Deans' stroke musings: Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design

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, September 6, 2020

Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design

What takeaways did your stroke hospital do to improve arm/hand recovery? It has only been 11 years. Or are they now 2 decades out-of-date?

Technology assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design

2009, Journal of NeuroEngineering and Rehabilitation
Annick AA Timmermans *1,2,

Henk AM Seelen 2,

Richard D Willmann 3

and Herman Kingma 1,4
Address:
1 Faculty of Biomedical Technology, Technical University Eindhoven, Den Dolech 2, 5600 MB Eindhoven, the Netherlands,
2 Rehabilitation Foundation Limburg (SRL), Research Dept, Zandbergsweg 111, 6432 CC Hoensbroek, the Netherlands,
3 Philips Research Europe, Dept Medical Signal Processing, Weisshausstrasse 2, 52066 Aachen, Germany and
4 Department of ORL-HNS, Maastricht University Medical Center, PO Box 5800, 6202 AZ Maastricht, the NetherlandsEmail: AnnickAATimmermans*-A.Timmermans@srl.nl; HenkAMSeelen-H.Seelen@srl.nl; RichardDWillmann-Richard.Willmann@philips.com; HermanKingma-Herman.Kingma@MUMC.nl* Corresponding author

Abstract

Background:
It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning.
Methods:
A literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE(1997–2007).
Results:
One hundred and eighty seven scientific papers/book references were identified as being relevant. Rehabilitation approaches for upper limb training after stroke show to have shifted in the last decade from being analytical towards being focussed on environmentally contextual skill training (task-oriented training). Training programmes for enhancing motor skills use patient and goal tailored exercise schedules and individual feedback on exercise performance. Therapist criteria for upper limb rehabilitation technology are suggested which are used to evaluate the strengths and weaknesses of a number of current technological systems.
Conclusion:
This review shows that technology for supporting upper limb training after stroke needs to align with the evolution in rehabilitation training approaches of the last decade. A major challenge for related technological developments is to provide engaging patient-tailored task oriented arm-hand training in natural environments with patient-tailored feedback to support (re)learning of motor skills.