Deans' stroke musings: Impact of the robotic‑assistance level on upper extremity function in stroke patients receiving adjunct robotic rehabilitation: Sub‑analysis of a randomized clinical trial.

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, April 17, 2022

Impact of the robotic‑assistance level on upper extremity function in stroke patients receiving adjunct robotic rehabilitation: Sub‑analysis of a randomized clinical trial.

So they didn't do the research well enough to come up with rehab protocols, I blame the mentors and senior researchers for that failure. They should be re-educated on stroke goals or banned from stroke research. Their choice. I don't care that this was a meta-analysis, ALL stroke research should create something useful to get survivors recovered.

Impact of the robotic‑assistance level on upper extremity function in stroke patients receiving adjunct robotic rehabilitation: Sub‑analysis of a randomized clinical trial.

Journal of NeuroEngineering and Rehabilitation , Volume 19(25)

NARIC Accession Number: J88455. What's this?
ISSN: 1743-0003.
Author(s): Takebayashi, Takashi ; Takahashi, Kayoko ; Okita, Yuho ; Kubo, Hironobu ; Hachisuka, Kenji ; Domen, Kazuhisa.
Publication Year: 2022.
Number of Pages: 10.

Abstract:

Study investigated the impact of robotic-assistance level and modes of adjustment on functional improvement in a stroke-affected upper extremity (UE). Data were obtained from 30 subacute stroke survivors with mild-to-severe UE hemiplegia who were randomly assigned to the robotic therapy group in a previous randomized clinical trial. A cluster analysis was performed based on the training results (the percentage of each stroke patient’s five assistance modes of robotics used during the training). The patients were divided into two groups: high and low robotic-assistance groups. Additionally, the two groups were sub-categorized into the following classes based on the severity of UE functional impairment: moderate-to-mild (Fugl-Meyer Assessment [FMA] score ≥30] and severe-to-moderate class (FMA <30). The outcomes were assessed using FMA, FMA-proximal, performance-time (PT) in the Wolf motor function test (WMFT), and functional assessment scale (FAS) in WMFT. The outcomes of each class in the two groups were analyzed. A two-way analysis of variance was conducted with robot-assistance level and severity of UE function as explanatory factors and the change in each outcome pre- and post-intervention as the objective factor. Overall, significant differences of the group-by-severity interaction were found in most of the outcomes, including FMA-proximal, WMFT-PT, and WMFT-FAS. However, only the FMA score appeared not to be significantly different in each group. An optimal amount of robotic assistance is a key to maximize improvement in post-stroke UE paralysis. Furthermore, severity of UE paralysis is an important consideration when deciding the amount of assistance in robotic therapy.
Descriptor Terms: ASSISTIVE TECHNOLOGY, FUNCTIONAL LIMITATIONS, LIMBS, MOTOR SKILLS, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-022-00986-9.

Citation: Takebayashi, Takashi , Takahashi, Kayoko , Okita, Yuho , Kubo, Hironobu , Hachisuka, Kenji , Domen, Kazuhisa. (2022). Impact of the robotic‑assistance level on upper extremity function in stroke patients receiving adjunct robotic rehabilitation: Sub‑analysis of a randomized clinical trial. Journal of NeuroEngineering and Rehabilitation , 19(25) Retrieved 4/17/2022, from REHABDATA database.