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, December 10, 2017

What does best evidence tell us about robotic gait rehabilitation in stroke patients: A systematic review and meta-analysis

My doctor didn't think much of robotic gait trainers. I loved the Lokomat. Don't listen to your doctor biases. 
http://www.jocn-journal.com/article/S0967-5868(17)31166-9/abstract
Maria Federica Bruni
,
Corrado Melegari
,
Maria Cristina De Cola
,
Alessia Bramanti
,
Placido Bramanti
,
Rocco Salvatore Calabrò'Correspondence information about the author Rocco Salvatore Calabrò
DOI: http://dx.doi.org/10.1016/j.jocn.2017.10.048



Objective

The aim of this study was to compare the effects of different robotic devices in improving post-stroke gait abnormalities.



Methods

A computerized literature research of articles was conducted in the databases MEDLINE, PEDro, COCHRANE, besides a search for the same items in the Library System of the University of Parma (Italy). We selected 13 randomized controlled trials, and the results were divided into sub-acute stroke patients and chronic stroke patients. We selected studies including at least one of the following test: 10-Meter Walking Test, 6-Minute Walk Test, Timed-Up-and-Go, 5-Meter Walk Test, and Functional Ambulation Categories.



Results

Stroke patients who received physiotherapy treatment in combination with robotic devices, such as Lokomat or Gait Trainer, were more likely to reach better results, compared to patients who receive conventional gait training alone. Moreover, electromechanical-assisted gait training in association with Functional Electrical Stimulations produced more benefits than the only robotic treatment (−0.80 [−1.14; −0.46], p > .05).



Conclusions

The evaluation of the results confirm that the use of robotics can positively affect the outcome of a gait rehabilitation in patients with stroke. The effects of different devices seems to be similar on the most commonly outcome evaluated by this review.

Keywords:

Stroke, Gait rehabilitation, Robotics, Lokomat, End-effector, Exoskeleton

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© 2017 Elsevier Ltd. All rights reserved.
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