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, November 30, 2023

Autonomy support encourages use of more-affected arm post-stroke

This is only useful for higher functioning survivors. For me with dead brain in what used to control the arm and hand this is totally useless. I need dead brain rehab and I see nothing out there that will help me recover.

 Autonomy support encourages use of more-affected arm post-stroke

Journal of NeuroEngineering and Rehabilitation. Volume 20(116)

NARIC Accession Number: J92739. What's this?
Author(s): Kim, Sujin, Shin, Yumi, Jeong, Yeonwoo, Na, Seungyoung, Han, Cheol E..
Publication Year: 2023.
Abstract: Study investigated whether autonomy support combined with an information technology device facilitated success in using the more-affected arm during training in individuals with stroke. Autonomy support, which involves providing individuals the ability to control their own behavior, is associated with improved motor control and learning in various populations in clinical and non-clinical settings. Twenty-six participants with stroke were assigned to the autonomy support or control group. Over a 5-week period, training and test sessions were conducted using the Individualized Motivation Enhancement System (IMES), a device developed specifically for this study. In the autonomy-support group, participants were able to adjust the task difficulty parameter, which controlled the time limit for reaching targets. The control group did not receive this option. The evaluation of the more-affected arm's use, performance, and impairment was conducted through clinical tests and the IMES. These data were then analyzed using mixed-effect models. In the IMES test, both groups showed a significant improvement in performance after the training period, without any significant intergroup differences. However only the autonomy-support group demonstrated a significant increase in the use of the more-affected arm following the training. Additionally, during the training period, the autonomy support group showed a significant increase in successful experiences with using the more-affected arm, while the control group did not exhibit the same level of improvement. Also, in the autonomy-support group, the increase in the use of the more-affected arm was associated with the increase in the successful experience significantly.
Descriptor Terms: ASSISTIVE TECHNOLOGY, HEMIPLEGIA, LIMBS, MOTIVATION, MOTOR SKILLS, SELF CONCEPT, STROKE, THERAPEUTIC TRAINING.


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Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01238-0(link is external).

Citation: Kim, Sujin, Shin, Yumi, Jeong, Yeonwoo, Na, Seungyoung, Han, Cheol E.. (2023.) Autonomy support encourages use of more-affected arm post-stroke. Journal of NeuroEngineering and Rehabilitation., 20(116) Retrieved 11/30/2023, from REHABDATA database.

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