Deans' stroke musings: Rehabilitation of grasping and forearm pronation/supination with the Haptic Knob

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.

Monday, November 2, 2020

Rehabilitation of grasping and forearm pronation/supination with the Haptic Knob

Until our researchers write up protocols and put them in publicly available places that survivors can easily find, ALL THIS RESEARCH IS A COMPLETE WASTE.

11 years and I'm sure your stroke hospital has incompetently done ABSOLUTELY NOTHING with this.

Rehabilitation of grasping and forearm pronation/supination with the Haptic Knob

Published in: 2009 IEEE International Conference on Rehabilitation Robotics
Authors
Olivier Lambercy
Department of Mechanical Engineering, National University of Singapore, Singapore
Rehabilitation Engineering Laboratory, ETH Zurich, Switzerland
Ludovic Dovat
Department of Mechanical Engineering, National University of Singapore, Singapore
Hong Yun
Tan Tock Seng Hospital Rehabilitation Center, Singapore
Seng Kwee Wee
Tan Tock Seng Hospital Rehabilitation Center, Singapore
Christopher Kuah
Tan Tock Seng Hospital Rehabilitation Center, Singapore
Karen Chua
Tan Tock Seng Hospital Rehabilitation Center, Singapore
Roger Gassert
Rehabilitation Engineering Laboratory, ETH Zurich, Switzerland
Theodore Milner
Department of Kinesiology and Physical Education, McGill University, Canada
Etienne Burdet
Department of Bioengineering, Imperial College London, UK

Abstract:

This paper investigates robot-assisted rehabilitation after stroke using the haptic knob, a 2 degree-of-freedom end-effector based robotic device to train grasping and wrist pronation/supination. Nine chronic stroke subjects trained over a period of 6 weeks, with 3 one-hour sessions of robot-assisted therapy per week, consisting of two exercises requiring active participation promoted by therapeutic games. Results of standard clinical assessments demonstrate the positive effects of robot-assisted therapy with the haptic knob. Subjects improved by a mean of 4.3 points in the Fugl-Meyer assessment scale, together with a decrease in hand impairments such as abnormal muscle tone frequently observed in stroke subjects. Significant improvements were also observed in motor function of the upper arm as a result of the robot-assisted therapy, suggesting homogeneous improvement of upper limb function as a result of distal training.