Deans' stroke musings: A combined robotic and cognitive training for locomotor rehabilitation: Evidences of cerebral functional reorganization in two chronic traumatic brain injured patients

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.

Tuesday, April 14, 2020

A combined robotic and cognitive training for locomotor rehabilitation: Evidences of cerebral functional reorganization in two chronic traumatic brain injured patients

I see the word protocol in the abstract which is good. But WHERE THE FUCK IS IT LOCATED? So the 10 million yearly stroke survivors can bring it to their doctor's attention and the 2.5 million yearly TBI survivors. I don't care that it says TBI, it should be able to be repurposed as is for stroke survivors.

A combined robotic and cognitive training for locomotor rehabilitation: Evidences of cerebral functional reorganization in two chronic traumatic brain injured patients

Katiuscia Sacco 1,2,3*
, Franco Cauda 1,2
, Federico D’Agata 1,2
, Sergio Duca 2
, Marina Zettin 4
, Roberta Virgilio 4
, Alberto Nascimbeni 5
, Guido Belforte 6
, Gabriella Eula 6
, Laura Gastaldi 6
, Silvia Appendino 6
Giuliano Geminiani 1,2,3

1 Department of Psychology, University of Turin, Turin, Italy
2 Department of Neuroradiology, Koelliker Hospital, Turin, Italy
3 Neuroscience Institute of Turin (NIT), Turin, Italy
4 Centro Puzzle, Turin, Italy
5 Physiatric Unit, Santa Croce Hospital, Moncalieri (Turin), Italy
6 Department of Mechanics, Polytechnic of Turin, Turin, Italy

Running head: Robotic and cognitive locomotor training

Key words: motor training; cognitive training; motor imagery; locomotor rehabilitation; brain injury;
robotic gait orthosis; functional magnetic resonance imaging (fMRI); brain plasticity.

Abstract

It has been demonstrated that automated locomotor training can improve walking capabilities in spinal cord injured subjects but its effectiveness on brain damaged patients has not been well established. A possible explanation of the discordant results on the efficacy of robotic training in patients with cerebral lesions could be that these patients, besides stimulation of physiological motor patterns through passive leg movements, also need to train the cognitive aspects of motor control. Indeed, another way to stimulate cerebral motor areas in paretic patients is to use the cognitive function of motor imagery. A promising possibility is thus to combine sensorimotor training with the use of motor imagery. The aim of this paper is to assess changes in brain activations after a combined sensorimotor and cognitive training for gait rehabilitation. The protocol consisted of the integrated use of a robotic gait orthosis prototype with locomotor imagery tasks. Assessment was conducted on two patients with chronic traumatic brain injury and major gait impairments, using functional magnetic resonance imaging. Physiatric functional scales were used to assess clinical outcomes. Results showed greater activation post-training in the sensorimotor and supplementary motor cortices, as well as enhanced functional connectivity within the motor network. Improvements in balance and, to a lesser extent, in gait outcomes were also found.