Deans' stroke musings: Home-based upper-extremity stroke therapy using a multiuser virtual reality environment: A randomized trial

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, April 17, 2020

Home-based upper-extremity stroke therapy using a multiuser virtual reality environment: A randomized trial

But what was the efficacy of getting the upper limb fully recovered? You are beating around the bush with your measurements of participation. Survivors don't fucking care about participation, they want to know results. Do this x number of times, get this result. Damn it all talk to survivors sometime.

Home-based upper-extremity stroke therapy using a multiuser virtual reality environment: A randomized trial

Archives of Physical Medicine and Rehabilitation , Volume 101(2) , Pgs. 196-203.

NARIC Accession Number: J83110. What's this?
ISSN: 0003-9993.
Author(s): Thielbar, Kelly O.; Triandafilou, Kristen M.; Barry, Alexander J.; Yuan, Ning; Nishimoto, Arthur; Johnson, Joelle; Stoykov, Mary E.; Tsoupikova, Daria; Kamper, Derek G..
Project Number: H133E070013.
Publication Year: 2020.
Number of Pages: 8.
Abstract: Study compared the participation and subjective experience of participants in both home-based multiuser (MU) virtual-reality therapy and home-based single-user (SU) virtual-reality therapy. Twenty stroke survivors with chronic upper-extremity impairment trained for 4 weeks in their home with the Virtual Environment for Rehabilitative Gaming Exercises (VERGE) system, developed to permit interactions among multiple users located remotely. Each participant used the SU mode for 2 weeks and the MU mode for 2 weeks. The order of presentation of SU and MU versions was randomized such that participants were divided into 2 groups, First MU and First SU. Arm displacement was measured during each session as the primary outcome measure. Secondary outcome measures included the time participants spent using the MU and the SU VERGE and te Intrinsic Motivation Inventory scores. The Fugl-Meyer Assessment of Motor Recovery After Stroke Upper Extremity (FMA-UE) score and compliance with prescribed training were also evaluated. Measures were recorded before, midway, and after the treatment. Activity and movement were measured during each training session. Arm displacement during a session was significantly affected the mode of therapy (MU: 414.6 meters, SU: 327.0 meters). Compliance was very high (99 percent compliance for MU mode and 89 percent for SU mode). Within a given session, participants spent significantly more time training in the MU mode than in the SU mode. FMA-UE score improved significantly across all participants. The results suggest that multiuser virtual-reality exercises may provide an effective means of extending clinical therapy into the home.
Descriptor Terms: BODY MOVEMENT, COMPUTER APPLICATIONS, EXERCISE, HOME BASED, LIMBS, RECREATION, REHABILITATION TECHNOLOGY, STROKE, THERAPEUTIC TRAINING.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Thielbar, Kelly O., Triandafilou, Kristen M., Barry, Alexander J., Yuan, Ning, Nishimoto, Arthur, Johnson, Joelle, Stoykov, Mary E., Tsoupikova, Daria, Kamper, Derek G.. (2020). Home-based upper-extremity stroke therapy using a multiuser virtual reality environment: A randomized trial. Archives of Physical Medicine and Rehabilitation , 101(2), Pgs. 196-203. Retrieved 4/17/2020, from REHABDATA database.