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, September 16, 2012

Pelvic Obliquity Rehabilitation in Stroke Patients Using Robotically Generated Force Fields

Clincal trial recruiting in Boston, check it out. Your PT should already know all about  correcting this for you.
Pelvic Obliquity:
 Pelvic obliquity. Its causes and its treatment.

Pelvic Obliquity Exercises | LIVESTRONG.COM

 

image from 

http://sci.rutgers.edu/forum/showthread.php?t=111566

 http://clinicaltrials.gov/ct2/show/NCT01684267
Detailed Description:
The device is designed to train stroke patients to correct abnormal gait patterns associated with exaggerated and uncoordinated movements of the pelvis by applying force fields to correct the movement of the pelvis. The focus will be on correcting hip hiking (i.e. exaggerated unilateral upward movements of one side of the pelvis) in post-stroke patients. The human-robot interface will be based on impedance control techniques so that the force-field actuators generate smooth virtual spring/damper restitution forces at the patient's pelvic area.
As part of the study we will determine whether the force fields applied by the actuated components of the device can effect an acute change in gait biomechanics, primarily pelvis motion during stance and swing phases, in healthy subjects and patients with stroke during ambulation. We will also evaluate the usability of the orthosis in terms of donning & doffing, user confidence, and comfort.
Eligibility

Ages Eligible for Study:   30 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
Healthy subjects and chronic stroke survivors
Criteria
HEALTY
Inclusion Criteria:
  • Can walk comfortably on a treadmill
Exclusion Criteria:
  • any known orthopedic, musculoskeletal, neurological, cardiovascular, pulmonary, or gait disorder that results in an abnormal gait pattern
  • Females in the second or third trimester of pregnancy
STROKE
Inclusion Criteria:
  • single non-traumatic ischemic or hemorrhagic stroke at least 6 months prior to enrollment
  • persistent hemiparesis, mild spasticity, and residual mild-to-moderate weakness of the lower extremity
  • residual deficits of gait
  • be able to ambulate without the use of assistive devices or assistance of a person
  • able to walk at a comfortable walking speed of ~0.6 m/s
  • able to walk safely on a treadmill
  • medically stable
  • No other neurological problems, or any known cardiovascular or musculoskeletal disorders that effects their gait or excludes them from exercise
Exclusion Criteria:
  • unable to attend and follow instructions
  • require physical assistance for ambulation
  • other known orthopedic, musculoskeletal, neurological, cardiovascular, pulmonary, or gait disorder that results in an abnormal gait pattern
  • severe joint contractures of the hemi-paretic knee
  • females in the second or third trimester of pregnancy

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