Deans' stroke musings: Using Primseq to Simplify the Complexities of Rehabilitation Intervention Dosing: Heidi Schambra, MD

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.

Tuesday, June 28, 2022

Using Primseq to Simplify the Complexities of Rehabilitation Intervention Dosing: Heidi Schambra, MD

All this tool does is count reps, does nothing for actually getting survivors recovered. Doesn't anyone know how to write press releases that don't lie?

Using Primseq to Simplify the Complexities of Rehabilitation Intervention Dosing: Heidi Schambra, MD

June 26, 2022

Heidi Schambra, MD

The associate professor in the Department of Rehabilitation Medicine at NYU Langone discussed the current methods of prescribing rehabilitation and why a new digital tool can improve them going forward. [WATCH TIME: 3 minutes]

WATCH TIME: 3 minutes

"The typical major approaches have been time in therapy to measure dose or to measure intensity, which we know is not precise. The flip side of that is just sitting there and counting the repetitions, or using video analysis afterwards, but it’s just incredibly laborious and cost personnel time, personnel costs, and the feedback is slow."

Quantifying outcomes for rehabilitation methods such as physical exercise has been a challenge for clinicians, mainly because the frequencies and intensities of such interventions can have different effects based on the patient. The literature has shown inconsistent results as to personalizing these interventions for patients with neurological disorders, including those with stroke. One new method using a novel digital tool called Primseq, was shown to aid patients’ recovery from stroke by accurately tracking movement intensity during their rehabilitation therapy.

In recently published data, the sensor-equipped computer program was 77% effective in identifying and counting arm motions prescribed to patients as part of their stroke rehabilitation exercises.^1,2 The results beg to question whether this program has capabilities in unweaving some of the complexities clinicians face when trying to prescribe an effective rehabilitation regimen. To learn more about how it may improve this aspect, NeurologyLive^® sat down with lead investigator Heidi Schambra, MD.

Schambra, associate professor in the Department of Neurology and Department of Rehabilitation Medicine at NYU Langone, believes that optimization of training intensity can only come if clinicians are able to measure particular movements and record quantitative data. She discussed the current complexities of stroke rehabilitation dosing and the steps needed to improve personalized treatment regimens going forward.