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.

Wednesday, July 29, 2015

Get a Grip! Researchers Grasp How We Hold Objects

Your therapists and doctors should understand this extremely well and update your stroke protocol on reaching and grabbing to take this into account.
http://neurosciencenews.com/grip-force-neuroscience-2332/
It’s been a long day. You open your fridge and grab a nice, cold beer. A pretty simple task, right? Wrong. While you’re debating between an IPA and a lager, your nervous system is calculating a complex problem: how hard to grasp the can.
We never know exactly how heavy or slippery an object will be until we grab it; we need a way of predicting those things so that objects don’t slip out of our hands. For years, researchers thought that grip force — how hard we grab an object — parallels the expected load force — the weight — of the object.
Now, researchers at the Harvard John A. Paulson School of Engineering and Applied Science (SEAS) have shown that the most important factor in determining grip force isn’t what you can estimate about the object but rather what you can’t. Maurice Smith, the Gordon McKay Professor of Bioengineering, and postdoctoral fellow Alkis Hadjiosif have shown that the amount of variability associated with estimating an object’s physical dynamics, such as its weight, is the most important factor in determining grip force. They described their findings in the Journal of Neuroscience.
Take the can of cold beer. When you grab it, the minimum grip force required depends on the weight of the beer and the friction coefficient between its surface and your fingers. On top of that minimal force, your nervous system implicitly factors in a safety margin to protect against miscalculations, such as if the can is heavier or more slippery than you may have expected.Previous research assumed this safety margin was a fixed fraction of the minimum required grip force, like the safety factors widely used in engineering design, but Smith and his team wondered if this was the most effective approach.
“Wouldn’t it be more efficient for the motor system to reduce the safety margin when variability or uncertainty was low and increase it when variability was high,” Smith asked. “This line of thinking leads to the idea that the safety margin should be determined not by the nervous system’s estimate of the minimum required force but by its estimate of the uncertainty about that force. As it turns out, that’s exactly what happens.”
“It turns out that by making the safety margin proportional to variability, it’s possible to maintain control over the probability of failure in a uniform manner in both high and low uncertainty environments. This achieves a fixed statistical confidence against failures like slip,” added Hadjiosif.
If you’re grabbing a clear glass of beer that you’re familiar with, the amount of uncertainty is low. You know the weight of the glass itself, how slippery it is, what’s in it, how much and whether or not it’s sloshing around. From this, your motor system can make a pretty precise estimate about the glass’s dynamics and safely use a grip force just above the minimum required force, with only a small safety margin.
But if you’re grabbing an opaque cup or an object you’re unfamiliar with, the higher uncertainty about required grip force would necessitate a stronger grasp with a higher safety margin to minimize the chance of slip.
Dynamical variability in the environment also comes into play. You hold your beer more tightly standing in a crowded bar, where someone might bump into you and your beer, than sitting in your living room at home.
Understanding the mechanisms behind grip force control could result in a better understanding of how neurological disorders affect the neural calculations that underlie this control.
“We are still in our in the infancy in understanding how the nervous system goes about making many of the calculations it needs. For example, we don’t know how neurons compute estimates of variability and uncertainty. Grip force control may be a good model system for answering that question,” said Smith.
Smith and Hadjiosif observed that grip forces are three times more sensitive to the standard deviation of the load force than to the expected load force.

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