If I was evaluated for proprioception I don't remember and I know there was no therapy tried for that deficit.
http://biomedme.com/general/robots-uncover-stroke-disabilities_40453.html
Rehabilitation robots improve detection of post-stroke impairments
and can enhance the type and intensity of therapy required for recovery,
according to a study.
Researchers studied 185 subjects – 87 recovering from stroke and 98
people unaffected by stroke – and found that tests using a robot better
measure patients’ sense of limb position, speed and direction of limb
movement. Patients were assessed approximately 15 days after stroke.
“For years, therapists have known that limb awareness is very
important to predicting a person’s outcomes after stroke. Yet we have
never before been able to quantify it,” says lead researcher Doctor Sean
Dukelow. “Identifying these deficits opens the door to the next step:
how do we treat it?”
Until now, rehabilitation experts have relied on their judgment and
subjective rating scales to assess impairment after stroke. Robotic
technology standardizes these measurements.
“Awareness and control of our limbs’ location allows us to do
everyday things like reach for a coffee cup while watching television,”
Dukelow says.
In the Calgary study, a robotic frame moved each patient’s
stroke-affected arm at a preset speed and direction while they attempted
to mirror its movement with their unaffected arm. Participants were not
able to rely on their vision for assistance.
The researchers found:
• 20 per cent of the stroke patients failed to acknowledge that the robot had moved their affected arm;
• 70 per cent of stroke patients took significantly longer to react to the robot’s movements;
• 78 per cent of stroke patients had significantly impaired sense of movement direction; and
• 69 per cent had diminished ability to match movement speed.
“Impaired limb function is a serious problem for people with stroke,”
says Doctor Mark Bayley. “It can prevent people from performing small
daily tasks that give them some measure of independence.”
The final goal of precise assessment is more patient-specific
treatment, a concept Dukelow calls “personalized medicine.” Ideally,
robotics will be used to guide patients through the repetitive movements
and personalized treatment plans required to remap the brain and
restore function.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 28,983 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
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