Deans' stroke musings: HoMEcare aRm rehabiLItatioN (MERLIN): Telerehabilitation using an unactuated device based on serious games improves the upper limb function in chronic stroke

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.

Tuesday, May 18, 2021

HoMEcare aRm rehabiLItatioN (MERLIN): Telerehabilitation using an unactuated device based on serious games improves the upper limb function in chronic stroke

In what multiverse do you live where chronic stroke survivors can get rehab from a therapist that requires devices?

HoMEcare aRm rehabiLItatioN (MERLIN): Telerehabilitation using an unactuated device based on serious games improves the upper limb function in chronic stroke

Journal of NeuroEngineering and Rehabilitation , Volume 18(48)

NARIC Accession Number: J86076. What's this?
ISSN: 1743-0003.
Author(s): Rozevink, Samantha G. ; van der Sluis, Corry K. ; Garzo, Ainara ; Keller, Thierry ; Hijmans, Juha M..
Publication Year: 2021.
Number of Pages: 12.

Abstract:

Study investigated the effect of HoMEcare aRm rehabiLItatioN (MERLIN) training on the upper-limb function of patients with unilateral upper-limb paresis in the chronic phase of stroke (more than 6 months post stroke). MERLIN is an unactuated version of the robotic device ArmAssist combined with a telecare platform. Stroke patients can train the upper-limb function using serious games at home. In this study, patients trained using task-specific serious games at home for three hours per week for six weeks using an unactuated version of a robotic device. Progress was monitored and game settings were tailored through telerehabilitation. Measurements were performed six weeks pre-intervention, at the start, end, and six weeks post-intervention. Primary outcome was the Wolf Motor Function Test (WMFT). Secondary outcomes were other arm function tests, quality of life, user satisfaction and motivation. Twelve patients were included, ten completed the training. From start of the intervention to six weeks follow-up, WMFT score improved significantly by 3.8 points, which is also clinically relevant. No significant changes in quality of life were observed. Patients were overall satisfied with the usability of the device. Comfort and the robustness of the system need further improvements. Findings indicate that training with MERLIN for six weeks improved the arm function of patients in the chronic phase of stroke with lasting results six weeks after training cessation. Training at home was feasible and patients were satisfied with the usability of MERLIN system.
Descriptor Terms: COMPUTER APPLICATIONS, HEMIPLEGIA, HOME CARE, LIMBS, MOTOR SKILLS, OCCUPATIONAL THERAPY, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE, TASK ANALYSIS, TELEREHABILITATION, TESTS, THERAPEUTIC TRAINING.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-021-00841-3.

Citation: Rozevink, Samantha G. , van der Sluis, Corry K. , Garzo, Ainara , Keller, Thierry , Hijmans, Juha M.. (2021). HoMEcare aRm rehabiLItatioN (MERLIN): Telerehabilitation using an unactuated device based on serious games improves the upper limb function in chronic stroke. Journal of NeuroEngineering and Rehabilitation , 18(48) Retrieved 5/18/2021, from REHABDATA database.