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:

Tuesday, January 31, 2017

Robotic wrist training after stroke: Adaptive modulation of assistance in pediatric rehabilitation

So send your doctor after the protocol and equipment used. Each individual doctor wouldn't have to do this if we had a great stroke association keeping track of all research and protocols in a publicly available database.
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Pediatric stroke leads to limb hemiparesis, sensory impairments, and spasticity.
A 14-year old stroke patient completed in a 3-month wrist robotic training program.
The robot provided online adaptive modulation of assistance instantaneously during each trial.
Robot therapy led to positive changes in upper limb motor coordination and function.
In addition, the patient needed less robot assistance to complete each trial.


In this paper we present a case study in which a 14-year-old, right-handed stroke patient with severe weakness, spasticity, and motor dysfunction of the left upper extremity participated in a three-month distal robotic training program. The robotic device was compliant to the patients’ movements and was able to modulate the level of assistance continuously throughout the trial (i.e., online adaptive modulation). Standard clinical and robotic evaluations of upper extremity motor performance were conducted before and after robotic training. There were improvements in upper extremity spasticity and motor functions. In addition, robotic training lead to positive changes in wrist active range of motion and kinematics: movements were smoother and there was a noticeable decrease in the level of robotic intervention required to complete each trial. In sum, results of the present case study demonstrate that distal upper extremity robotic rehabilitation that features the proposed adaptive control algorithm promoted positive changes in upper limb motor coordination and function after pediatric stroke.

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