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, November 13, 2020

Effects of Intensive Arm Training With an Electromechanical Orthosis in Chronic Stroke Patients: A Preliminary Study

So send the protocols and results to all 10 million yearly stroke survivors  now and forever into the future.

Effects of Intensive Arm Training With an Electromechanical Orthosis in Chronic Stroke Patients: A Preliminary Study

2011, Archives of Physical Medicine and Rehabilitation
Rodrigo C. de Araújo, PhD, Fábio Lúcio Junior, MSc, Daniel N. Rocha, PhD, Tálita S. Sono, MSc, Marcos Pinotti, PhD
ABSTRACT. de Araújo RC, Junior FL, Rocha DN, SonoTS, Pinotti M. Effects of intensive arm training with an electromechanical orthosis in chronic stroke patients: a preliminary study. Arch Phys Med Rehabil 2011;92:1746-53.
Objectives:
 To evaluate the use of an electromechanical device, comprising an exoskeleton, a static orthosis, and a glove, for functional rehabilitation of the elbow and hand inpatients with hemiparesis, and to compare it with physical therapy rehabilitation.
Design:
 Pretest-posttest design.
Setting:
 Rehabilitation laboratory.
Participants:
 Volunteer sample of persons (N

12) with persistent hemiparesis from a single, unilateral stroke within the past 3 to 36 months.
Interventions:
 The volunteers were randomly divided into 2groups. One group was treated with a conventional program of physiotherapy, and another group participated in a training program in which an electromechanical orthosis was used. All volunteers received 24 sessions, held 3 times a week for 8weeks.
Main Outcome Measures:
 Modified Ashworth Scale (MAS),Fugl-Meyer Assessment (FMA), and electromyogram (EMG)amplitude.
Results:
 No statistical difference was found in the initial andfinal values of the MAS. Both groups showed a significant increase for the total scores of the FMA. However, only the group treated with the orthosis showed an increase in FMA scores related to the wrist and hand joint. The EMG analysis showed increased EMG amplitudes for all muscles in the group treated with the orthosis, whereas the group treated with physiotherapy showed gains in electromyographic activity only in the extensor digitorum communis. Intergroup comparison showed that the initial FMA scores of the wrist/hand were higher in the group treated with physiotherapy. However, after training, the scores in the group that used the orthosis were equivalent to those of the physiotherapy group.
 Conclusions:
 The results suggest that this device can be an auxiliary tool to help the conventional rehabilitation program of motor function of the affected upper extremity.
Key Words:
 Cerebrovascular accident; Paresis; Rehabilitation; Upper extremity.
© 2011 by the American Congress of Rehabilitation Medicine

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