Deans' stroke musings: Feasibility of combining gait robot and multichannel functional electrical stimulation with intramuscular electrodes

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.

Wednesday, December 18, 2019

Feasibility of combining gait robot and multichannel functional electrical stimulation with intramuscular electrodes

You don't tell us if the subjects were satisfied with their 100% gait recovery. I saw nothing in your satisfaction survey asking about getting to 100% recovery. If you don't even have the correct endpoints why the fuck are you doing the research?

Feasibility of combining gait robot and multichannel functional electrical stimulation with intramuscular electrodes

Jessica P. McCabe, MPT;
1
*
Mark E. Dohring, PhD;
1
E. Byron Marsolais, MD, PhD;
1–2
Jean Rogers, PT;
1
Richard Burdsall, PT;
1
Kristen Roenigk, BME;
1
Svetlana Pundik, MD;
1,3
Janis J. Daly, PhD, MS
1,3
1
Cognitive and Motor Learning Laboratory, Cleveland FES Center, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH;
2
Departments of Anesthesiology, Biomedical Engineering, and Orthopaedic Surgery, and
3
Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH

Abstract—

After stroke rehabilitation, many survivors of stroke exhibit persistent gait deficits. In previous work, we demon-strated significant gains in gait kinematics for survivors of chronic stroke using multichannel functional electrical stimulation with intramuscular electrodes (FES-IM). For this study, wetested the feasibility of combining FES-IM and gait robot technologies for treating persistent gait deficits after stroke. Six subjects, >/= 6 months after stroke, received 30-minute intervention sessions of combined FES-IM and gait robotics 4 days a week for 12 weeks. Feasibility was assessed according to three factors:(1) performance of the interface of the two technologies during intervention sessions, (2) clinicians’ success in using two technologies simultaneously, and (3) subject satisfaction. FES-IM system hardware and software design features combined with the gait robot technology proved feasible to use. Each technology alone provided unique advantages and disadvantages of gait practice characteristics. Because of the unique advantages and disadvantages of each technology, gait deficits need to be accurately identified and a judicious treatment plan properly targeted before FES-IM, a gait robot, or both combined are selected.