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, September 29, 2015

The H2 robotic exoskeleton for gait rehabilitation after stroke: early findings from a clinical study

Does your hospital have any walking exoskeleton at all? If not, why are they so fucking incompetent?
I have 55 posts on exoskeletons so your doctor doesn't have to do any research at all, just read about them. If they can't even keep up with current rehabilitation research, why are you paying them at all? Sounds like a call to the president is needed to find out why the stroke department head is not doing their job.
Picture here:
https://vimeo.com/122952767

Study here:
The H2 robotic exoskeleton for gait rehabilitation after stroke: early findings from a clinical study
Magdo Bortole12*, Anusha Venkatakrishnan24, Fangshi Zhu2, Juan C Moreno1, Gerard E Francisco3, Jose L Pons1 and Jose L Contreras-Vidal2
1 Neural Rehabilitation Group, Cajal Institute, Spanish Research Council, Av. Doctor Arce 37, Madrid 28002, Spain
2 Noninvasive Brain-Machine Interface Systems Laboratory, Department of Electrical and Computer Engineering, University of Houston, Houston 77204-4005, USA
3 TIRR Memorial Hermann and Department of PM&R, University of Texas Health Sciences Center, 1333 Moursund Street, Houston 77030, USA
4 Currently at Palo Alto Research Center, a Xerox company, Palo Alto CA 94304, USA
For all author emails, please log on.
Journal of NeuroEngineering and Rehabilitation 2015, 12:54  doi:10.1186/s12984-015-0048-y
The electronic version of this article is the complete one and can be found online at: http://www.jneuroengrehab.com/content/12/1/54

Received:30 August 2014
Accepted:4 June 2015
Published:17 June 2015
© 2015 Bortole et al.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Abstract

Background

Stroke significantly affects thousands of individuals annually, leading to considerable physical impairment and functional disability. Gait is one of the most important activities of daily living affected in stroke survivors. Recent technological developments in powered robotics exoskeletons can create powerful adjunctive tools for rehabilitation and potentially accelerate functional recovery. Here, we present the development and evaluation of a novel lower limb robotic exoskeleton, namely H2 (Technaid S.L., Spain), for gait rehabilitation in stroke survivors.

Methods

H2 has six actuated joints and is designed to allow intensive overground gait training. An assistive gait control algorithm was developed to create a force field along a desired trajectory, only applying torque when patients deviate from the prescribed movement pattern. The device was evaluated in 3 hemiparetic stroke patients across 4 weeks of training per individual (approximately 12 sessions). The study was approved by the Institutional Review Board at the University of Houston. The main objective of this initial pre-clinical study was to evaluate the safety and usability of the exoskeleton. A Likert scale was used to measure patient’s perception about the easy of use of the device.

Results

Three stroke patients completed the study. The training was well tolerated and no adverse events occurred. Early findings demonstrate that H2 appears to be safe and easy to use in the participants of this study. The overground training environment employed as a means to enhance active patient engagement proved to be challenging and exciting for patients. These results are promising and encourage future rehabilitation training with a larger cohort of patients.

Conclusions

The developed exoskeleton enables longitudinal overground training of walking in hemiparetic patients after stroke. The system is robust and safe when applied to assist a stroke patient performing an overground walking task. Such device opens the opportunity to study means to optimize a rehabilitation treatment that can be customized for individuals.
Trial registration: This study was registered at ClinicalTrials.gov (https://clinicaltrials.gov/show/NCT02114450 webcite).

No comments:

Post a Comment