Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Tuesday, August 2, 2016

Computational neurorehabilitation: modeling plasticity and learning to predict recovery

Once again going down the prediction route and ignoring all the problems in stroke that need solving? Survivors don't give a shit about predictions. Give us the protocols that will get us to recovery you dipshits. Compute all you want as long as you come up with ways to get results.
http://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-016-0148-3
  • David J. ReinkensmeyerEmail author,
  • Etienne Burdet,
  • Maura Casadio,
  • John W. Krakauer,
  • Gert Kwakkel,
  • Catherine E. Lang,
  • Stephan P. Swinnen,
  • Nick S. Ward and
  • Nicolas Schweighofer
Journal of NeuroEngineering and Rehabilitation201613:42
DOI: 10.1186/s12984-016-0148-3
Received: 19 November 2015
Accepted: 13 April 2016
Published: 30 April 2016

Abstract

Despite progress in using computational approaches to inform medicine and neuroscience in the last 30 years, there have been few attempts to model the mechanisms underlying sensorimotor rehabilitation. We argue that a fundamental understanding of neurologic recovery, and as a result accurate predictions at the individual level, will be facilitated by developing computational models of the salient neural processes, including plasticity and learning systems of the brain, and integrating them into a context specific to rehabilitation. Here, we therefore discuss Computational Neurorehabilitation, a newly emerging field aimed at modeling plasticity and motor learning to understand and improve movement recovery of individuals with neurologic impairment. We first explain how the emergence of robotics and wearable sensors for rehabilitation is providing data that make development and testing of such models increasingly feasible. We then review key aspects of plasticity and motor learning that such models will incorporate. We proceed by discussing how computational neurorehabilitation models relate to the current benchmark in rehabilitation modeling – regression-based, prognostic modeling. We then critically discuss the first computational neurorehabilitation models, which have primarily focused on modeling rehabilitation of the upper extremity after stroke, and show how even simple models have produced novel ideas for future investigation. Finally, we conclude with key directions for future research,(You are updating the stroke strategy with these ideas, Aren't you?) anticipating that soon we will see the emergence of mechanistic models of motor recovery that are informed by clinical imaging results and driven by the actual movement content of rehabilitation therapy as well as wearable sensor-based records of daily activity.


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