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 12, 2016

Feasibility and efficacy of a robotic device for hand rehabilitation in hemiplegic stroke patients: A randomized pilot controlled study

Is this enough to scream it out to all stroke hospitals worldwide? Or will this once again fall thru the cracks? Because we have NO stroke leadership pushing such knowledge out to stroke medical professionals?
http://cre.sagepub.com/content/early/2016/04/06/0269215516642606.abstract
  1. Fabio Vanoglio1
  2. Palmira Bernocchi2⇑
  3. Chiara Mulè3
  4. Francesca Garofali1
  5. Chiara Mora1
  6. Giovanni Taveggia3
  7. Simonetta Scalvini2
  8. Alberto Luisa1
  1. 1Neurological Rehabilitation Unit, Fondazione Salvatore Maugeri, IRCCS, Institute of Lumezzane, Brescia, Italy
  2. 2Care Continuity Unit, Fondazione Salvatore Maugeri, IRCCS, Institute of Lumezzane, Brescia, Italy
  3. 3Habilita Hospital, Sarnico, Bergamo, Italy
  1. Palmira Bernocchi, Unit of Care Continuity, Fondazione Salvatore Maugeri, IRCCS, Via Giuseppe Mazzini 129 – 25066 Lumezzane, Brescia, Italy. Email: palmira.bernocchi@fsm.it

Abstract

Objective: The purpose of the study was to evaluate the feasibility and efficacy of robot-assisted hand rehabilitation in improving arm function abilities in sub-acute hemiplegic patients.
Design: Randomized controlled pilot study.
Setting: Inpatient rehabilitation centers.
Participants: Thirty hemiplegic stroke patients (Ashworth spasticity index <3) were recruited and randomly divided into a Treatment group (TG) and Control group (CG).
Interventions: Patients in the TG received intensive hand training with Gloreha, a hand rehabilitation glove that provides computer-controlled, repetitive, passive mobilization of the fingers, with multisensory feedback. Patients in the CG received the same amount of time in terms of conventional hand rehabilitation.
Main outcome measures: Hand motor function (Motricity Index, MI), fine manual dexterity (Nine Hole Peg Test, NHPT) and strength (Grip and Pinch test) were measured at baseline and after rehabilitation, and the differences, (Δ) mean(standard deviation), compared between groups.
Results Twenty-seven patients concluded the program: 14 in the TG and 13 in the CG. None of the patients refused the device and only one adverse event of rheumatoid arthritis reactivation was reported. Baseline data did not differ significantly between the two groups. In TG, ΔMI 23(16.4), ΔNHPT 0.16(0.16), ΔGRIP 0.27(0.23) and ΔPINCH 0.07(0.07) were significantly greater than in CG, ΔMI 5.2(9.2), ΔNHPT 0.02(0.07), ΔGRIP 0.03(0.06) and ΔPINCH 0.02(0.03)] (p=0.002, p=0.009, p=0.003 and p=0.038, respectively).
Conclusions: Gloreha Professional is feasible and effective in recovering fine manual dexterity and strength and reducing arm disability in sub-acute hemiplegic patients
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2 comments:

  1. Rebecca DuttonApril 13, 2016 at 9:12 AM

    Any stroke survivor who can do the Nine-hole Peg Test is really high functioning. I would like to see this device used with more typical stroke survivors.

    ReplyDelete
    Replies
    1. oc1deanApril 13, 2016 at 9:32 AM

      I never even saw or tried the Nine hole Peg Test. I didn't have finger or hand exercises probably because there was no voluntary movement there.

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