A Single Session of Robot-Controlled Proprioceptive Training Modulates Functional Connectivity of Sensory Motor Networks and Improves Reaching Accuracy in Chronic Stroke

Where the fuck is the protocol for this? Useless without that, your doctor and stroke hospital will never be able to extrapolate this into useful rehab for you. These had to be persons with no spasticity, cherry picking of easy cases once again.

But SOMEONE ELSE WILL SOLVE THE PROBLEM.

It just won't be in time for your use.  Incompetence in action once again. Are they incompetent because they don't know about this or because they won't do anything with this knowledge? Your choice of incompetence still leaves survivors screwed.

A Single Session of Robot-Controlled Proprioceptive Training Modulates Functional Connectivity of Sensory Motor Networks and Improves Reaching Accuracy in Chronic Stroke 

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Shahabeddin Vahdat, PhD, Mohammed Darainy, PhD, Alexander Thiel, MD, ...

First Published December 29, 2018 Research Article

https://doi.org/10.1177/1545968318818902

Article information

Abstract

Background. Passive robot-generated arm movements in conjunction with proprioceptive decision making and feedback modulate functional connectivity (FC) in sensory motor networks and improve sensorimotor adaptation in normal individuals. This proof-of-principle study investigates whether these effects can be observed in stroke patients.  
Methods. A total of 10 chronic stroke patients with a range of stable motor and sensory deficits (Fugl-Meyer Arm score [FMA] 0-65, Nottingham Sensory Assessment [NSA] 10-40) underwent resting-state functional magnetic resonance imaging before and after a single session of robot-controlled proprioceptive training with feedback. Changes in FC were identified in each patient using independent component analysis as well as a seed region–based approach. FC changes were related to impairment and changes in task performance were assessed.  
Results. A single training session improved average arm reaching accuracy in 6 and proprioception in 8 patients. Two networks showing training-associated FC change were identified. Network C1 was present in all patients and network C2 only in patients with FM scores >7. Relatively larger C1 volume in the ipsilesional hemisphere was associated with less impairment (r = 0.83 for NSA, r = 0.73 for FMA). This association was driven by specific regions in the contralesional hemisphere and their functional connections (supramarginal gyrus with FM scores r = 0.82, S1 with NSA scores r = 0.70, and cerebellum with NSA score r = −0.82).  
Conclusion. A single session of robot-controlled proprioceptive training with feedback improved movement accuracy and induced FC changes in sensory motor networks of chronic stroke patients. FC changes are related to functional impairment and comprise bilateral sensory and motor network nodes.