Deans' stroke musings: The effect of Hemiparesis on biomechanics and brain activity as seen in the rehabilitation of stroke subjects and elite athletes

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, April 5, 2024

The effect of Hemiparesis on biomechanics and brain activity as seen in the rehabilitation of stroke subjects and elite athletes

Didn't your competent? doctor start using this decade ago? Oh, you don't have a competent doctor, do you? My definition of competence is keeping up-to-date and using research in your field!

Device aims to accelerate stroke rehabilitation - Synergistic Physio-Neuro Platform, SynPhNe April 2013

The latest here:

https://doi.org/10.1016/j.apmr.2024.02.201 Get rights and content

Research Objectives

To understand the nature of hemiparesis and its implications in rehabilitation strategies in diverse domains such as stroke and sports performance. While hemiparesis due to stroke is exacerbated due to compensation, hemiparesis may manifest in peak performance athletes after injury or overtraining.

Design

Case studies in stroke rehabilitation and elite athletes experiencing performance difficulties who have used a wearable neurorehabilitation device, SynPhNe, were reviewed. Observational data and measurements of brain (electroencephalography) and muscle (electromyography) bio-signals captured with the device were used to gain insight into the nature of hemiparesis in the two diverse groups.

Setting

Study settings were institutional outpatient center and private practice.

Participants

Stroke patients (n=6) in chronic care outpatient setting and athletes (n=6) in private practice setting.

Interventions

Subjects were subjected to one assessment session followed by 6 sessions of 60 min each on the Synergistic Physio-Neuro wearable device SynPhNe. Subjects responded to real-time brain and muscle biofeedback on a computer screen while trying to watch and follow videos showing arm and hand movements and tasks.

Main Outcome Measures

Observational posture data and measurements of brain (electroencephalography) and muscle (electromyography) bio-signals were captured with the device while performing simple movements and tasks with the hand. Analysis of these were used to indicate one-side dominance, compensatory tendencies and hemiparesis.

Results

Hemiparesis manifests as a weakness and loss of mobility on one side and a simultaneous stiffness and reduced mobility on the so-called unaffected side. Asymmetry was also noticed in hemispheric brain activity during rest and during movement using the Modified Brain Symmetry Index.

Conclusions

A better understanding of how hemiparesis manifests is important for rehabilitation after stroke and injuries suffered during peak performance. Rehabilitation protocols must address both the affected and non-affected sides for effective, non-compensatory recovery.

Author(s) Disclosures

Author is the inventor of the SynPhNe wearable device and Managing Director at SynPhNe Pte. Ltd. which markets the device. The author was involved in the training and recruitment of subjects in this study but was blinded to assessments, sessions and outcomes measures.