Deans' stroke musings: Upper-extremity robot-aided rehabilitation after stroke: A comparison of the arm and wrist robots

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, December 12, 2017

Upper-extremity robot-aided rehabilitation after stroke: A comparison of the arm and wrist robots

Of course your stroke hospital is already comparing these robots and has already selected the best. ROFLMAO.
http://www.jns-journal.com/article/S0022-510X(17)32185-8/fulltext

Y.W. Hsieh

Correspondence information about the author Y.W. Hsieh

T.Y. Shih

K.C. Lin

C.Y. Wu

DOI: http://dx.doi.org/10.1016/j.jns.2017.08.1688

Background: The use of robot-assisted therapy (RT) in stroke rehabilitation is prominently effective, but very limited studies have directly compared the effects of different robotic rehabilitation devices.

Objective: This study examined the efficacy of proximal RT by using the InMotion ARM^TM interactive therapy system (Proximal-IMT) versus distal RT by using the InMotion WRIST^TM interactive therapy system (Distal-IMT) on motor function, muscle strength, and real-life daily activities in stroke patients.

Patients and Methods/Material and Methods: A cluster-controlled trial was conducted and a total of 40 patients with stroke were enrolled. Participants received 1 of the Proximal-IMT, Distal-IMT, or control treatment (CT) for 20 training sessions. Outcome measures were the upper-extremity subscale of Fugl-Meyer Assessment (FMA-UE), Medical Research Council (MRC) Scale, Motor Activity Log (MAL), and wrist-worn activity monitors (ie, accelerometers).

Results: There were statistically significant differences on the distal FMA-UE, total MRC, distal MRC, and MAL quality of movement scores among the 3 groups (P = 0.02 to 0.05). Post hoc comparisons revealed that the Distal-IMT group improved more than the Proximal-IMT and CT groups in distal upper-limb motor function, muscle strength, and quality of movement while using the affected arm in daily tasks.

Conclusion: We found that distal robot-aided rehabilitation using the InMotion WRIST system had superior effects on distal upper-limb motor function, muscle strength, and perceived use of the affected arm during daily tasks. Further large-scale study is suggested to confirm the long-term treatment effects of arm and wrist robots.