Deans' stroke musings: Intensive virtual reality and robotic based upper limb training compared to usual care, and associated cortical reorganization, in the acute and early sub-acute periods post-stroke: a feasibility study

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

Intensive virtual reality and robotic based upper limb training compared to usual care, and associated cortical reorganization, in the acute and early sub-acute periods post-stroke: a feasibility study

With no protocol written up and distributed worldwide this was a waste of time. My god, I need to fire a lot of people.

Intensive virtual reality and robotic based upper limb training compared to usual care, and associated cortical reorganization,in the acute and early sub-acute periods post-stroke: a feasibility study

Journal of NeuroEngineering and Rehabilitation , Volume 16(92)

NARIC Accession Number: J81446. What's this?
ISSN: 1743-0003.
Author(s): Patel, Jigna; Fluet, Gerard; Qui, Qinyin; Yarossi, Mathew; Merians, Alma; Tunik, Eugene; Adamovich, Sergei.
Publication Year: 2019.
Number of Pages: 12.
Abstract: Study investigated the effects of an additional 8 hours of specialized, intensive virtual reality/robotic-based upper-limb training introduced within 1-month post-stroke on impairment and behavior, and the distinct changes in cortical reorganization measured via transcranial magnetic stimulation (TMS). Seven subjects received eight 1-hour sessions of upper-limb VR/robotic training in addition to their inpatient therapy. Six subjects received only their inpatient therapy. All were tested on measures of impairment, assessed with the Upper Extremity Fugl-Meyer Assessment (UEFMA), wrist active range of motion (AROM), and maximum pinch force; and behavior with the Wolf Motor Function Test (WMFT); and also received TMS mapping until 6 months post training. Analyses of variance were conducted to measure differences between groups across time for all outcome measures. Associations between changes in ipsilesional cortical maps during the early period of enhanced neuroplasticity and long-term changes in upper-limb impairment and behavior measures were evaluated. The virtual reality/robotic group made significantly greater improvements on UEFMA and Wrist AROM scores compared to the usual care group. There was also less variability in the association between changes in the first dorsal interosseus muscle map area and WMFT and Maximum Force change scores for the virtual reality/robotic group. An additional 8 hours of intensive virtual reality/robotic based upper-limb training initiated within the first month post-stroke may promote greater gains in impairment compared to usual care alone. Importantly, the findings demonstrated the feasibility of conducting this intervention and multiple outcome measures (impairment, behavioral, neurophysiological) in the early period post-stroke.
Descriptor Terms: BODY MOVEMENT, BRAIN, COMPUTER APPLICATIONS, ELECTRICAL STIMULATION, FEASIBILITY STUDIES, LIMBS, MOTOR SKILLS, PHYSICAL THERAPY, REHABILITATION SERVICES, ROBOTICS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-019-0563-3.

Citation: Patel, Jigna, Fluet, Gerard, Qui, Qinyin, Yarossi, Mathew, Merians, Alma, Tunik, Eugene, Adamovich, Sergei. (2019). Intensive virtual reality and robotic based upper limb training compared to usual care, and associated cortical reorganization, in the acute and early sub-acute periods post-stroke: a feasibility study. Journal of NeuroEngineering and Rehabilitation , 16(92) Retrieved 8/20/2019, from REHABDATA database.