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.

Friday, January 16, 2026

Effectiveness of mirror and robot-assisted therapy for upper extremity rehabilitation in post-stroke patients: a meta-analysis

 I guess your absolutely incompetent? doctor and hospital didn't create protocols on this for well over a decade! So, you DON'T have a functioning stroke doctor or hospital!

Do you prefer your doctor, hospital and board of director's incompetence NOT KNOWING? OR NOT DOING? Your choice; let them be incompetent or demand action!

  • mirror training (2 posts to September 2021)
  • robotic assisted therapy (19 posts to January 2017)
  • robotic exoskeletal hand (1 post to December 2024)
  • robotic exoskeleton (3 posts to October 2022)
  • robotic exosuit (1 post to November 2023)
  • robotic gait training (4 posts to December 2021)
  • robotic glove (2 posts to April 2023)
  • robotic harness (1 post to August 2017)
  • Robotic hip exoskeleton (3 posts to March 2024)
  • Robotic Knee Orthosis (1 post to August 2017)
  • Robotic mirror therapy (1 post to December 2022)
  • robotic rehabilitation (3 posts to May 2023)
  • robotic training (16 posts to January 2016)
  • robotic-assisted gait training (8 posts to November 2016)
  • robotics (349 posts to August 2011)

    • Once again pointing out the complete failure of having NO diagnosis stroke protocols that point to rehabilitation intervention stroke protocols.  You are fucking screwed since your doctor and therapists are 'winging it' for everything related to stroke and your recovery. 

    The latest here:

    Effectiveness of mirror and robot-assisted therapy for upper extremity rehabilitation in post-stroke patients: a meta-analysis

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    Journal of NeuroEngineering and Rehabilitation Aims and scope Submit manuscript
    Effectiveness of mirror and robot-assisted therapy for upper extremity rehabilitation in post-stroke patients: a meta-analysis
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      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

      Introduction

      Stroke is a leading cause of death and disability, with survivors often facing upper extremity (UE) impairments. Mirror therapy (MT) can enhance motor function but is influenced by cognitive and emotional factors. Robot-assisted therapy (RT) has shown efficacy in restoring UE function. Robot-mirror therapy (RMT), which combines MT and RT, has been investigated in several trials, with some showing benefits while others reported limited effects. This meta-analysis aimed to evaluate RMT’s effectiveness in improving UE function in stroke patients.

      Methods

      We included RCTs involving RMT in adult stroke patients. Searches covered ten databases (Cochrane Library, Scopus, PubMed, Web of Science, Embase, CNKI, CINAHL, PEDro, ClinicalTrials.gov, WHO ICTRP) through October 2025, with a grey literature search. Two independent reviewers conducted study selection, data extraction, and quality assessment. The risk of bias and the certainty of the evidence were assessed using the Cochrane collaboration’s tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guideline, respectively.

      Results

      Sixteen RCTs (n=736) were analyzed. RMT significantly improved UE motor function (Fugl-Meyer Assessment-Upper Extremity (FMA-UE); MD 7.52, 95% CI 4.16-10.87; P<.0001 and Wolf Motor Function Test; MD 5.13, 95% CI 2.33-7.92; P=.0003), distal UE motor function (FMA-UE (distal); MD 2.92, 95% CI 1.43-4.42; P=.0001), hand motor function (SMD 1.06, 95% CI 0.15-1.97; P=.02), hand muscle strength (grip strength; SMD 1.34, 95% CI 0.17-2.51; P=.02), activities of daily living (Modified Barthel Index; MD 7.80, 95% CI 4.15-11.45; P<.0001 and Functional Independence Measure; MD 4.73, 95% CI 0.30-9.15; P=.04), and quality of life (SMD 1.00, 95% CI 0.00-1.99; P=.05). Subgroup analysis showed better outcomes in older patients (≥55), shorter interventions (<18 hours), and trial length of 3–6 weeks.

      Conclusion

      Moderate-quality evidence supports the effectiveness of RMT-based interventions for improving UE motor function and activities of daily living in stroke patients.

      Trial Registration PROSPERO CRD420251077740.

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