Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 27,860 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain!trillions and trillions of neuronsthatDIEeach day because there areNOeffective 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, March 19, 2019
Does hand robotic rehabilitation improve motor function by rebalancing interhemispheric connectivity after chronic stroke? Encouraging data from a randomised-clinical-trial
Wrong objective. The objective of all stroke research is a written protocol distributed to all stroke hospitals, OR to all 10 million yearly stroke survivors.
Survivors don't fucking care about 'evaluation', that does nothing for recovery.
Robotic hand training can be helpful in improving hand motor recovery.
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Amadeo™ induces large modulations of sensorimotor rhythms and connectivity.
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Robotic training yields improvement of hand motor performance by restoring hand motor control.
Abstract
Objective
The
objective of this study was the evaluation of the clinical and
neurophysiological effects of intensive robot-assisted hand therapy
compared to intensive occupational therapy in the chronic recovery phase
after stroke.
Methods
50
patients with a first-ever stroke occurred at least six months before,
were enrolled and randomised into two groups. The experimental group was
provided with the Amadeo™ hand training (AHT), whereas the control
group underwent occupational therapist-guided conventional hand training
(CHT). Both of the groups received 40 hand training sessions (robotic
and conventional, respectively) of 45 min each, 5 times a week, for 8
consecutive weeks. All of the participants underwent a clinical and
electrophysiological assessment (task-related coherence, TRCoh, and
short-latency afferent inhibition, SAI) at baseline and after the
completion of the training.
Results
The
AHT group presented improvements in both of the primary outcomes
(Fugl-Meyer Assessment for of Upper Extremity and the Nine-Hole Peg
Test) greater than CHT (both p<0.001). These results were paralleled
by a larger increase in the frontoparietal TRCoh in the AHT than in the
CHT group (p<0.001) and a greater rebalance between the SAI of both
the hemispheres (p<0.001).
Conclusions
These
data suggest a wider remodelling of sensorimotor plasticity and
interhemispheric inhibition between sensorimotor cortices in the AHT
compared to the CHT group.
Significance
These
results provide neurophysiological support for the therapeutic impact
of intensive robot-assisted treatment on hand function recovery in
individuals with chronic stroke.
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