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.

Monday, March 16, 2020

Clinical application of the Hybrid Assistive Limb (HAL) for gait training-a systematic review

This review should never have been needed. If only our fucking failures of stroke associations would create a database of stroke research updated every time something new is done.  But until we get survivors in charge, lots of stroke research will be a waste.

Useless, they punted by not doing enough research and called for followup instead of doing their jobs.  

And these 2 already proved efficacy but didn't provide a protocol. 

Clinical application of the Hybrid Assistive Limb (HAL) for gait training-a systematic review

Anneli Wall1,2*, Jörgen Borg1,2 and Susanne Palmcrantz1,2
1 Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden, 2 Department of Clinical Sciences, Karolinska Institute, Stockholm, Sweden
Objective:
The aim of this study was to review the literature on clinical applications of the Hybrid Assistive Limb system for gait training. Methods: A systematic literature search was conducted using Web of Science, PubMed, CINAHL and clinicaltrials.gov and additional search was made using reference lists in identified reports. Abstracts were screened, relevant articles were reviewed and subject to quality assessment.
Results:
Out of 37 studies, 7 studies fulfilled inclusion criteria. Six studies were single groupstudiesand1wasanexplorativerandomizedcontrolledtrial.Intotal,thesestudies involved 140 participants of whom 118 completed the interventions and 107 used HAL for gait training. Five studies concerned gait training after stroke, 1 after spinal cord injury (SCI) and 1 study after stroke, SCI or other diseases affecting walking ability. Minor and transient side effects occurred but no serious adverse events were reported in the studies. Beneficial effects on gait function variables and independence in walking were observed.
Conclusions:
The accumulated findings demonstrate that the HAL system is feasible when used for gait training of patients with lower extremity paresis in a professional setting. Beneficial effects on gait function and independence in walking were observed but data do not allow conclusions. Further controlled studies are recommended.

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