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, July 23, 2019

Wearable Ankle Robots in Post-Stroke Rehabilitation of Gait: a Systematic Review

 Hopefully your doctor knows instantly what ankle robots are being referred to. 

I only know of these;

A neuromechanics-based powered ankle exoskeleton to assist walking post-stroke: a feasibility study April, 2015

Feinstein Institute study finds robotic ankle rehabilitation helps post stroke recovery August, 2017 

Japanese robo boot could help stroke sufferers walk again October, 2013 

Clinical application of a modular ankle robot for stroke rehabilitation July, 2013 

Ankle robots help participants retrain gait in study at the Maryland VA June, 2013

 

The latest here. 

Wearable Ankle Robots in Post-Stroke Rehabilitation of Gait: a Systematic Review


Bin Shi1, Xiaofeng Chen2, Zan Yue1, Shuai Yin3, Qipeng Weng3, Xue Zhang3, Jing Wang3* and Weina Wen2
  • 1Institute of Robotics and Intelligent System, School of Mechanical Engineering, Xi'an Jiaotong University, China
  • 2Shenzhen Baoxing Hospital, China
  • 3Institute of Robotics and Intelligent System, School of Mechanical Engineering, Xi’an Jiaotong University, China
Background: Stroke causes the weak functional mobility of survivors and affects their ability to perform activities of daily living. Wearable ankle robots are a potential intervention for gait rehabilitation post-stroke.
Objective: The aim of this study is to provide a systematic review of wearable ankle robots, focusing on the overview,
classification and comparison of actuators, gait event detection, control strategies and performance evaluation.
Method: Only English-language studies published from December 1995 to March 2019 were searched in the following databases: PubMed, EMBASE, Web of Science, Scopus, IEEE Xplore, Science Direct, SAGE journals.
Result: A total of forty-eight articles were selected and 97 stroke survivors participated in these trials. Findings showed that few comparative trials were conducted among different actuators or control strategies. Moreover, mixed sensing technology which combines kinematic with kinetic information was effective to detect motion intention of stroke survivors. Besides, all the selected clinical studies showed improvement in peak dorsiflexion degree in swing phase, peak paretic propulsive during push-off and further enhance walking speed after a period of robot-assisted
ankle rehabilitation training.
Conclusions: Preliminary findings suggest that wearable ankle robots have certain clinical benefits for the treatment of hemiplegic gait post-stroke. Efforts should be invested in performing a larger multicenter randomized controlled clinical trial to enhance the clinic effectiveness of wearable ankle robot in the future research.
Keywords: Wearable ankle robots;, Actuator;, Gait event detection;, Control strategies;, performance evaluation
Received: 20 Mar 2019; Accepted: 19 Jul 2019.
Edited by:
Maziar Ahmad Sharbafi, University of Tehran, Iran
Reviewed by:
Giovanni Ottoboni, Giorgio Prodi Interdepartmental Cancer Research Centre, University of Bologna, Italy
Andrej Olenšek, University Rehabilitation Institute (Slovenia), Slovenia  
Copyright: © 2019 Shi, Chen, Yue, Yin, Weng, Zhang, Wang and Wen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Prof. Jing Wang, Institute of Robotics and Intelligent System, School of Mechanical Engineering, Xi’an Jiaotong University, Xi'an, 710049, China, wangpele@gmail.com
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