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.

Monday, March 24, 2025

Why Soft Robotics Could Be the Future of Stroke Rehabilitation

 

So ask your competent? doctor which soft robotics already out there will help you recover. Don't take; 'I don't know' for an answer.  If your doctor doesn't know about all of these; you don't have a functioning stroke doctor! In my opinion a stroke doctor should be up-to-date on ALL stroke research! Since these interventions are not meeting stroke survivor needs your doctor should be initiating research to meet those needs.

Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? No excuses are allowed! You're medically trained; it should be simple to precisely refute all my points with NO EXCUSES!! And what is your definition of competence in stroke? Swearing at me is allowed, I'll return the favor. Don't even attempt to use the excuse that brain research is hard. 


The latest here:

Why Soft Robotics Could Be the Future of Stroke Rehabilitation

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Around two-thirds of stroke patients struggle with impaired mobility. Behaviors that were previously straightforward, such as walking, showering oneself or getting dressed, become difficult if not impossible to carry out unassisted.


To regain some control over their bodies, patients often undergo physical rehabilitation therapy. This process varies from patient to patient, with some of the most debilitated benefiting from electromechanical equipment. These bulky apparatuses resemble sci-fi exoskeletons. A hoist keeps the patient upright while steel joints around their limbs aid their movement. If the patient is receiving rehabilitation for walking, a treadmill may be used.


While these contraptions have helped thousands of people regain their independence, they do have their drawbacks. Namely, they’re often large and heavy, and therefore only available in specialized hospital wards.


But it might not always be this way, accowrding to Dr. Jacqueline Libby.


Libby, an assistant professor of mechanical engineering at the Stevens Institute of Technology, is pioneering a new era of stroke rehabilitation equipment made from soft, pneumatic actuators that integrate with the body. Lighter and less cumbersome than traditional mechanized support frames, these “soft exosuits” could one day be available for patients to wear and use in their homes.


Libby detailed her research at Technology Networks’ recent Laboratory of the Future 2025 symposium.

A growing need

“We live in a world with an aging population,” Libby told the Technology Networks audience. “By 2050, the number of people over 65 will have doubled compared to children, and by 2100, it will be 5 times as many.”


This demographic shift will bring with it a surge of age-related health conditions; stroke predominantly affects people over the age of 55.


To meet this impending need, Libby says that the field of stroke rehabilitation will need to adapt, or risk failing patients.


“If stroke patients don’t get therapy during the first three months, they might be paralyzed for life,” she emphasized.


Extending rehabilitation into patients’ homes could be a vital way to make such adaptations.


“Robots in the home could be huge,” Libby said, “for making therapy more accessible and affordable.”


To usher in this age of domestic robotics, Libby and her team at the Stevens Institute have developed prototypes for more flexible, lightweight rehabilitation suits. These designs rely on soft, pneumatic actuators made from silicone reinforced with flexible fibers to inflate and contract like artificial muscles when moved.


“We cast molds, inject silicone and wrap the actuators with thread for reinforcement,” Libby described. “The goal is to create lightweight, portable devices that patients can use comfortably at home.”


To respond to a patient’s intended movement, the suits are fitted with biosensing technologies that react to neural signals.


“If a stroke patient intends to move their hand but can’t, our sensors can read their muscle signals and translate that intent into movement,” Libby explained.
“This creates a full feedback loop between the patient’s brain, muscles and the soft exosuit.”

Wearable tech

But accommodating this kind of mechanical flexibility isn’t easy.


“With rigid robots, we can easily calculate joint angles and positions,” Libby noted. “But soft robots have infinite degrees of freedom, making modeling and control much more complex.”


We use deep learning models to track movement and estimate the shape of soft actuators in real-time,” she told the Technology Networks audience. “By using nearby cameras and embedded physical sensors, we can better control the robot’s response and improve safety for the user.”


The physical technology of the suit is produced via 3D printing.


“Traditional fabrication is labor-intensive,” Libby noted. “But we’ve developed a method to 3D print actuators with high tear strength and no air leaks. This could help scale up production and bring these devices to more patients.”


Her team have also investigated how to reduce hysteresis, a phenomenon where a soft actuator’s response differs depending on whether it is inflating or deflating.


“We’re looking at ways to optimize internal geometries so that the actuators behave more predictably,” she explained. “This could improve their effectiveness in rehabilitation.”


Now, the team just needs to combine these optimized actuators with machine learning and computer vision in one single prototype.


“We’re working on fully integrating these technologies – soft actuators, biosensors and machine learning – into a seamless rehabilitation system,” Libby said.


Her long-term vision is a future where personalized rehabilitation robots are available to all who need them.


“Imagine an elderly stroke patient having a soft exosuit at home that works with them 12 hours a day, helping them regain mobility while their therapist monitors progress remotely,” she told the Technology Networks audience. “That’s where we want to go.”


“Soft robotics is still a young field,” she added. “But with interdisciplinary collaboration and continued innovation, we can change the way rehabilitation is done, giving patients a better chance at recovery and independence.”

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