Deans' stroke musings: COMBINING UPPER LIMB ROBOTIC REHABILITATION WITH OTHER THERAPEUTIC APPROACHES AFTER STROKE: CURRENT STATUS, RATIONALE AND CHALLENGES

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.

Wednesday, August 16, 2017

COMBINING UPPER LIMB ROBOTIC REHABILITATION WITH OTHER THERAPEUTIC APPROACHES AFTER STROKE: CURRENT STATUS, RATIONALE AND CHALLENGES

Overviews should be completely unnecessary. You just look up the stroke protocol in the public database, and use that to treat your patients. If done right these wastes of time would no longer occur.

COMBINING UPPER LIMB ROBOTIC REHABILITATION WITH OTHER THERAPEUTIC APPROACHES AFTER STROKE: CURRENT STATUS, RATIONALE AND …

Stefano Mazzoleni, PhD1,2*, Christophe Duret, MD3,4, Anne Gaëlle Grosmaire3, Elena Battini1,2

1 :The BioRobotics Institute, Scuola Superiore Sant’Anna, Pisa, Italy 2 : Rehabilitation Bioengineering Laboratory, Volterra, Italy 3 : Centre de Rééducation Fonctionnelle Les Trois Soleils, Médecine Physique et de Réadaptation, Unité de Neurorééducation, Boissise-Le-Roi (77), France 4 : Centre Hospitalier Sud Francilien, Neurologie, Corbeil-Essonnes (91), France

Abstract: A better understanding of the neural substrates that underlie motor recovery after
stroke has led to the development of innovative rehabilitation strategies and tools that
incorporate key elements of motor skill re-learning, i.e. intensive motor training involving
goal-oriented repeated movements. Robotic devices for the upper limb are increasingly used
in rehabilitation. Studies have demonstrated the effectiveness of these devices in reducing
motor impairments, but less so for the improvement of upper limb function. Other studies
have begun to investigate the benefits of combined approaches that target muscle function
(functional electrical stimulation and Botulinum Toxin injections), modulate neural activity
(Noninvasive Brain stimulation) and enhance motivation (Virtual Reality) in an attempt to
potentialize the benefits of robot-mediated training. The aim of this paper is to overview the
current status of such combined-treatments and to analyze the rationale behind them.