Deans' stroke musings: Virtual reality for upper limb rehabilitation in subacute and chronic stroke: A randomized controlled trial

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.

Saturday, September 8, 2018

Virtual reality for upper limb rehabilitation in subacute and chronic stroke: A randomized controlled trial

You mean that these 103 posts on virtual reality aren't enough to write up a fucking protocol? And you didn't write one either? There is nothing here I could take to my therapist and have them use to get me recovered.

virtual reality (103)

The Fugl-Meyer upper extremity scale has no objective distinction for changes in ability and thus would be useless as a measurement tool.

Virtual reality for upper limb rehabilitation in subacute and chronic stroke: A randomized controlled trial

Archives of Physical Medicine and Rehabilitation , Volume 99(5) , Pgs. 834-842, 842.e1-842.e4.

NARIC Accession Number: J79094. What's this?
ISSN: 0003-9993.
Author(s): Kiper, Pawel; Szczudlik, Andrzej; Agostini, Michela; Opara, Jozef; Nowobilski, Roman; Ventura, Laura; Tonin, Paolo; Turolla, Andrea.
Publication Year: 2018.
Number of Pages: 13.
Abstract: Study evaluated the effectiveness of reinforced feedback in virtual environment (RFVE) treatment combined with conventional rehabilitation (CR) in comparison with CR alone, and examined whether changes are related to type of stroke (ischemic or hemorrhagic). One hundred thirty-six patients (78 ischemic, 58 hemorrhagic) were randomly assigned to an experimental or control group within 1 year from onset of a single stroke. The experimental treatment was based on the combination of RFVE with CR, whereas control treatment was based on the same amount of CR. Both treatments lasted 2 hours daily, 5 days a week, for 4 weeks. The primary outcome measure, the Fugl-Meyer upper extremity scale (FM-UE), assesses upper-limb motor function, balance, sensitivity, and joint range of movement, determining severity of impairment. Secondary outcome measures included the Functional Independence Measure (FIM), National Institutes of Health Stroke Scale (NIHSS), Edmonton Symptom Assessment Scale (ESAS), and kinematic parameters of requested movements: duration (time), mean linear velocity (speed), and number of submovements (peak). Both groups improved after treatment, but the experimental group had better results than the control group for FM-UE, FIM, NIHSS, ESAS, time, speed, and peak. Stroke etiology did not have significant effects on patient outcomes. Results suggest that RFVE therapy combined with CR treatment promotes better outcomes for upper limbs than the same amount of CR, regardless of stroke etiology.
Descriptor Terms: BIOENGINEERING, BODY MOVEMENT, CHRONIC ILLNESS, COMPUTER APPLICATIONS, FEEDBACK, LIMBS, MOTOR SKILLS, REHABILITATION, STROKE, SUBACUTE CARE.

Can this document be ordered through NARIC's document delivery service*?: Not available from NARIC.

Citation: Kiper, Pawel, Szczudlik, Andrzej, Agostini, Michela, Opara, Jozef, Nowobilski, Roman, Ventura, Laura, Tonin, Paolo, Turolla, Andrea. (2018). Virtual reality for upper limb rehabilitation in subacute and chronic stroke: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation , 99(5), Pgs. 834-842, 842.e1-842.e4. Retrieved 9/8/2018, from REHABDATA database.