Deans' stroke musings: Supine Gait Training Device for Stroke Rehabilitation

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.

Sunday, November 24, 2013

Supine Gait Training Device for Stroke Rehabilitation - Design of a Compliant Ankle Orthosis

You'll have to ask your therapist how this works and if it is worthwhile for you.
http://link.springer.com/chapter/10.1007/978-3-319-02913-9_130

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Abstract

Stroke is the leading cause of chronic physical disability, including locomotion. Patients not only suffer the primary deficits of stroke which include impaired walking, paralysis and poor motor control, but also secondary implications due to lowered cardiovascular performance and musculoskeletal consequences. After the trauma, the Central Nervous System (CNS) undergoes continuous remodelling through cerebral reorganization starting from the acute phase, in response to physical activity of the subject.

A Supine Gait Training Device is developed to enable patients to undergo gait training while lying in bed, thus allowing the early re-education of the CNS immediately after the trauma. Part of this device is the ankle orthosis. It encompasses the metatarsophalangeal (MTP) and tibiotalar (TBT) joints, which according to principles of neuroplasticity, must be activated in meaningful ways for effective rehabilitation. This paper will focus on the mechanical design of the ankle orthosis and its features of compliance and adjustability.