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.

Thursday, November 30, 2023

Effects of a soft robotic exosuit on the quality and speed of overground walking depends on walking ability after stroke

To increase my walking speed even more you'll have to cure my leg and foot spasticity that prevents a free swinging lower leg and angles my left foot outwards. 

 Effects of a soft robotic exosuit on the quality and speed of overground walking depends on walking ability after stroke

Journal of NeuroEngineering and Rehabilitation. Volume 20(113)

NARIC Accession Number: J92718. What's this?
Author(s): Sloot, Lizeth H., Baker, Lauren M., Bae, Jaehyun, Porcincula, Franchino, Clément, Blandine F., Siviy, Christopher, Nuckols, Richard W., Baker, Teresa, Sloutsky, Regina, Choe, Dabin K., O’Donnell, Kathleen, Ellis, Terry D., Awad, Louis N., Walsh, Conor J..
Publication Year: 2023.
Abstract: Study evaluated the effects of a portable ankle exosuit during continuous comfortable overground walking in 19 individuals with chronic hemiparesis. It also compared two speed-based subgroups: people poststroke with comfortable walking speeds less than 0.93 m/s (limited community ambulators) and those with comfortable walking speeds greater than 0.93 m/s (full community ambulators), to address poststroke heterogeneity. Analyses compared five minutes of continuous walking in a laboratory with the exosuit to walking without the exosuit in terms of ground clearance, foot landing and propulsion, the energy cost of transport, walking stability, and plantar flexor muscle slacking. Exosuit assistance was associated with improvements in the targeted gait impairments: 22 percent increase in ground clearance during swing, 5 degrees increase in foot-to-floor angle at initial contact, and 22 percent increase in the center-of-mass propulsion during push-off. The improvements in propulsion and foot landing contributed to a 6.7 percent increase in walking speed. This enhancement in gait function was achieved without deterioration in muscle effort, stability, or cost of transport. Subgroup analyses revealed that all individuals profited from ground clearance support, but slower individuals leveraged plantar flexor assistance to improve propulsion by 35 percent to walk 13 percent faster, while faster individuals did not change either.
Descriptor Terms: AMBULATION, BIOENGINEERING, MOBILITY IMPAIRMENTS, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE.


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Citation: Sloot, Lizeth H., Baker, Lauren M., Bae, Jaehyun, Porcincula, Franchino, Clément, Blandine F., Siviy, Christopher, Nuckols, Richard W., Baker, Teresa, Sloutsky, Regina, Choe, Dabin K., O’Donnell, Kathleen, Ellis, Terry D., Awad, Louis N., Walsh, Conor J.. (2023.) Effects of a soft robotic exosuit on the quality and speed of overground walking depends on walking ability after stroke. Journal of NeuroEngineering and Rehabilitation., 20(113) Retrieved 11/30/2023, from REHABDATA database.

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