A review of the progression and future implications of brain-computer interface therapies for restoration of distal upper extremity motor function after stroke

If you were to properly think about this, all rehab therapies would work much better with vastly fewer dead neurons. And you do that by stopping the 5 causes of the neuronal cascade of death in the first week.

If my doctors had done that they would have saved me  5.4 billion neurons. Recovery would have been easy with only 171 million dead neurons.  And sending a bill to my doctor and stroke hospital at $1000 a dead neuron would only cost them 5.4 trillion dollars. That might concentrate their minds.  I don't expect neuroplasticity or neurogenesis to be precisely repeatable for at least 50 years. No one is looking at the signals that occur between neurons such that one neuron drops its current function and takes on a neighbor's function. Knowing that process is the only way to make neuroplasticity EXACTLY REPEATABLE.

A review of the progression and future implications of brain-computer interface therapies for restoration of distal upper extremity motor function after stroke

 Alexander Remsik, Brittany Young, Rebecca Vermilyea, Laura Kiekhoefer, Jessica Abrams, Samantha Evander Elmore,Paige Schultz, Veena Nair, Dorothy Edwards, Justin Williams and Vivek Prabhakaran
Department of Radiology Clinical Science Center, University of Wisconsin Madison School of Medicine and Public Health Ringgold StandardInstitution, Madison, WI, USA

 ABSTRACT

Stroke is a leading cause of acquired disability resulting in distal upper extremity functional motor impairment. Stroke mortality rates continue to decline with advances in healthcare and medical technology. This has led to an increased demand for advanced, personalized rehabilitation. Survivors often experience some level of spontaneous recovery shortly after their stroke event, yet reach a functional plateau after which there is exiguous motor recovery. Nevertheless, studies have demonstrated the potential for recovery beyond this plateau. Non-traditional neurorehabilitation techniques,such as those incorporating the brain-computer interface (BCI), are being investigated for rehabilitation. BCIs may offer a gateway to the brain’s plasticity and revolutionize how humans interact with the world.Non-invasive BCIs work by closing the proprioceptive feedback loop with real-time, multi-sensory feedback allowing for volitional modulation of brain signals to assist hand function. BCI technology potentially promotes neuroplasticity and Hebbian-based motor recovery by rewarding cortical activity associated with sensory-motor rhythms through use with a variety of self-guided and assistive modalities. (So you really know nothing useful?)