions, number of joints involved in movement, area of injury in the brain to name a few. It would stand to reason the more complex a movement is the more repetitions would be required.
Rewiring the Brain Through Gratitude
Lynette Diaz, COTA/L
Monday, June 8th, 2020
Attitude of Gratitude.
After experiencing a traumatic injury such as a stroke, it may be hard for many people to perceive daily things in a positive light. After all, life is not what it was before. Many stroke survivors go from an independent lifestyle to depending on a loved one. It is evident to see how there is not much room for positive thought.
What You Need to Know About the Stroke Recovery Timeline
NeuroRehab Team
Wednesday, February 19th, 2020
Arm and HandContracture SplintElectrical StimulationHand Function SplintsMental PracticeMirror TherapyNeuroplasticityStretchingSubluxation Slings
You are eager to return to your normal life, so you are ready to learn more about the typical timeline for recovery after a stroke. Keep reading to get some answers to common questions:
- Am I going to get better after my stroke?
- How long is rehab after a stroke going to take?
- What can I do to help my stroke recovery?
Walking and Stroke Recovery: What You Need to Know
NeuroRehab Team
Saturday, January 25th, 2020
Electrical StimulationFoot Drop BraceLegMobilityNeuroplasticity
A stroke can impact any number of life skills. But the ability to walk can be one of the most significant. Many people identify walking as an important goal after they experience a stroke. This makes sense because walking is related to so many daily routines. Every stroke survivor is different. Some stroke survivors might need help to walk a few feet. Other individuals might recover significantly and be able to walk long distances. This article will provide post-stroke walking education for a range of skill levels.
Easy Hand Exercises to Boost Recovery from a Stroke
NeuroRehab Team
Tuesday, January 14th, 2020
Exercise AidsFine Motor CoordinationStrengthening
Launching a hand exercise program begins with understanding how a stroke that happens in your brain can cause problems with your hand. A stroke is basically an injury to the brain due to limited blood flow. The symptoms in the body reflect the area of injury in the brain. So a stroke survivor with hand issues, experienced an injury to the area of the brain that controls the hand.
Improving Sleep Apnea Helps With Stroke Recovery
NeuroRehab Team
Thursday, December 26th, 2019
Sleep Apnea is a known risk factor for stroke and new research suggests that curbing the condition might also aid the recovery of people who’ve suffered a stroke or mini-stroke. New research shows that, among stroke patients, “treatment of sleep apnea with CPAP therapy provides significant benefits, even greater than the benefits of tPA, the FDA-approved drug treatment for stroke,” said study lead researcher Dr. Dawn Bravata.
10 Must-Read Stroke Recovery Books
NeuroRehab Team
Wednesday, December 25th, 2019
When suffering from a brain injury such as stroke, a sense of hopelessness, frustration and vulnerability can occur. Don’t be alone on your journey to recovery! Below are excellent books that provide immense insight into stroke recovery. Click on any of the links for more information.
Adaptive Clothing Tips for Stroke Survivors
NeuroRehab Team
Monday, December 23rd, 2019
Getting oneself dressed is a critical part of being a fully independent person. For a person who has had a stroke, getting dressed can help feel more normal again. This can really help to boost both mood and self esteem.
The tips below will help both the stroke patient and the caregiver make dressing an easier part of the daily routine:
Are You Overstretching Your Spastic Muscles?
Lynette Diaz, COTA/L
Monday, December 23rd, 2019
Stretching can be a very important part of recovery especially following a stroke, when feeling, sensation and movement are returning to a previously flaccid limb. However, is it possible to stretch too much or too hard? Yes it is.
Clinicians frequently see patients handle their affected limbs rather aggressively in an effort to “make it move” or “get it loose”, often stretching their fingers, wrist, elbows and shoulders too far too fast. This may partly be due to lack of sensation or awareness.
Stroke Home Therapy Products Available on Amazon
NeuroRehab Team
Saturday, December 21st, 2019
Stroke survivors often struggle to regain full use of their affected side. Below are a just a few of the available products on Amazon that can help with improving more recovery at home. Whether you are hoping to improve your arm and hand strength or looking for better results with your walking and endurance, the good news is that you can find excellent products for very low prices. Just take a look below and click for more information.
8 Helpful Adaptive Stroke Equipment Ideas To Improve Independence
NeuroRehab Team
Thursday, December 19th, 2019
Adaptive equipment helps stroke patients experience greater independence with everyday life skills or activities of daily living. There is a plethora of assistive devices for all areas of self care including dressing, bathing, grooming, cooking, feeding, toileting, and mobility aids.
Improve Balance With These 5 Affordable Therapy Products
NeuroRehab Team
Tuesday, December 10th, 2019
Decreased balance is a common area affected by stroke. Many patients are prone to falling which could lead to serious injuries. Studies have shown that stroke survivors are twice as likely to fall following a stroke and more than three times as likely as the general population to fall multiple times. About 40 percent of stroke survivors have serious falls within a year of their stroke.
Virtual Rehabilitation Using Nintendo Wii and Conventional Physical Therapy Effectively Treat Post-Stroke Hemiparetic Patients.
NeuroRehab Team
Tuesday, December 3rd, 2019
Da Silva Ribeiro NM, Ferraz DD, Pedreira E, et.al. Topics in Stroke Rehabilitation 2015; 22: 299-305.
This study compared the use of the Wii Nintendo to a conventional physical therapy program to improve both sensorimotor activity (measured by the total Fugl-Meyer assessment score) and quality of life (measured using the SF-36). Thirty stroke survivors were randomly assigned to either group and all participants received two hourly sessions for each of two months.
Muscle Tone Following Stroke
Dorothee Zuleger, MOT, OTR/L, DRS
Thursday, November 21st, 2019
Following a stroke, abnormal muscle tone is a common complication. A single muscle or a muscle group may become completely paralyzed. This is known as hypotonic or flaccid or a muscle may increase in muscle tone. This is known as hypertonic or spastic. This abnormal tone usually occurs in the side of the body opposite to the side of the brain lesion.
Returning Home Following a Stroke: Helpful Tips for Modifying Your Kitchen.
NeuroRehab Team
Saturday, November 2nd, 2019
When a stroke patient returns home, the home environment can impact a person’s recovery. The home includes the social and cultural environment such as the people who live there, as well as the physical aspects of the home such as steps and layout. It is important that the home environment be one that supports continuing recovery and safety for the patient. This article is intended to provide basic information to stroke survivors and their families about potential problems with the physical aspects of the kitchen.
Top Ankle and Foot Stretching Products To Improve Flexibility Following Stroke
NeuroRehab Team
Friday, October 25th, 2019
Stroke can cause muscle weakness and tightness along one side of the body. Muscle weakness affects how well you move your body. Without continuous movement daily, your muscles, joints and ligaments will become gradually stiff eventually leading to a contracture.
Search Contracture Foot and Ankle Splints
The ankle and foot is one of the common areas affected by stroke. Often times, foot drop occurs which causes the foot not to clear and lift when walking, which could lead to a risk of falls. When suffering from foot drop, you may experience ankle stiffness over time.
Effectiveness of Functional Electrical Stimulation on Wrist and Finger Flexor Spasticity in Hemiplegia.
NeuroRehab Team
Thursday, October 17th, 2019
Yuzer GFN, Dönmez, Özgirgin N. J Stroke Cerebrovasc Dis 2017 (in press).
This randomized trial investigated the effects of functional electrical stimulation of the wrist and finger extensor muscles of patients with chronic stroke who had spasticity of their wrist flexors. The electrical stimulation intervention was applied for 30 minutes a day for 5 days a week for a total of 20 sessions to fully extend the wrist and finger flexors.
Effect of a task-oriented rehabilitation program on upper extremity recovery following motor stroke: The ICARE randomized clinical trial.
NeuroRehab Team
Friday, October 11th, 2019
Winstein CJ, Wolf SL, Dromerick AW, et al. JAMA 2016;315(6):571-581.
This clinical trial recruited 361 participants, approximately 45 days post-stroke with mild to moderate impairments, for upper extremity retraining in order to improve functional use of the impaired upper extremity. Participants received either a new problem solving approach, Accelerated Skill Acquisition Program (ASAP) for 30, 1 hour sessions, Dose Equivalent Usual Customary Care (DEUCC), or Usual and Customary Care which varied from 0-46 hours. Findings demonstrated that all three groups improved in function (Wolf Motor Function Test) and quality of life (Stroke Impact Scale).
How to Find the Best Stroke Rehabilitation Robot?
NeuroRehab Team
Wednesday, October 9th, 2019
Individuals suffering from neurological injuries, such as brain injury or stroke, typically develop many side effects including, but not limited to, physical weakness, decreased sensation, cognitive and speech impairments and balance just to name a few. Over the past 2 decades, neurological rehabilitation strategies have shifted more from theory-based treatment to evidence-based (science driven) treatment.
How Important is Getting Good Sleep Following Stroke?
Lynette Diaz, COTA/L
Friday, October 4th, 2019
Sleep is an extremely important component to achieve optimal brain health and function. Poor sleep has been implicated in affecting heart function, blood sugar regulation and cognitive decline. Good sleep and normal sleep-wake cycles have been linked to improved cognitive recovery following neurologic insult to the brain such as in the case of both traumatic and non-traumatic brain injury, stroke, multiple sclerosis and parkinson’s. Typically after a neurological insult the normal sleep-wake cycle is disrupted, with the brain injured patient sleeping throughout the night and day with intermittent periods of wakefulness.
Help Quahana Achieve Her Stroke Recovery Fundraising Goals
NeuroRehab Team
Friday, September 20th, 2019
“Quahana ran that way!” is the statement my mother normally heard when she went to round up my sisters and me after Sunday worship services. The Roadrunner was not just a cartoon in my house; it was my life. Laughing, smiling, painting and running was my DNA. Fast forward many years to a warm day in July when I’d just returned from a trip to London for an art conference and I collapsed on my living room floor as I was lacing up my sneakers for you guessed it; a morning run and workout. A carotid artery in my neck; a young woman who had never had a major medical issue; spontaneously dissected (i.e. tore) and subsequently a stroke resulted (with a 10% survival rate!). What followed was weeks in a rehabilitation hospital where I was treated by some of the top specialists and therapists in the country and the world. But what they all shared in common was a clinical belief that stroke recovery typically halts after three years. However, what I know to be true is that I’ve made more recovery after year three than I ever have BUT there is more recovery to be made.
