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, April 5, 2016

A low cost virtual reality system for home based rehabilitation of the arm following stroke: A randomised controlled feasibility trial

You will have to send your doctor after the equipment used and the stroke protocols for them to be able to duplicate results in their clinic. No attempt to do that, call up the hospital president and ask why such incompetent doctors are allowed to practice there. I'm deadly serious here. W need to weed out the incompetency in all areas of stroke.
http://cre.sagepub.com/content/early/2016/03/29/0269215516640320.full
  1. PJ Standen1⇑
  2. K Threapleton2
  3. A Richardson3
  4. L Connell4
  5. DJ Brown5
  6. S Battersby5
  7. F Platts6
  8. A Burton5
  1. 1Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK
  2. 2School of Health Sciences, University of Nottingham, Nottingham, UK
  3. 3Derbyshire Community Health Services NHS Trust, Integrated Community Therapy Team, St. Oswalds Hospital, Ashbourne, UK
  4. 4School of Nursing, University of Central Lancashire, Lancashire, UK
  5. 5Computing and Technology Team, School of Science and Technology, Nottingham Trent University, Nottingham, UK
  6. 6Sherwood Forest Hospitals NHS Foundation Trust, Mansfield Community Hospital, Nottinghamshire, UK
  1. PJ Standen, Division of Rehabilitation and Ageing, University of Nottingham, QMC, Clifton Boulevard, Nottingham, NG7 2UH, UK. Email: P.Standen@nottingham.ac.uk
 
Next Section

Abstract

Objective: To assess the feasibility of conducting a randomised controlled trial of a home-based virtual reality system for rehabilitation of the arm following stroke.
Design: Two group feasibility randomised controlled trial of intervention versus usual care.
Setting: Patients’ homes.
Participants: Patients aged 18 or over, with residual arm dysfunction following stroke and no longer receiving any other intensive rehabilitation.
Interventions: Eight weeks’ use of a low cost home-based virtual reality system employing infra-red capture to translate the position of the hand into game play or usual care.
Main measures: The primary objective was to collect information on the feasibility of a trial, including recruitment, collection of outcome measures and staff support required. Patients were assessed at three time points using the Wolf Motor Function Test, Nine-Hole Peg Test, Motor Activity Log and Nottingham Extended Activities of Daily Living.
Results: Over 15 months only 47 people were referred to the team. Twenty seven were randomised and 18 (67%) of those completed final outcome measures. Sample size calculation based on data from the Wolf Motor Function Test indicated a requirement for 38 per group. There was a significantly greater change from baseline in the intervention group on midpoint Wolf Grip strength and two subscales of the final Motor Activity Log. Training in the use of the equipment took a median of 230 minutes per patient.
Conclusions: To achieve the required sample size, a definitive home-based trial would require additional strategies to boost recruitment rates and adequate resources for patient support. 

Full text at the link.
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