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, March 24, 2015

The HAAPI (Home Arm Assistance Progression Initiative) Trial A Novel Robotics Delivery Approach in Stroke Rehabilitation

I hate the weasel words of additional research needed. DO something useful and at least propose a stroke protocol.
http://nnr.sagepub.com/content/early/2015/03/16/1545968315575612.abstract
  1. Steven L. Wolf, PhD, FAPTA1,2
  2. Komal Sahu, MPH, OTR/L1
  3. R. Curtis Bay, PhD3
  4. Sharon Buchanan, OTR/L4
  5. Aimee Reiss, DPT, NCS1
  6. Susan Linder, DPT5
  7. Anson Rosenfeldt, DPT5
  8. Jay Alberts, PhD5,6
  1. 1Emory University School of Medicine, Atlanta, GA, USA
  2. 2Atlanta VA Medical Center, Decatur, GA, USA
  3. 3A. T. Still University, Mesa AZ, USA
  4. 4Scottsdale Healthcare, Scottsdale, AZ, USA
  5. 5Cleveland Clinic, OH, USA
  6. 6Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA
  1. Steven L. Wolf, PhD, Department of Rehabilitation Medicine, Emory University School of Medicine, 1441 Clifton Road NE, Room 206 Atlanta, GA 30322, USA. Email: swolf@emory.edu

Abstract

Background. Geographical location, socioeconomic status, and logistics surrounding transportation impede access of poststroke individuals to comprehensive rehabilitative services. Robotic therapy may enhance telerehabilitation by delivering consistent and state-of-the art therapy while allowing remote monitoring and adjusting therapy for underserved populations. The Hand Mentor Pro (HMP) was incorporated within a home exercise program (HEP) to improve upper-extremity (UE) functional capabilities poststroke. Objective. To determine the efficacy of a home-based telemonitored robotic-assisted therapy as part of a HEP compared with a dose-matched HEP-only intervention among individuals less than 6 months poststroke and characterized as underserved. Methods. In this prospective, single-blinded, multisite, randomized controlled trial, 99 hemiparetic participants with limited access to UE rehabilitation were randomized to either (1) the experimental group, which received combined HEP and HMP for 3 h/d ×5 days ×8 weeks, or (2) the control group, which received HEP only at an identical dosage. Weekly communication between the supervising therapist and participant promoted compliance and progression of the HEP and HMP prescription. The Action Research Arm Test and Wolf Motor Function Test along with the Fugl-Meyer Assessment (UE) were primary and secondary outcome measures, respectively, undertaken before and after the interventions. Results. Both groups demonstrated improvement across all UE outcomes. Conclusions. Robotic + HEP and HEP only were both effectively delivered remotely. There was no difference between groups in change in motor function over time. Additional research is necessary to determine the appropriate dosage of HMP and HEP.
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