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.

Thursday, June 11, 2020

Key components of mechanical work predict outcomes in robotic stroke therapy

Good luck figuring out what negative work at the shoulder is and the exact robots used here. 

Maybe here?

Shoulder Eccentric Exercises

Concentric elbow strengthening

 

You do know you can't do a damn thing with my recommendations, I'm not medically trained. Is your doctor?

 

Key components of mechanical work predict outcomes in robotic stroke therapy

Journal of NeuroEngineering and Rehabilitation , Volume 17(53)

NARIC Accession Number: J83561.  What's this?
ISSN: 1743-0003.
Author(s): Wright, Zachary A. ; Majeed, Yazan A.; Patton, James L. ; Huang, Felix C..
Publication Year: 2020.
Number of Pages: 12.

Abstract: 

Study investigated how the energetic contributions of stroke survivors during robot-assisted training relate to upper-limb recovery. Eleven stroke survivors completed upper-extremity motor exploration (self-directed movement practice) training with customized forces in six sessions over two weeks, while 11 control group participants trained without assistance. Multiple regression analysis was used to predict patient outcomes with computed mechanical work as independent variables, including separate features for elbow versus shoulder joints, positive (concentric) and negative (eccentric), flexion and extension. The results showed that increases in total mechanical work during therapy were positively correlated with the final outcome metric, velocity range. Further analysis revealed that greater amounts of negative work at the shoulder and positive work at the elbow as the most important predictors of recovery. However, the work features were likely mutually correlated, suggesting a prediction model that first removed shared variance. These results support robotic training for stroke survivors that increases energetic activity in eccentric shoulder and concentric elbow actions.
Descriptor Terms: BIOENGINEERING, BODY MOVEMENT, LIMBS, MOTOR SKILLS, OCCUPATIONAL THERAPY, ROBOTICS, STROKE, THERAPEUTIC TRAINING.


Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00672-8.

Citation: Wright, Zachary A. , Majeed, Yazan A., Patton, James L. , Huang, Felix C.. (2020). Key components of mechanical work predict outcomes in robotic stroke therapy.  Journal of NeuroEngineering and Rehabilitation , 17(53) Retrieved 6/11/2020, from REHABDATA database.
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