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.

Sunday, March 27, 2011

Haptics and stroke rehabilitation

This doesn't seem too much different than regular video game rehab except for using sensation to help fire the muscles. They could have just used the word proprioception.
http://www.sciencedaily.com/videos/2008/0405-new_hope_for_stroke_survivors.htm
April 1, 2008 — Using a technology called haptics, mechanical engineers can design physical therapies that reestablish motor pathways broken down by strokes. A motorized joystick guides patients to move their hands in the direction dictated by graphics on a television screen. This feedback helps the patients regain motion that had been previously lost.

There are more than four million stroke survivors living in the United States. It's been a standard prognosis for almost all of them -- whatever motor skills you didn't get back right away may be lost forever; but now, new technology is proving that even stroke rehab is better late than never.
Judy Walsh is proud grandmother and a stroke survivor. "I just couldn't believe it," Walsh recalls. "Here I am, 54. I never thought I would have this problem."
But now at age 64, ten years post stroke, Walsh is still feeling the effects. "My left side of my leg, my left arm, my speech and my swallowing," Walsh describes.
For many stroke patients, functions that aren't relearned in the first few months after their stroke are nearly impossible to get back. Regaining motor skills is a frustrating process that makes even the simple things in life difficult.
"Getting dressed, putting socks on … that's a two-handed deal too," Walsh says.
But mechanical engineer Marcia O'Malley is determined to help stroke patients continue on their road to recovery, no matter how far out they are. "If we continue to deliver therapy, they're going to see continued improvement," Marcia O'Malley, of Rice University in Houston, told Ivanhoe.
Using the same technology found in video game controllers, she's using a technology called haptics, which relies on the perception of touch, allowing patients to feel their environment while being guided through correct movements.
"We know that repetitive practice -- high intensity practice -- can improve outcomes for rehabilitation, and robots are really well suited to that," O'Malley explains.
By repeating exercises over and over, patients regain motion. Mike Dixon was able to get the results he was looking for, four years after his stroke. "Things show that I'm improving on a regular basis," Dixon says.
This joystick therapy could be in high demand, but that's something O'Malley and her team has already thought about. "A robotic device might enable one therapist to oversee numerous patients at the same time," O'Malley explains. Giving more patients like Walsh the freedom to move as they please.
This joystick technology can also potentially be used by patients at home, allowing them to continue rehab on their own schedule.

Its been three years since this came out. What is the current use of this? Does anybody know or care?

8 comments:

  1. It's the results of the study I was in back in the 1970s. It's biofeedback and it does work. It depends on the individual patient as to how well it's going to work though.

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  2. I came across 2 things that on initial looking is encouraging. They date this year.

    http://eprints.ecs.soton.ac.uk/21802/
    Design and Qualitative Evaluation of Tactile Devices for Stroke Rehabilitation

    http://www.ecs.soton.ac.uk/research/projects/729
    Design and Human Evaluation of Haptic Devices for Hand Rehabilitation from Sensory Deficits due to Neurological Impairment

    Altho th 2nd 1 says th project has ended, it's date was b4 th 1st one, so i take from that there is continuing interest & progress.

    (I havent read thro either of them cos of eyestrain, will look later.)

    This was on my 1st search so there may well be more out there. I put in search term - haptics stroke rehab 2010 2011.

    *:)

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  3. At the bottom of this 1, just seen,(http://www.ecs.soton.ac.uk/research/projects/729)

    "This list was generated on Sun Mar 27 23:16:30 2011 BST."

    How's that for timing!?!!

    *;)

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  4. This short video shows an application of the technology being used in various ways...

    http://wn.com/ictus__virtual_reality_stroke_rehabilitation

    *:)

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  5. http://clinicaltrialsfeeds.org/clinical-trials/show/NCT01287975

    Current trial going on in th US;“ARTS-BCI: Advanced Brain Computer Interface (BCI) Technology for Wrist and Hand Rehabilitation After Stroke”/(..Brain Computer Interface (BCI) technology or BCI technology coupled with robotic technology using a Haptic Knob...)

    +

    Recent article on "Touch Me, Heal Me: Haptic Solutions for Rehabilitation"
    http://www.medicaldesignbriefs.com/component/content/article/8938
    Quote - "Additionally, Curictus offers an optional Activity Management Center that logs effective training time and various performance parameters and allows the therapist to access them remotely via the Internet at any time.

    While it may be years before the dictum “Patient, Heal Thyself” becomes a reality, touch-enabling computer-based rehabilitation solutions may be the next best thing in offering patients an innovative way to take a more active and committed role in their own rehabilitation."

    I can't tell from th article , how available to th public this is. Looks promising tho!


    *:)

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  6. San42, Thanks for your links and research. I would suggest you start your own blog, we need more people like you in the blogosphere telling others what stroke rehabilitation should look like.
    Dean

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  7. I loved the video with the evil rabbit, especially since we have a house rabbit.

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  8. I live in Oxford UK btw, so i know we're so much luckier than other areas w' reasearch into brain injuries etc/resources/& more motivated professionals - tho admittedly they're still quite rare. It is still shocking at how u really have to search hard to find services. The hospital consultants,GP's etc, are really not gemmed up at all/didnt tell me anything/ it's always me telling them etc. The professionals at the forum are aware of this & thankfully want to change this. Little steps going in th right direction...i have hope!

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