Deans' stroke musings: Human-centred research for fine motor control rehabilitation after stroke in the Netherlands

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, April 10, 2016

Human-centred research for fine motor control rehabilitation after stroke in the Netherlands

It is only a 91 page thesis that your doctor can use to update your hand protocols.
http://www.theseus.fi/bitstream/handle/10024/106049/Kivihalme_Krista.pdf?sequence=1

Abstract

Stroke disables people globally every day. The rehabilitation process focuses mainly on the big muscle groups and re-learning walking. This is why the upper extremity and fine motor control rehabilitation after a stroke is usually left without significant focus. The dexterity rehabilitation after a stroke is lacking an unambiguous method and the guidelines for stroke rehabilitation present multiple recommendations.

SilverFit is a Dutch wellness technology company, whose focus is to motivate people in

rehabilitation and maintain their activity by gamification. The thesis was a part of an international product development project for finding a solution for fine motor control rehabilitation after a stroke. Thesis work focused on an iterative project trying to solve the most effective way for rehabiliating fine motor control after a stroke based on the most recent evidence-based studies and understanding the requirements and problems of the users.

The human-centred research was conducted using a Design Thinking -process with methods of online ethnography, interviews and observation.

The results from the evidence-based research and the human-centred research were com-

pared through a theme analysis. The thesis showed that the most problematic thing in fine motor control rehabiliation after a stroke is the lack of knowledge, motivation and time, which together cause feelings of insecurity in the therapists and the stroke survivors.

The recommendation for solving the current situation is to create a technological solution, which is always accessible for the stroke survivor, supports the decisions of the therapists based on the most recent evidence-based studies, gives supportive feedback during the therapy and provides realistic results about the progress of the rehabilitation. The thesis provides the first stage of an iterative product development process.

Keywords/tags (

subjects

)

Stroke, cva, rehabilitation, fine motor control, user centred research, human-centred re-

search, occupational therapy, wellness technology, online ethnography, design thinking