Deans' stroke musings: Neurophysiology of Robot-Mediated Training and Therapy: A Perspective for Future Use in Clinical Populations

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.

Friday, January 3, 2020

Neurophysiology of Robot-Mediated Training and Therapy: A Perspective for Future Use in Clinical Populations

'May' and 'could' mean this is useless. No protocols given or even attempted.

Neurophysiology of Robot-Mediated Training and Therapy: A Perspective for Future Use in Clinical Populations

Duncan L.Turner
1,2
*,Ander Ramos-Murguialday
3,4
, Niels Birbaumer
3,5
, Ulrich Hoffmann
4
and Andreas Luft
6
1
Neurorehabilitation Unit, University of East London, London, UK
2
Lewin Stroke Rehabilitation Unit, Department of Clinical Neurosciences, Cambridge University NHS FoundationTrust, Cambridge, UK
3
Institute of Medical Psychology and Behavioral Neurobiology, MEG Center, University ofTubingen,Tubingen, Germany
4
Health Division,Tecnalia Research & Innovation, San Sebastian, Spain
5
Ospedale San Camillo, Istituto di Ricovero e Cura a Carattere Scientiﬁco,Venezia Lido, Italy
6
Clinical Neurorehabilitation, Department of Neurology, University of Zurich, Zurich, Switzerland

The recovery of functional movements following injury to the central nervous system (CNS) is multifaceted and is accompanied by processes occurring in the injured and non-injured hemispheres of the brain or above/below a spinal cord lesion.The changes in the CNS are the consequence of functional and structural processes collectively termed neuroplasticity and these may occur spontaneously and/or be induced by movement practice. The neurophysiological mechanisms underlying such brain plasticity may take different forms indifferent types of injury, for example stroke vs. spinal cord injury (SCI). Recovery of movement can be enhanced by intensive, repetitive, variable, and rewarding motor practice.To this end, robots that enable or facilitate repetitive movements have been developed to assist recovery and rehabilitation. Here, we suggest that some elements of robot-mediated training such as assistance and perturbation may have the potential to enhance neuroplasticity. Together the elemental components for developing integrated robot-mediated training protocols may form part of a neurorehabilitation framework alongside those methods already employed by therapists. Robots could thus open up a wider choice of options for delivering movement rehabilitation grounded on the principles underpinning neuroplasticity in the human CNS.