Deans' stroke musings: A retrospective analysis of post-stroke rehabilitation with real world use of brain-computer interface

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, January 22, 2026

A retrospective analysis of post-stroke rehabilitation with real world use of brain-computer interface

But you COMPLETELY FAILED AT WRITING A PROTOCOL ON THIS! You're fired for incompetence! You couldn't look up previous research on this and at least propose a protocol?

Ipsihand (5 posts to May 2017)

A retrospective analysis of post-stroke rehabilitation with real world use of brain-computer interface

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Abstract

The IpsiHand™ System is an FDA-authorized, non-invasive therapy for chronic stroke-induced upper limb motor impairment that uses a brain-computer interface (BCI) to translate intent-to-move signals into hand movement.(So, completely useless to those like me with dead brain there?) This retrospective study evaluated real-world outcomes in stroke survivors ≥ 6 months post-stroke who were prescribed IpsiHand™ and completed regular Upper Extremity Fugl-Meyer (UEFM) assessments as part of routine care. Patients were categorized as early responders (achieving the minimal clinically important difference [MCID] of 5.25 points in UEFM score by 6 weeks), intermediate responders (achieving MCID by 12 weeks but not at 6), or early non-responders (not reaching MCID by 12 weeks). Early responders showed statistically significant improvement in upper extremity function compared to early non-responders at both 18 weeks (p < 0.01) and 24 weeks (p < 0.05, Kruskal-Wallis test). Early responders also showed numerically greater improvement than intermediate responders. Overall, 70% (39/56) of participants achieved MCID over the 55-week observation period. These findings suggest that the majority of chronic stroke survivors experienced meaningful functional gains with IpsiHand™ over time, including beyond 12 weeks. While longer use may benefit some individuals who initially did not respond, further prospective research(Why? You're so incompetent you can't do research properly?) is warranted to determine optimal treatment duration and identify characteristics of responders.

Data availability

The data generated and analyzed in this study are not publicly available to protect patient information but are available from the corresponding author on reasonable request.