Deans' stroke musings: Changes of shoulder, elbow, and wrist stiffness matrix post stroke

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, August 20, 2019

Changes of shoulder, elbow, and wrist stiffness matrix post stroke

Useless, because nothing is provided to solve this spasticity problem. Describing a problem with no solution is worse than useless, wasting time and money better spent solving the 100% recovery needs of every survivor.

Changes of shoulder, elbow, and wrist stiffness matrix post stroke

IEEE Transactions on Neural Systems and Rehabilitation Engineering , Volume 25(7) , Pgs. 844-851.

NARIC Accession Number: J81246. What's this?
ISSN: 1534-4320.
Author(s): Zhang, Li-Qun; Son, Jongsang; Kang, Sang H.; Lee, Yunju; Ren, Yupeng.
Project Number: 90DP0099.
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study investigated how the increased resistance to external passive movement of a post-stroke spastic joint is associated with multiple joints, including shoulder, elbow and wrist. Impairments in patients post stroke usually involve shoulder, elbow and wrist joints simultaneously. Unfortunately, it is not practical for a clinician to evaluate the multi-joint properties simultaneously and quantitatively, although the information may be very useful in guiding therapy of the impaired arm. A novel method was developed to decompose the complex system into manageable single-joint level for more reliable characterizations. The method was used to characterize the multi-joint changes associated with spastic impaired arm of 11 patients with stroke and 12 healthy controls. It was found that stroke survivors showed not only increased stiffness at the individual joints locally but also significantly higher couplings across the joints. The relative increases in couplings are often higher than that of the local joint stiffness. The multi-joint characterization provided a tool to characterize impairment of individual patients, which would allow more focused impairment-specific treatment. In general, the decomposition method can be used for even more complex systems, making characterization of intractable system dynamics of three or more joints and multiple degrees of freedom manageable.
Descriptor Terms: BIOENGINEERING, BODY MOVEMENT, JOINTS, LIMBS, MOTOR SKILLS, SPASTICITY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Zhang, Li-Qun, Son, Jongsang, Kang, Sang H., Lee, Yunju, Ren, Yupeng. (2017). Changes of shoulder, elbow, and wrist stiffness matrix post stroke. IEEE Transactions on Neural Systems and Rehabilitation Engineering , 25(7), Pgs. 844-851. Retrieved 8/20/2019, from REHABDATA database.