Deans' stroke musings: Reward during arm training improves impairment and activity after stroke: A randomized controlled 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.

Wednesday, June 1, 2022

Reward during arm training improves impairment and activity after stroke: A randomized controlled trial.

Are you that fucking clueless in not understanding that all you need is EXACT RECOVERY PROTOCOLS and your patient will gladly do millions of repetitions knowing the result will be recovery? No rewards needed. I'd have you all fired.

Reward during arm training improves impairment and activity after stroke: A randomized controlled trial.

Neurorehabilitation and Neural Repair (NNR) , Volume 36(2) , Pgs. 140-150.

NARIC Accession Number: J88562. What's this?
ISSN: 1545-9683.
Author(s): Widmer, Mario ; Held, Jeremia P. O.; Wittmann, Frieder; Valladares, Belen; Lambercy, Olivier; Sturzenegger, Christian; Palla, Antonella; Lutz, Kai; Luft, Andreas R. .
Publication Year: 2022.
Number of Pages: 11.

Abstract:

Study evaluated the effect of enhanced feedback and reward on arm rehabilitative training following stroke. This multicenter, assessor-blinded, randomized controlled trial used the ArmeoSenso virtual-reality rehabilitation system to train 37 first-ever subacute stroke patients in arm-reaching to moving targets. The rewarded group trained with performance feedback (gameplay) and contingent monetary reward. The control group used the same system without monetary reward and with graphically minimized performance feedback. The primary outcome was the change in the two-dimensional reaching space until the end of the intervention period. Secondary clinical assessments were performed at baseline, after 3 weeks of training (15 one-hour sessions), and at 3-month follow-up. Duration and intensity of the interventions as well as concomitant therapy were comparable between groups. The two-dimensional reaching space showed an overall improvement but no difference between groups. However, the rewarded group showed significantly greater improvements from baseline in secondary outcomes assessing arm activity and arm impairment. Although neutral in its primary outcome, the results of this study suggest a potential facilitating effect of reward on training-mediated improvement of arm paresis.
Descriptor Terms: FEEDBACK, LEARNING, LIMBS, MOTOR SKILLS, REHABILITATION SERVICES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Widmer, Mario , Held, Jeremia P. O., Wittmann, Frieder, Valladares, Belen, Lambercy, Olivier, Sturzenegger, Christian, Palla, Antonella, Lutz, Kai, Luft, Andreas R. . (2022). Reward during arm training improves impairment and activity after stroke: A randomized controlled trial. Neurorehabilitation and Neural Repair (NNR) , 36(2), Pgs. 140-150. Retrieved 6/1/2022, from REHABDATA database.