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.

Thursday, July 5, 2018

A Randomized Controlled Trial of EEG-Based Motor Imagery Brain-Computer Interface Robotic Rehabilitation for Stroke

Useless until your stroke hospital gets the protocol for using this.  They've had 4 years and I bet nothing was accomplished in those 4 years. Incompetence reigns supreme in your stroke hospital.

A Randomized Controlled Trial of EEG-Based Motor Imagery Brain-Computer Interface Robotic Rehabilitation for Stroke

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Kai Keng Ang1
, Karen Sui Geok Chua2
Karen Sui Geok Chua
2Department of Rehabilitation Medicine, Tan Tock Seng Hospital Rehabilitation Centre, Singapore
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, Kok Soon Phua1 ,
Chuanchu Wang1
Chuanchu Wang
1Institute for Infocomm and Research, Agency of Science, Technology and Research, Singapore
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, Zheng Yang Chin1
Zheng Yang Chin
1Institute for Infocomm and Research, Agency of Science, Technology and Research, Singapore
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, Christopher Wee Keong Kuah2
Christopher Wee Keong Kuah
2Department of Rehabilitation Medicine, Tan Tock Seng Hospital Rehabilitation Centre, Singapore
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, Wilson Low3
Wilson Low
3Clinical Research Unit, Tan Tock Seng Hospital, Singapore
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, Cuntai Guan1
Cuntai Guan
1Institute for Infocomm and Research, Agency of Science, Technology and Research, Singapore
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...
First Published April 21, 2014 Research Article
https://doi.org/10.1177/1550059414522229
Article information 

Article Information

Volume: 46 issue: 4, page(s): 310-320
Article first published online: April 21, 2014; Issue published: October 1, 2015
https://doi.org/10.1177/1550059414522229
Kai Keng Ang1, Karen Sui Geok Chua2, Kok Soon Phua1, Chuanchu Wang1, Zheng Yang Chin1, Christopher Wee Keong Kuah2, Wilson Low3, Cuntai Guan1
1Institute for Infocomm and Research, Agency of Science, Technology and Research, Singapore
2Department of Rehabilitation Medicine, Tan Tock Seng Hospital Rehabilitation Centre, Singapore
3Clinical Research Unit, Tan Tock Seng Hospital, Singapore

Corresponding Author: Kai Keng Ang, Institute for Infocomm and Research, Agency of Science, Technology and Research (A*STAR), 1 Fusionopolis Way, #21-01 Connexis (South Tower), 138632, Singapore. Email:



Abstract

Section:

Electroencephalography (EEG)–based motor imagery (MI) brain-computer interface (BCI) technology has the potential to restore motor function by inducing activity-dependent brain plasticity. The purpose of this study was to investigate the efficacy of an EEG-based MI BCI system coupled with MIT-Manus shoulder-elbow robotic feedback (BCI-Manus) for subjects with chronic stroke with upper-limb hemiparesis. In this single-blind, randomized trial, 26 hemiplegic subjects (Fugl-Meyer Assessment of Motor Recovery After Stroke [FMMA] score, 4-40; 16 men; mean age, 51.4 years; mean stroke duration, 297.4 days), prescreened with the ability to use the MI BCI, were randomly allocated to BCI-Manus or Manus therapy, lasting 18 hours over 4 weeks. Efficacy was measured using upper-extremity FMMA scores at weeks 0, 2, 4 and 12. ElEG data from subjects allocated to BCI-Manus were quantified using the revised brain symmetry index (rBSI) and analyzed for correlation with the improvements in FMMA score. Eleven and 15 subjects underwent BCI-Manus and Manus therapy, respectively. One subject in the Manus group dropped out. Mean total FMMA scores at weeks 0, 2, 4, and 12 weeks improved for both groups: 26.3 ± 10.3, 27.4 ± 12.0, 30.8 ± 13.8, and 31.5 ± 13.5 for BCI-Manus and 26.6 ± 18.9, 29.9 ± 20.6, 32.9 ± 21.4, and 33.9 ± 20.2 for Manus, with no intergroup differences (P = .51). More subjects attained further gains in FMMA scores at week 12 from BCI-Manus (7 of 11 [63.6%]) than Manus (5 of 14 [35.7%]). A negative correlation was found between the rBSI and FMMA score improvement (P = .044). BCI-Manus therapy was well tolerated and not associated with adverse events. In conclusion, BCI-Manus therapy is effective and safe for arm rehabilitation after severe poststroke hemiparesis. Motor gains were comparable to those attained with intensive robotic therapy (1,040 repetitions/session) despite reduced arm exercise repetitions using EEG-based MI-triggered robotic feedback (136 repetitions/session). The correlation of rBSI with motor improvements suggests that the rBSI can be used as a prognostic measure for BCI-based stroke rehabilitation.
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