Deans' stroke musings: Insights from Implementing Wearable Technologies for Stroke Rehabilitation Outside Research Laboratories

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.

Saturday, May 3, 2025

Insights from Implementing Wearable Technologies for Stroke Rehabilitation Outside Research Laboratories

But you don't tell us 100% recovery stats, so if must be a failure!

Insights from Implementing Wearable Technologies for Stroke Rehabilitation Outside Research Laboratories

Abed Khorasani ∙ Cynthia Gorski ∙ Vivek Paul ∙ … ∙ Nathan Hung ∙ Prashanth Prakash ∙ Marc Slutzky … Show more

Cover Image - Archives of Physical Medicine and Rehabilitation, Volume 106, Issue 5

Cite

Abstract

Stroke is a leading cause of permanent disability worldwide, with 60% of survivors experiencing upper limb impairment six months post-stroke. While spontaneous recovery plateaus within six months, targeted motor rehabilitation can improve function beyond this period. However, resource constraints limit access to outpatient therapy, highlighting the need for cost-efficient and accessible treatments. We developed a novel, wearable myoelectric interface for neurorehabilitation (MINT), providing affordable, gamified, at-home rehabilitation for moderate to severe stroke patients. MINT conditioning reduces abnormal arm muscle co-activation and enhances movement. In a transdisciplinary, randomized, sham-controlled trial with 59 stroke survivors, the experimental group experienced significantly reduced abnormal muscle co-activation and significantly improved arm function after six weeks of at-home MINT use, while the sham control group did not improve. Our approach addresses key challenges in at-home stroke rehabilitation: 1) Patient motivation: collaborating with software engineers, we created engaging game environments to maximize patient motivation and adherence to at-home rehabilitation.(With 100% recovery protocols you would have no problems motivating patients! When the fuck will you deliver 100% recovery protocols?) 2) Patient progress monitoring: We developed an automated pipeline that tracks patient progress, including training repetition counts, game success rates, and muscle activities. We faced multiple challenges in implementing this at-home trial, including a high drop-out rate, mostly due to external factors unrelated to the intervention, insufficient communication, and computer illiteracy. Addressing these challenges will involve enhancing patient support and improving usability, and is critical to future home-based therapies.

This paper is only available as a PDF.