Deans' stroke musings: Design and simulation of wheel-chaired elliptical stepping exercise for stroke rehabilitation

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.

Monday, January 13, 2014

Design and simulation of wheel-chaired elliptical stepping exercise for stroke rehabilitation

I'm sure your doctor has figured out a way to accomplish this exercise already for those still in wheelchairs.
http://ieeexplore.ieee.org/xpl/login.jsp?tp=&arnumber=6701668&url=http%3A%2F%2Fieeexplore.ieee.org%2Fxpls%2Fabs_all.jsp%3Farnumber%3D6701668
Yahaya, S.Z. ; Faculty of Electrical Engineering, Universiti Teknologi MARA, 13500 Permatang Pauh, Penang, Malaysia ; Hussain, Z. ; Boudville, R.
Stroke disease is one of the major killer diseases worldwide and most of the survivors will end with certain level of impairment. They commonly are wheelchair bounded and require scheduled rehabilitation exercise to regain their walking capability or mobility. This paper presents the design of elliptical stepping exercise ergometer for functional electrical stimulation (FES) assisted exercise. The concept of wheel-chaired cycling and elliptical stepping had been adapted in producing the ergometer design. The dynamic simulation has been performed on Visual Nastran 4D and Matlab Simulink to evaluate the performance of the exercise that includes the exercise ergometer, humanoid model and quadriceps muscle model. In the simulation work, the paretic leg (left side) is driven via FES-assisted while the non-paretic leg (right side) is driven via controlled knee joint torque. The result shows that the FES-assisted elliptical stepping exercises with voluntary non-paretic movement contribute better cadence speed control. Further improvement on the controller design is required to make sure suitable FES pattern can be delivered and better cadence speed control can be achieved in simulation environment as well as real implementation.