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.

Saturday, November 21, 2020

Effects of robot-assisted therapy on stroke rehabilitation in upper limbs: Systematic review and meta-analysis of the literature

Reviews like this are totally fucking useless, your stroke doctors and hospitals don't either read or implement research and survivors can't find and translate this to protocols to bring it to their stroke medical professionals attention.

Effects of robot-assisted therapy on stroke rehabilitation in upper limbs: Systematic review and meta-analysis of the literature

  Nahid Norouzi-Gheidari, MSc, OT;
*
Philippe S. Archambault, PhD; Joyce Fung, PhD
School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada; Feil/Oberfeld/CRIR Research Centre, Jewish Rehabilitation Hospital, Laval, Quebec, Canada

Abstract—

We systematically reviewed and analyzed the literature to find randomized controlled trials (RCTs) that employed robotic devices in upper-limb rehabilitation of people with stroke. Out of 574 studies, 12 matching the selection criteria were found. The Fugl-Meyer, Functional Independence Measure, Motor Power Scale, and Motor Status Scale outcome measures from the selected RCTs were pooled together, and the corresponding effect sizes were estimated. We found that when the duration/intensity of conventional therapy (CT) is matched with that of the robot-assisted therapy (RT), no difference exists between the intensive CT and RT groups in terms of motor recovery, activities of daily living, strength, and motor control. However, depending on the stage of recovery, extra sessions of RT in addition to regular CT are more beneficial than regular CT alone in motor recovery of the hemiparetic shoulder and elbow of patients with stroke; gains are similar to those that have been observed in intensive CT.
Key words:
activities of daily living, cerebrovascular accident,conventional therapy, Fugl-Meyer, Functional Independence Measure, intensive therapy, Motor Power Scale, Motor Status Scale, PEDro, randomized controlled trial.
INTRODUCTION
According to the World Health Organization, a stroke, also known as a cerebrovascular accident (CVA),is a sudden ischemic or hemorrhagic interruption in the blood flow supplying oxygen and nutrients to brain tissue. This event results in brain cell death and, consequently, partial loss of neurological function [1]. The occurrence of strokes has been progressively increasing.Currently, stroke is “the leading cause of adult disability in Western countries” [2] and one of the most common causes of death in the world [3]. The majority of people with stroke live with long-term disabilities leading to serious social and economic impacts. It is estimated that the direct and indirect cost of stroke care for the 6.5 million people living with the disability in the United States[4] was $73.7 billion for 2010 [5]. According to “Tracking Heart Disease and Stroke in Canada” for 2009, stroke and heart diseases cost more than $22.2 billion annually[6]. These numbers will continue to rise as the population ages and people live longer.
Abbreviations:
ADL = activities of daily living, CI = confidence interval, CT = conventional therapy, CVA = cerebrovascular accident, F-M = Fugl-Meyer, FIM = Functional Independence Measure, MeSH = Medical Subject Headings,MPS = Motor Power Scale, MSS = Motor Status Scale, PEDro =Physiotherapy Evidence Database, RCT = randomized controlled trial, RT = robot-assisted therapy, SMD = standardized mean difference, UL = upper limb.
*
Address all correspondence to Nahid Norouzi-Gheidari,MSc, OT; School of Physical and Occupational Therapy,McGill University, 3654 Prom Sir William Osler, Montreal,Quebec, Canada, H3G 1Y5; 514-398-4500; fax: 514-398-6360. Email:nahid.norouzi@mail.mcgill.ca

http://dx.doi.org/10.1682/JRRD.2010.10.0210

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