Deans' stroke musings: Technical Feasibility of the implementation of an intensive upper-limb rehabilitation system (NeuroVirt) intervention for stroke survivors

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.

Wednesday, July 24, 2024

Technical Feasibility of the implementation of an intensive upper-limb rehabilitation system (NeuroVirt) intervention for stroke survivors

What does your doctor think of this? Does your doctor follow research and think at all?

Technical Feasibility of the implementation of an intensive upper-limb rehabilitation system (NeuroVirt) intervention for stroke survivors

Kathryn Mares¹

Maria del Rocio Hidalgo Mas¹

Alison Watt²

Evridiki Gregoriou³

Allan Clark¹

¹University of East Anglia,

²Hobbs rehabilitation centre,

³NeuroVirt limited

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https://doi.org/10.21203/rs.3.rs-4592110/v1

This work is licensed under a CC BY 4.0 License

Background

80% of stroke survivors have upper limb (UL) disability. NeuroVirt is a portable immersive virtual reality (VR) platform that is designed to encourage high-repetition and high-quality UL movement training. The aim of the study is to investigate the technical feasibility, and the useability and acceptability of NeuroVirt.

Methods

8 adults with a stroke (≥ 3-months) completed the study. Participants used the device at home for up to two 1-hour sessions each day, 6 days a week, for 6 weeks. Participants also received a 15-minute weekly telephone call. Technical feasibility was measured by the percentage of Wi-Fi disconnections, data push failures, and mean scene frames per second (fps). Usability and acceptability were explored through interview feedback and analysed with a thematic inductive analysis approach. We also recorded the number of movement repetitions per session as an indication of compliance.

Results

From 12 participants enrolled in the study, 8 (67%) participants started the NeuroVirt exercise program and were included in the study analysis. Results indicated good Wi-Fi stability with 1(1.51%) disconnection out of 198 sessions, 1 (0.09%) push attempt failed out of 1052 data pushes and no data loss. An overall mean of 67.5 (2.27) fps during a session. Data from the interviews suggested that participants found NeuroVirt acceptable and indicated improvements in function. Participants completed on average 3.5 (1.3) sessions per week and performed on average 338.2 (172.7) movement repetitions per session.

Conclusion

NeuroVirt had no data loss and consistent Wi-Fi stability. The frame rate was above the minimum industry standards of 60-fps required to prevent motion sickness. Preliminary useability and acceptability results showed that a Home-based NeuroVirt program for stroke survivors with UL impairments was both, feasible and well accepted.