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, October 24, 2020

Variable structure pantograph mechanism with spring suspension system for comprehensive upper-limb haptic movement training

Your hospital can compare this one to all these earlier ones. That is IF your hospital is competent.

 

Variable structure pantograph mechanism with spring suspension system for comprehensive upper-limb haptic movement training

2011, The Journal of Rehabilitation Research and Development
 Joel C. Perry, PhD; 1
 Jakob Oblak; 2
 Je H. Jung, PhD; 1
 Imre Cikajlo, PhD; 2
 Jan Veneman, PhD; 1
 Nika Goljar, MD, PhD; 2
 Nataša Bizovičar, MD; 2
 Zlatko Matjačić, PhD; 2
 Thierry Keller, PhD 1
 
1 Biorobotics Department, Fatronik-Tecnalia, Mikeletegi Pasealekua, 7, San-Sebastian, Spain;
2 University Rehabilitation Institute, Republic of Slovenia, Linhartova 51, Ljubljana, Slovenia. Abstract
 

 
Numerous haptic devices have been developed for neurorehabilitation of upper extremities, but their wide-spread use has been largely impeded for reasons of complexity and cost. In this paper we describe a variable structure pantograph mechanism and combined spring suspension system that produces a versatile rehabilitation robot, termed the Universal Haptic Pantograph (UHP), for movement training of the shoulder, elbow, and wrist. The variable structure is a 5 degree-of-freedom (DOF) mechanism composed of 7 joints, 11 joint axes, and 3 configurable joint locks that reduce the number of system DOFs to between 0 and 3. The resulting device has 8 operational modes: (1) “ARM”, (2) “WRIST”, (3) “ISO 1”, (4) “ISO 2”, (5) “REACH”, (6) “LIFT 1”, (7) “LIFT 2”, and (8) “STEER”. The combination of available workspaces shows a high suitability for training most upper limb activities of daily living.
 
The performance of the mechanism, driven by series elastic actuators, is similar in all operational modes while using a single control scheme and set of gains. This means a single device with minimal setup changes can be used to treat a variety of upper limb impairments commonly afflicting veterans resulting from such incidents as stroke, traumatic brain injury, or other direct trauma to the arm. With appropriately selected design parameters, the developed multi-function haptic device helps to significantly reduce the costs of robotic rehabilitation hardware while providing comparable performance to single-purpose haptic devices. Three clinical tests for the developed mechanism were performed, and outcomes of tests were assessed by Fugl-Meyer Motor Assessment and Wolf Motor Function Test scores which revealed marked improvement in upper extremity ability following training sessions. 

 

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