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.

Tuesday, October 7, 2014

A proprioceptive neuromuscular facilitation integrated robotic ankle-foot system for post stroke rehabilitation

Your doctor and therapist are going to have to get the article and possibly contact the author in order to create a stroke protocol from this. Thousands of clinics and hospitals will need to do this. You will have to hope yours does it correctly. A much better option would be to contact that great stroke association and have them use their experts to do it once and distribute around the world.

Or does your clinic think what they are doing is already better than this?

http://www.sciencedirect.com/science/article/pii/S0921889014002085
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Highlights

We developed a proprioceptive neuromuscular facilitation (PNF) integrated robotic ankle-foot system for post stroke rehabilitation.
It is the first time that PNF method has been used in ankle spasticity/contracture rehabilitation.
Five able-bodied subjects participated in the experiments and five stroke patients were recruited with a six-week PNF treatment.
The proposed system can offer more effective treatment than passive stretching in improvement of both passive and active joint properties.

Abstract

Ankle joint with spasticity and/or contracture can severely disable the mobility and the independence of stroke survivors. In this paper, we developed a proprioceptive neuromuscular facilitation (PNF) integrated robotic ankle-foot system for post stroke rehabilitation. The system consists of a robotic platform and a control system with graphic user interface. We employ five normal subjects to test the reliability and feasibility of the proposed system. To validate the effectiveness of the PNF integrated robotic system, we recruit five stroke patients and carry out a six-week PNF treatment. Treatment outcome was evaluated quantitatively in passive and active joint properties. The passive hysteresis loop shows that the maximum dorsiflexion angle increases from 32.9°±1.5° to 42.0°±3.2° (p=0.014) while the resistance torque decreases from 45.6 Nm±5.8 Nm to 29.8 Nm±4.4 Nm (p=0.019). The active joint properties are improved significantly with the training score increasing from 5.7±0.9 to 8.1±0.6, and getting close to that of normal subjects (9.5±0.3). In addition, muscle strength has a rising trend as time goes on. The results demonstrate that the proposed PNF integrated robotic ankle-foot rehabilitation system is effective in improving ankle spasticity and/or contracture and is a promising solution in clinical rehabilitation.

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