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, April 17, 2026

Responsiveness to exoskeleton loading during bimanual reaching is associated with corticospinal tract integrity in stroke.

It would be nice if you told us if it worked towards recovery or not! But you do word salad quite well, not that that gets survivors recovered!

 Responsiveness to exoskeleton loading during bimanual reaching is associated with corticospinal tract integrity in stroke.

NARIC Accession Number: J94484. What's this?
Author(s): Brunfeldt, Alexander T., Bregman, Barbara S., Lum, Peter S..
Publication Year: 2024.
Abstract: Study investigated whether reducing the muscular cost discrepancy between the limbs in chronic stroke survivors would result in their increasing use of their more-impaired arm during bimanual reaching. Fourteen stroke participants performed a bimanual shared cursor reaching task in virtual reality while exoskeletons decreased the effective weight of the more-impaired arm and increased the effective weight of the less-impaired arm. The relative contribution (RC) was calculated as the primary measure of the kinematic relationship between the arms and the muscle contribution (MC) was calculated as the primary measure of the dynamic relationship between the arms from the biceps and deltoids. The corticospinal tract lesion load (wCSTLL) was calculated in a subset of 10 participants. Exoskeleton loading did not change RC or MC at the group level, but significant individual differences emerged. Participants with little overlap between the lesion and corticospinal tract responded to loading by decreasing muscle activity in the more-impaired arm relative to the less-impaired arm. The change in deltoid MC was associated with smaller wCSTLL; there was no such relationship for biceps MC. This study provides evidence that corticospinal tract integrity is a critical feature that determines one's ability to respond to upper-extremity exoskeleton loading.
Descriptor Terms: BIOENGINEERING, BODY MOVEMENT, COMPUTER APPLICATIONS, ELECTROPHYSIOLOGY, IMAGING, LIMBS, MOTOR SKILLS, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE, TASK ANALYSIS.


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Get this Document: https://www.frontiersin.org/journals/neuroscience/articles/10.3389/fnins.2024.1348103/full.

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