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 16, 2016

The Use of Robotics in Stroke Rehabilitation

I wish these researchers would be informed by their mentors and senior advisors that  rehab has only a 10% chance of getting to full recovery and to focus on the neuronal cascade of death by these 5 causes in the first week that still needs to be solved.
http://avestia.com/CDSR2016_Proceedings/files/paper/130.pdf
Marie
-
Helene Milot
Centre de recherche sur le vieillissement; Université de Sherbrooke
1036 Belvédère sud
,
Sherbrooke
,
Canada
marie-helene.milot@usherbrooke.ca
Extended Abstract
In Canada, strokes affect about 62000 people each year, which is equivalent to a stroke occurring every 9 minutes[1]
.
Following a stroke, many survivors have difficulty undergoing voluntary movement in their affected limb. Both the spatial components (i.e. direction of movement) and the temporal components of movement (i.e. reaction time) are affected, compromising the functional performance of the individuals with hemiparesis.  In order to minimize this negative impact, robotic training is an innovative technique that is recommended more and more as a rehabilitative strategy post stroke[2].
Indeed, several studies using various robots and training protocols have
found notable improvements such as in motor recovery and social participation [3] following stroke.
Yet, no clear consensus prevails in the literature regarding the ideal robotic training parameters and robotic design to ensure optimal functional recovery of
stroke survivors. The objective of this talk is to provide ideas on what could be
the optimal training parameters (e.g. type of training, feedback) as well as
robotic design (e.g. available range of motion) to warrant treatment gains post stroke. Thus, the results of my past and current works in rehabilitation robotics of stroke survivors will be presented. For examples, from a previous study
with the arm exoqueleton[sic] BONES [4], it was shown that a sophisticated multijoint robotic training was not a critical variable of improvement in motor function of the trained limb. It was also suggested that robots, designed to allow training of the full range of motion of the trained limb, could allow a better transfer of training gains to improvement in performance of daily task by stroke survivors. Finally, using a simple one-degree-of-freedom robot, TEO, the impact of two different robotic training interventions -- haptic guidance and error amplification, were evaluated in order to improve movement timing post stroke.
Interestingly, the results showed that the side of the stroke lesion is important to consider in the design of robotic training since it influenced how stroke survivors responded to the robotic training interventions[5].
Based on these results, my current research program is focusing on the design
of a simple end-effector robot that allows training the upper limb in its full range of motion. This robot will be tested in an upcoming study aimed at improving affected upper limb movement using haptic guidance and error amplification robotic training interventions. The scope of this talk will be to generate discussions on what should be the next step in the design of robots as well
as robotic training parameters to ensure the clinical applicability of this therapeutic tool for a neurologically impaired population.
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