Deans' stroke musings: Robotic assisted rehabilitation therapy for enhancing gait and motor function after 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.

Saturday, September 28, 2019

Robotic assisted rehabilitation therapy for enhancing gait and motor function after stroke

Damn it all, we don't need you to suggest further studies. Do your damn job correctly the first time to get stroke protocols out of your research. If your mentors and senior researchers are not asking for that they need to be removed.

Robotic assisted rehabilitation therapy for enhancing gait and motor function after stroke

Yun-Hee Kim^1,2

¹Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
²Department of Health Sciences and Technology, Department of Medical Device Management & Research, Department of Digital Health, Samsung Advanced Institute for Health Sciences & Technology, Sungkyunkwan University, Seoul, Korea
Correspondence Yun-Hee Kim ,Tel: +82-2-3410-2824, Email: yun1225.kim@samsung.com
Submitted: June 7, 2019 Accepted after revision: June 20, 2019
Abstract
During the last two decades, there have been remarkable developments in electromechanical or robotic assisted rehabilitation therapy for promoting walking ability and upper extremity motor function. Robotic devices have made high-dosage and high-intensity rehabilitative training possible, therefore, useful for enhancing neural plasticity of the central nervous system in patients with brain diseases. Robotic assisted gait therapy showed evidence for both exoskeleton and end-effector devices when used alongside conventional physiotherapy in subacute stroke patients. However, robot-assisted gait training was not proven excellent to conventional physical therapy in stroke patients with chronic stage or when delivered alone. For upper limb motor function, robotic assisted therapy was comparable or superior to conventional therapy in improving motor function and activities of daily living for both subacute and chronic stage of stroke patients. Further studies are required to clarify the best protocol for individual patient’s need and its transferring effect to the real world activities of patients. Conclusively, high quality researches and development of related technology may enhance the clinical and economic efficiency of robotic assisted rehabilitation therapy in near future. Robotic rehabilitation will certainly encounter a positive opportunity of technical development during the age of fourth industrial revolution.

Precision and Future Medicine 2019;3(3): 103-115.
DOI: https://doi.org/10.23838/pfm.2019.00065 Published online September 24, 2019.