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, October 9, 2011

Redefining how the brain plans movement

Any additional understanding of how the brain works can only help us survivors. Although this will be filtered thru your doctor, read and understand it yourself.
http://medicalxpress.com/news/2011-08-fast-neural-circuitry-reaction.html

In 1991, Carl Lewis was both the fastest man on earth and a profound long jumper, perhaps the greatest track-and-field star of all time in the prime of his career. On June 14th of that year, however, Carl Lewis was human. Leroy Burrell blazed through the 100-meters, besting him by a razor-thin margin of three-hundredths of a second. In the time it takes the shutter to capture a single frame of video, Lewis's three-year-old world record was gone.

In a paper just published in the journal Neuron, a team at the Stanford School of Engineering, led by electrical engineers Krishna Shenoy and Maneesh Sahani, explored the neurological explanations for why Lewis may have lost that day. The team, which included graduate students Afsheen Afshar, Gopal Santhanam, Byron Yu, and post-doctoral researcher Stephen Ryu, studied how the brain plans for and executes movements in reaction to a "go" signal.

The advent of new measurement technologies that permit researchers to monitor up to hundreds of individual neurons simultaneously, combined with new analytical mathematics, are providing a revealing look inside the brain and a better understanding of the neurological processes behind the planning and execution of motion.

"This research holds great promise in many areas of neuroscience, in particular human prostheses that can be controlled by the brain," said Shenoy.

Imprecision

The ability of humans to time the onset of planned movements is imprecise, often frustratingly so. In Carl Lewis's case, that imprecision cost him the race and the record. In fact, experts later pointed out that Burrell was not really the faster man that day; he was merely the faster off the blocks, beating Lewis at the gun by about five one-hundredths of a second, a difference that provided the margin of victory.

"Lewis may well have lost because he wasn't able to optimize his own motor plan and thus his reaction time was slow," said Shenoy.

"Thanks to new tools, for the first time we are able to understand what the neurons are telling us," said Sahani. "We can hypothesize about how the activity of a group of neurons gives rise to movement."

Testing the hypothesis

Graduate students trained two rhesus monkeys to perform the task of touching a target on cue. The researchers then neurosurgically implanted on the surface of the monkeys' brains a four-millimeter-square electronic chip arrayed with 100 tiny electrodes.

The researchers concentrated on one particular area of the brain known as the dorsal pre-motor cortical area, which shows high levels of activity during the delay when arm movement planning takes place. Activity in this region varies depending upon the direction, distance and speed of a pending movement.

Where most historical data had been limited to single neurons, the new technology allows researchers to monitor in real-time the activity of hundreds of individual neurons down to the millisecond. They can now account for reaction times in single motor events, something previously impossible.

New directions

What Shenoy, Sahani and colleagues have found is a departure from the way many scientists had theorized the process worked. The existing hypothesis, known as "rise-to-threshold," held that in anticipation of a "go" cue, our brains begin to plan the motions necessary to satisfactorily complete the movement by simply increasing the activity of neurons.

Neurons begin to fire, but not enough to cause the movement to take place. Upon the "go" signal, the brain accelerates this neural firing until it crosses a "threshold" initiating the motion. According to the theory, the longer a preparatory period one has, the greater the neural activity will be and, thus, the faster the reaction time.

The Stanford team was able to document a process based less on the amount of activity and more on the trajectory of the neural activity through the brain. In graphs of neural activity prior to display of the target, the monkeys' neural activity appears somewhat scattered. The moment a target is displayed, however, the neural activity concentrates in an activity region that the researchers dubbed the "optimal sub-space."

"We can watch as the pattern of neural activity gets focused in a specific region at the moment the target appears," explained Shenoy, "and then when the 'go' cue is given, the activity moves again, ending with the successful touching of the target."

The key to reaction time, the researchers found, is the relationship between where the neural activity is and its speed along the ideal trajectory just prior to the go cue. If the neural activity is closer to the final destination, then the reaction time will be shorter; if farther away, then longer.

"We get our brains into a sort of ideal zone – an 'optimal space' – of neural activity," said Shenoy. "The planned movement is possible from anywhere within this space, but some points – those closer to the intended target along the ideal neural pathway – are more advantageous than others in terms of the reaction time."

From this new understanding, the researchers were able to shape a deeper understanding of the neural patterns and craft a model to predict reaction time.

"Our model allows us to predict with four times greater accuracy what the reaction time of any single arm motion is going to be based on the neural activity observed prior to movement," said Sahani.

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