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Therapy Restores Arm Function Years After Stroke
Forbes ^ | E.J. Mundell

Posted on 06/25/2004 7:15:21 PM PDT by PeaceBeWithYou

FRIDAY, June 25 (HealthDayNews) -- Stroke patients left with impaired arm movement for an average of nine years made impressive gains after undergoing a new kind of physiotherapy, researchers report.

What's more, the therapy, called bilateral repetitive rhythmic training intervention (BATRAC), appears to work by re-wiring the brain's motor control circuitry.

"This is the first study to prove that BATRAC therapy also has a neuroscience basis," said German researcher Dr. Andreas R. Luft, of the University of Tubingen.

"Being able to observe changes in brain biology that account for treatment effects brings BATRAC therapy out of the shade of non-scientific treatments," he added.

The findings were reported Friday at the World Stroke Congress meeting in Vancouver, Canada.

Depending on severity, stroke can leave patients with motor deficits ranging from temporarily slurred speech and impaired movement to a more permanent immobility.

"Physical therapy is absolutely necessary for successful recovery once the stroke has occurred and brain tissue has died," Luft said in a prepared statement.

But hopes for regaining lost movement decline if disability continues for months or years after a stroke.

In their study, Luft's team had 20 long-term stroke survivors engage in six weeks of either standard physiotherapy -- in which physiotherapists passively move the patient's trunk, shoulder, arms and hand -- or BATRAC. In BATRAC, patients push or pull a T-bar in rhythmic time with a metronome for four, 5-minute periods per day.

All of the study participants had suffered a stroke between 10 months and 39 years prior to the therapy, for an overall average of 9 years.

According to the researchers, six of the eight patients in the BATRAC group gained improvements in arm function, while no such improvement was seen in the 12 patients taking regular physiotherapy.

Using sophisticated MRI techniques, the researchers also detected what they called "reorganization of central motor networks" in the brains of those patients whose arms improved after BATRAC, according to Luft. This type of brain reorganization was not seen in patients taking normal physiotherapy, they added.

"Our hypothesis is that brain reorganization is the mechanism by which BATRAC improves function in chronic stroke patients," Luft said.

More information

To learn more about stroke, visit the National Institute of Neurological Disorders and Stroke.



TOPICS: Culture/Society; Extended News; News/Current Events
KEYWORDS: healthcare; medicine; stroke; therapy
This should help a lot of folks.
1 posted on 06/25/2004 7:15:22 PM PDT by PeaceBeWithYou
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To: PeaceBeWithYou; RnMomof7; Budge; betty boop; Mitchell; fishtank; AAABEST; PhilDragoo; ...

FYI......ping!


2 posted on 06/25/2004 7:52:51 PM PDT by maestro
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To: PeaceBeWithYou

Great news for stroke victims.


3 posted on 06/25/2004 7:53:24 PM PDT by MEG33 (John Kerry's been AWOL for two decades on issues of National Security)
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To: MEG33
Yes, great news for stroke victims and hopefully those who are paralyzed.
4 posted on 06/25/2004 8:25:07 PM PDT by fatidic (fatidic : of or relating to prophecy)
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To: maestro

Thanks for the ping!


5 posted on 06/25/2004 8:40:00 PM PDT by Alamo-Girl
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To: PeaceBeWithYou

bump


6 posted on 06/25/2004 8:45:23 PM PDT by manic4organic (Go. Fight. Win.)
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To: PeaceBeWithYou

Also look into Hyperbaric Oxygen Therapy. Can be miraculous - but not cheap.


7 posted on 06/25/2004 9:01:47 PM PDT by JmyBryan
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To: PeaceBeWithYou

Along with daily doses of Viagra.


8 posted on 06/25/2004 9:18:33 PM PDT by Old Professer (Interests in common are commonly abused.)
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To: countrydummy; pgkdan

FYI-both of You

CD:
How are You doing?

You gonna join us for the race?


9 posted on 06/25/2004 9:25:05 PM PDT by ChefKeith (NASCAR...everything else is just a game!(Except War))
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To: PeaceBeWithYou

bttt


10 posted on 06/25/2004 9:38:43 PM PDT by lainde (Heads up...We're coming and we've got tongue blades!!)
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To: PeaceBeWithYou
Reading this from a PT standpoint and thus reading between the lines, don't get your hopes up too high. I'd like to see the actual study results to see what they consider "impressive" results.

First, to push/pull a T bar you have to have some function in the extremity to start with.

Second, "traditional physical therapy" consists of a lot more than just passive movement, though by the time someone is a couple or three years out from the CVA, that may be all the family is doing (if that much). This "new technique" sounds a lot like some of the techniques already being done under different names (PNF, Bobath, reciprocal inhibition, facilitation, etc., etc.) On the plus side, it doesn't sound very expensive or something that requires an unreasonable investment of time on the part of the family like some previous "miracle" treatments (such as patterning or Doman Delacado [sp?]).

11 posted on 06/25/2004 11:44:06 PM PDT by Spyder (generic tag)
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To: ChefKeith

Dear ChefKeith, All!

I have words.......lol!

I a simple sentence to write...........lol lol

“The live by the river.”

OH...........”The President is George Bush.” !!!!!!!!

The race............hahahahahshaaahaahahaa!!!

I well.........speech, it was 2yr baby! lol lol

Tinging and hands.......yes ok.

I love you!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Sheila


12 posted on 06/26/2004 8:58:18 AM PDT by countrydummy (http://chat.agitator.dynip.com)
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To: countrydummy
You hang in there and please visit us on the NASCAR Thread this weekend and all the upcoming ones
13 posted on 06/26/2004 3:47:21 PM PDT by ChefKeith (NASCAR...everything else is just a game!(Except War))
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To: PeaceBeWithYou
Here's a link to download a free metronome program for your computer.

I looked at a bunch, this was the best.

14 posted on 06/26/2004 9:36:39 PM PDT by PeaceBeWithYou (De Oppresso Liber! (50 million and counting in Afganistan and Iraq))
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