Deans' stroke musings: Post-Stroke Technologies-Based Rehabilitation for the Upper Limb Recovery: A Systematic Review of Systematic Reviews

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, October 15, 2024

Post-Stroke Technologies-Based Rehabilitation for the Upper Limb Recovery: A Systematic Review of Systematic Reviews

So they proved nothing in stroke rehab is working. WHOM will do the followup to fix that?

Post-Stroke Technologies-Based Rehabilitation for the Upper Limb Recovery: A Systematic Review of Systematic Reviews

Margherita Rampioni1 PhD; Sara Leonzi1; Luca Antognoli1 PhD; Anna Mura2 PhD; Vera Stara1 PhD

1IRCCS, INRCA Ancona IT

2Radboud University Donders Institute for Brain, Cognition and Behaviour Nijmegen NL

Abstract

Background:

Stroke is one of the most common cerebral vascular diseases, usually affecting people aged 60 and over, leading to a variety of disabilities requiring motor and cognitive rehabilitation. Post-stroke rehabilitation has a lead role in the recovery of he patients, and it is never too late to start. It should be implemented in a structured approach to help patients regain their physical, cognitive, and functional abilities. Technological solutions offer a beneficial and effective alternative to conventional therapy, making rehabilitation more accessible.

Objective:

This study maps and synthesizes the evidence from published systematic reviews that assessed the effectiveness of technology-based rehabilitation for the recovery of the upper limb in post-stroke individuals.

Methods:

Separate literature searches were conducted in PubMed, Web of Science, Scopus and Embase databases and Google Scholar. The PICOS was used to define inclusion criteria. There was no restriction on publication dates. The PRISMA flowchart was used in the retrieval and selection process. Then, the final articles were appraised for their methodological quality using the AMSTAR 2.

Results:

After the search process that identified 1450 records from the 4 databases and an additional 342 by Google Scholar, seven systematic reviews were included. The seven studies were published between 2019 and 2023.

Conclusions:

This review indicated that the field of technology-based rehabilitation is still fragmented due to poor evidence of efficacy. This is probably due to the high heterogeneity of the experimental studies. When developing a technology-based rehabilitation program, it is crucial to carefully plan and link all relevant actors, user-driven design guidelines, and principles of neuroscience.

There is a need for further research to understand better the impact of technology interventions on stroke deficits and recovery-related outcomes, both alone and in combination with traditional rehabilitation. This field of research could benefit from standardized rehabilitation protocols provided to patients,(WHO THE FUCK WILL DO THAT? Fucking failures of stroke associations
have washed their hands of providing anything useful for stroke recovery!) enabling comparison and interpretation to discover evidence currently missing.

(JMIR Preprints 01/03/2024:57957)

DOI: https://doi.org/10.2196/preprints.57957