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, November 22, 2014

Novel robotic walker invented by NUS researchers helps patients regain natural gait and increases productivity of physiotherapists

Which robotic walker does your doctor consider the best?
Which one of these exoskeletons have they already looked at?

1. Cyberdyne exoskeleton

2. Multi-function robotic exoskeleton REX.

3.  Korean Factory Workers Don Exoskeletons for Superhuman Strength

4.  Gait training early after stroke with a new exoskeleton - the hybrid assistive limb: a study of safety and feasibility

Other possibilities:

5.  A TED talk by Eythor Bender of Berkeley Bionics on HULC and eLEGS
O maybe one of these three.

6.  Advanced exoskeleton promises more independence for people with paraplegia

Or

7.  This Indego device 

Or

8.  LOPES Robotic Exoskeleton Helps Stroke Victims Walk Again



Or

9.  ‘Exoskeleton’ Helps Paralyzed Stand, Take Steps

Or

10.  Walk Again Project

11.  Honda Walking Assist Device

12.  Wearable device brings hope for spinal injury, stroke recovery



The latest here:
http://www.alphagalileo.org/ViewItem.aspx?ItemId=147500&CultureCode=en
Survivors of stroke or other neurological conditions such as spinal cord injuries, traumatic brain injuries and Parkinson’s disease often struggle with mobility. To regain their motor functions, these patients are required to undergo physical therapy sessions. A team of researchers from the National University of Singapore’s (NUS) Faculty of Engineering has invented a novel robotic walker that helps patients carry out therapy sessions to regain their leg movements and natural gait. The system also increases productivity of physiotherapists and improves the quality of rehabilitation sessions.
Designed by a team of researchers led by Assistant Professor Yu Haoyong from the NUS Department of Biomedical Engineering, the robotic walker is capable of supporting a patient’s weight while providing the right amount of force at the pelvis of the patient to help the patient walk with a natural gait. In addition, quantitative data can be collected during the therapy sessions so that doctors and physiotherapists can monitor the progress of the patient’s rehabilitation.
Improving therapy outcomes with robotic aid
The robotic walker comprises six modules: an omni-directional mobile platform; an active body weight support unit; a pelvic and trunk motion support unit; a suite of body sensors; a functional electrical stimulation unit; and an intuitive user control interface.
The suite of body sensors measure the gait of the patient so that the walker can provide the right amount of support to help the patient walk with a natural gait. The electrical stimulation unit can deliver targeted electrical current to stimulate the correct muscle at the correct timing to facilitate joint movement. The walker can also provide assistive force, resistive force, and disturbance force depending on the training requirements set by the therapists. In this way, patients can go through different training schemes that are often difficult to achieve manually. The patient interacts with the walker through a force sensor which detects the user intent. The intelligent control system uses this information as well as the gait information provided by the body sensors to control the movement of the walker. Another unique feature of this walker is that it allows the patient to practice gait movements by walking over ground instead of on a treadmill.  Such features enable the gait training to be conducted in a natural and intuitive way for the patients.
Asst Prof Yu explained, “This robotic walker allows patients to practice their gait movements continuously to optimise their therapy. When patients repeat the movements in a natural setting, the routine can be imprinted into their brains which gradually learn to correct from the damage resulting from their medical conditions.”
In addition, the robotic walker is capable of collecting data on the gait kinematics and muscle activation pattern of the patient. Such information is useful for doctors and therapists to monitor the progress of the patients’ recovery.
A robotic helper for physiotherapists
Besides improving the quality of rehabilitation sessions, the robotic walker will also relieve physiotherapists from the physical strain of assisting patients with the exercises.
Currently, gait training requires one or two physiotherapists to support the patient’s body weight and trunk, and an additional physiotherapist may be needed to move the paretic leg. Such therapy sessions are labour intensive, and they are also ergonomically unfavourable for the physiotherapists as they often suffer from back injuries. This limits the quality, duration and frequency of rehabilitation sessions.
With the robotic walker, manual therapy can be taken over by the robotic system, while physiotherapists can focus on providing better assessment and training guidance for patients. The device also reduces the number of physiotherapists needed to conduct each rehabilitation session, thereby increasing productivity and reducing the cost of care.
Clinical studies and commericalisation
Asst Prof Yu is collaborating with homegrown company Hope Technik to fine-tune the robotic walker. He is also planning to conduct clinical studies to validate the training effects on patients and to develop novel therapy regimes together with clinicians at the National University Hospital. There are also plans to commercialise the device with Hope Technik.
“Our vision is for the robotic walker to be installed at outpatient clinics and rehabilitation centres to benefit patients who need therapy sessions. There is also a possibility that patients can perform exercises in the comfort of their own homes,” said Asst Prof Yu.

Interesting design compared to most robotic walkers.

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