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, May 7, 2019

After Years of Clinical Trial Success, Collaboration with Leading Hospitals and Recognition for Innovation, Neuro Rehab Pioneer Eyes Entry into Consumer Market for Home System Use

You'll have to hope your doctor knows about this and can prescribe it. Maybe your insurance will pay for it. 

After Years of Clinical Trial Success, Collaboration with Leading Hospitals and Recognition for Innovation, Neuro Rehab Pioneer Eyes Entry into Consumer Market for Home System Use

ATLANTA, May 7, 2019 /PRNewswire/ -- Motus Nova, a technology firm offering the only robotic system approved by the FDA to be as effective as an in-person therapist for remote stroke rehabilitation, announced today that it is expanding its list of partner hospitals and clinics using the device, as well as making plans to introduce its patented system to the consumer market for home use in Q3 2019.
Twenty-five hospitals in the Atlanta area within Emory Healthcare, the Grady Health System and the Wellstar Health System are joining the growing list of hospitals that have partnered with Motus Nova to use its technology for rehabilitation therapy for stroke survivors.
A collaborator with top-ranked institutions such as Mayo Clinic, Cleveland Clinic and Massachusetts General Hospital, Motus Nova began a decade ago pioneering a robotics device using Artificial Intelligence (AI) to accelerate recovery from neurological injuries such as strokes. Named one of the 10 Most Innovative Companies in Georgia by the Technology Association of Georgia in 2019, Motus Nova is now transitioning from years of success in the clinical setting—where its system has helped thousands of stroke survivors regain their independence—to bring its benefits to stroke survivors continuing their rehabilitation at home.
A robotic system for active-assist stroke therapyMotus Nova was founded to fill a real need: To provide a way for stroke survivors to get the many hours of therapy required for brain healing without requiring real-time oversight at every session by an onsite clinician.
The Motus Nova Hand Mentor and Foot Mentor are sleeve-like robots that fit over a stroke survivor's impaired hand or foot. Equipped with an active-assist air muscle and a suite of sensors and accelerometers, they provide clinically appropriate assistance and resistance while individual's perform the needed therapeutic exercises. A touchscreen console provides goal-directed biofeedback through interactive games—which Motus Nova calls "theratainment"—that make the tedious process of neuro rehab engaging and fun.
"It's a system that has proven to be a valuable partner to stroke therapy professionals, where it complements skilled clinical care by augmenting the repetitive rehabilitation requirements of stroke recovery and freeing the clinician to do more nuanced care and assessment," said Dr. Nick Housley, director of clinical research for Motus Nova. "And while we continue to fill orders for the system to support therapy in the clinic and hospital, we also are looking to use our system to fill the gap patients often experience in receiving the needed therapy once they go home."
Filling the outpatient therapy gapWith seven million stroke survivors in the U.S. and 800,000 new cases every year, strokes are more prevalent than heart attacks in the U.S. They are the leading cause of long-term disability, yet many stroke survivors aren't getting the therapy they need to recover.
Why? Current insurance plans for reimbursing stroke therapy after an in-hospital stay are based on the model for reimbursing outpatient rehab therapy when an individual is recovering from an orthopedic injury or surgery. The problem is that it's false equivalence. It takes many more repetitions of therapy to elicit the neural change and achieve the neuroplasticity required for stroke recovery than it does for an individual to bring range of motion and normal functionality back to a repaired ligament or replaced joint. The stroke survivor must work to forge new neural pathways and re-teach the brain to perform everyday functions with the hand or foot affected by the stroke.
Lower cost, more frequent treatmentClinical studies show that neuroplasticity begins after approximately many 10's to 100's of hours of active guided rehab. The healing process can take months or years, and sometimes the individuals might never fully recover. Yet the typical regimen for stroke survivors is only two to three hours of outpatient therapy per week for a period of three to four months.
"These constraints were instituted by the Centers for Medicare & Medicaid Services (CMS) in determining Medicare reimbursement without a full understanding of the appropriate dosing required for stroke recovery, and many private insurers have adopted the policy, as well," said David Wu, Motus Nova's CEO. Motus Nova plans to offer a more practical model. "By making the system available for home use at a reasonable weekly rate as long as the patient needs it, the individual can perform therapy anytime," Wu said. "A higher dosage of therapy can be achieved without the inconvenience of scheduling appointments with therapists or traveling to and from a clinic, and without the high cost of going to an outpatient center every time the individual wants to do therapy. We are looking forward to offering this new model. More details about pricing and ordering will be available as we approach our projected launch date this summer."
Praise from clinicians, users

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