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.

Monday, September 27, 2021

Modulation of event-related desynchronization in robot assisted hand performance: brain oscillatory changes in active, passive and imagined movements

Something might be useful here but since they tested with healthy controls I'm not sure how this translates to stroke survivors.

Modulation of event-related desynchronization in robot assisted hand performance: brain oscillatory changes in active, passive and imagined movements


 
RESEARCH Open Access

Emanuela Formaggio 1*, 
Silvia Francesca Storti 2, 
Ilaria Boscolo Galazzo 2, 
Marialuisa Gandolfi 3, 
Christian Geroin 3,
Nicola Smania 3, 
Laura Spezia 3, 
Andreas Waldner 4, 
Antonio Fiaschi 1,2
and Paolo Manganotti 1,2

Abstract

Background:
 Robot-assisted therapy in patients with neurological disease is an attempt to improve function in a moderate to severe hemiparetic arm. A better understanding of cortical modifications after robot-assisted training could aid in refining rehabilitation therapy protocols for stroke patients. Modifications of cortical activity in healthy subjects were evaluated during voluntary active movement, passive robot-assisted motor movement, and motor imagery tasks performed under unimanual and bimanual protocols.
Methods:
 Twenty-one channel electroencephalography (EEG) was recorded with a video EEG system in 8 subjects. The subjects performed robot-assisted tasks using the Bi-Manu Track robot-assisted arm trainer. The motor paradigm was executed during one-day experimental sessions under eleven unimanual and bimanual protocols of active, passive and imaged movements. The event-related-synchronization/desynchronization (ERS/ERD) approach to the EEG data was applied to investigate where movement-related decreases in alpha and beta power were localized.
Results:
 Voluntary active unilateral hand movement was observed to significantly activate the contralateral side;however, bilateral activation was noted in all subjects on both the unilateral and bilateral active tasks, as well as desynchronization of alpha and beta brain oscillations during the passive robot-assisted motor tasks. During active passive movement when the right hand drove the left one, there was predominant activation in the contralateral side.Conversely, when the left hand drove the right one, activation was bilateral, especially in the alpha range. Finally,significant contralateral EEG desynchronization was observed during the unilateral task and bilateral ERD during the bimanual task.
Conclusions:
 This study suggests new perspectives for the assessment of patients with neurological disease. The findingsmay be relevant for defining a baseline for future studies investigating the neural correlates of behavioral changes afterrobot-assisted training in stroke patients.
Keywords:
 EEG, ERD, Active, Passive, Motor imagery, Bi-Manu-Track
* Correspondence: emanuela.formaggio@univr.it
1
Department of Neurophysiology, IRCCS Fondazione Ospedale San Camillo,Venice, Italy. Full list of author information is available at the end of the article
 Author details
1 Department of Neurophysiology, IRCCS Fondazione Ospedale San Camillo,Venice, Italy.
 2 Clinical Neurophysiology and Functional Neuroimaging Unit,Section of Neurology, Department of Neurological, Neuropsychological,Morphological and Movement Sciences, AOUI of Verona, Verona, Italy.
3 Neuromotor and Cognitive Rehabilitation Research Centre (CRRNC), USONeurological Rehabilitation, Department of Neurological, Neuropsychological,Morphological and Movement Sciences, AOUI of Verona, Verona, Italy.
4 Department of Neurological Rehabilitation, Private Hospital Villa Melitta,Bolzano, Italy.

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