Deans' stroke musings: Robot-based hand motor therapy after stroke

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, August 13, 2020

Robot-based hand motor therapy after stroke

So, in the past 12 years were any protocols written and distributed on this? And did your hospital do ONE DAMN THING WITH THIS EXCEPT IGNORE IT?

Robot-based hand motor therapy after stroke

2008, Brain

Craig D.Takahashi,
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Lucy Der-Yeghiaian,Vu Le, Rehan R. Motiwala and Steven C.Cramer
Department of Neurology and Department of Anatomy & Neurobiology,University of California, Irvine,USA*Present Address: Department of Engineering, Santa Ana College, Santa Ana,CA,USACorrespondence to: Steven C.Cramer, MD,University of California, Irvine Medical Center,101The City Drive South,Building 53 Room 203,Orange,CA 92868-4280,USAE-mail: scramer@uci.edu
Robots can improve motor status after stroke with certain advantages, but there has been less emphasis to date on robotic developments for the hand. The goal of this study was to determine whether a hand-wrist robot would improve motor function, and to evaluate the specificity of therapy effects on brain reorganization.Subjects with chronic stroke producing moderate right arm/hand weakness received 3 weeks therapy that emphasized intense active movement repetition as well as attention, speed, force, precision and timing, and included virtual reality games. Subjects initiated hand movements. If necessary, the robot completed movements, a feature available at all visits for seven of the subjects and at the latter half of visits for six of the subjects. Significant behavioural gains were found at end of treatment, for example, in Action Research ArmTest (34 ± 20 to 38 ±19, P < 0.0005) and arm motor Fugl-Meyer score (45 ± 10 to 52 ±10, P <0.0001). Results suggest greater gains for subjects receiving robotic assistance in all sessions as compared to those receiving robotic assistance in half of sessions.The grasp task practiced during robotic therapy, when performed during functional MRI, showed increased sensorimotor cortex activation across the period of therapy, while a nonpracticed task, supination/pronation, did not. A robot-based therapy showed improvements in hand motor function after chronic stroke. Reorganization of motor maps during the current therapy was task-specific, a finding useful when considering generalization of rehabilitation therapy.Keywords:
stroke; motor therapy; functional MRI; generalization
Abbreviations:
IP=interphalangeal; MCP=metacarpophalangeal
Received July13, 2007. Revised November 27, 2007. Accepted November 28, 2007. Advance Access publication December 21, 2007