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, December 9, 2024

Effects of Combined Robotic Therapy and Repetitive Task Practice on Upper-Extremity Function in a Patient With Chronic Stroke

What does your doctor have to get your upper arm recovered?

 Maybe these from earlier:

I'm sure there are many many more that your competent? doctor knows about AND HAS CREATED AN EXACT PROTOCOL TO FULLY RECOVER YOUR UPPER LIMB! NO? So, you don't have a functioning stroke doctor, do you?

The latest here:

Effects of Combined Robotic Therapy and Repetitive Task Practice on Upper-Extremity Function in a Patient With Chronic Stroke


Libby Rosenstein, Angela L. Ridgel, Anil Thota, Bridgette Samame, Jay L. Alberts
Libby Rosenstein, OTR/L, is Clinical Specialist, Occupational Therapist, Department of Occupational Therapy, Cleveland Clinic, Cleveland, OH 44195; rosensl@ccf.org. 

Angela L. Ridgel, PhD, is Postdoctoral Research Fellow, Department of Occupational Therapy, Cleveland Clinic, Cleveland, OH. 

Anil Thota, MS, is Research Engineer, Department of Occupational Therapy, Cleveland Clinic, Cleveland, OH. 

Bridgette Samame, OTR/L, is Occupational Therapist, Department of Occupational Therapy, Cleveland Clinic, Cleveland, OH. 

Jay L. Alberts, PhD, is Assistant Staff, Department of Biomedical Engineering and Center for Neurological Restoration, Cleveland Clinic, Cleveland, OH.

OBJECTIVE. 

This paper describes the effect of a robotic device combined with repetitive task practice (RTP) on upper-extremity function in a patient with chronic stroke. 

METHOD. 

The client was a 32-year-old woman, 11 months after stroke, with minimal wrist and finger movement. She received approximately 48 hr of intervention split evenly between a robotic device (Hand Mentor) and RTP over 3 weeks. 

RESULTS. 

Favorable scores in the Wolf Motor Function Test were observed from pre- to postevaluation. Active range of motion, from pre- to postintervention, increased by 35° in the shoulder, 65° in the wrist and 70° in the thumb. Kinetic analysis of a bimanual dexterity task indicated improved specification of grasping forces for both limbs. 

CONCLUSION. 

Improvements in upper-extremity motor functioning and functional performance in daily tasks followed this client’s engagement in distal initiation of movement during RTP exercise regime that was robotically reinforced. Rosenstein, L., Ridgel, A. L., Thota, A., Samame, B., & Alberts, J. L. (2007). The effects of combined robotic therapy and repetitive task practice on upper-extremity function in a patient with chronic stroke. American Journal of Occupational Therapy, 62, 000–000.

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