Deans' stroke musings: Assessment of movement quality in robot- assisted upper limb rehabilitation after stroke: a review

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.

Saturday, September 13, 2014

Assessment of movement quality in robot- assisted upper limb rehabilitation after stroke: a review

This is mainly for your therapist but you can look at table 2 on page 8 which lists a whole bunch of upper limb robots, some I haven't even heard of. This is rather appalling that robot rehabilitation is being used with no knowledge of the best way to apply it. Once again stroke survivors are guinea pigs.
https://www.google.com/url?rct=j&sa=t&url=http://www.jneuroengrehab.com/content/pdf/1743-0003-11-137.pdf&ct=ga&cd=CAEYACoTMzYyNDczNzg0MjQwNjIwMTA3NzIaY2NlMGE1MDc2NjBiNDZhODpjb206ZW46VVM&usg=AFQjCNGh1uk_UJO6IGcsZibJGjoPo4-T9Q
Corresponding author
Email: nurdiana@utem.edu.my
Sheng Quan Xie

Email: s.xie@auckland.ac.nz
Burkhard Wünsche

Email: burkhard@cs.auckland.ac.nz
Department of Mechanical Engineering, The University of Auckland, 2
0 Symonds Street,
Auckland, New Zealand

Department of Computer Science, The University of Auckland, 23 Symond
s Street,
Auckland, New Zealand

Faculty of Electrical Engineering, Universiti Teknikal Malaysia Melaka,
Hang Tuah Jaya,
Melaka, Malaysia
State Key Laboratory of Digital Equipment and Technology, Huazhong Un
iversity of
Science & Technology, Wuhan, China
Abstract

Studies of stroke patients undergoing robot-assisted rehabilitation have re
vealed various kinematic parameters describing movement quality of the upper limb. However, due to the different level of stroke impairment and different assessment criteria and interventions, the evaluation of the
effectiveness of rehabilitation program is undermined.This paper prese
nts a systematic review of kinematic assessments of movement quality of the upper limb and identifies the suitable parameters describing impairments in stroke patients. A total of 41 different clinical and pilot studies on different phases of stroke recovery utilizing kinematic parameters are evaluated. Kinematic parameters describing movement accuracy are mostly reported for chronic patients with statistically significant outcomes and correlate strongly with clinical assessments. Meanwhile, parameters describing feed-forward sensorimotor control are the most frequently reported in studies on sub-acute patients
with significant outcomes albeit without correlation to any clinical assessments. However, lack of measures in coordinated movement and proximal component of upper limb enunciate the difficulties to distinguish the exploitation of joint redundancies exhibited by stroke patients in completing the movement. A further study on overall measures of coordinated movement is recommended.