Multi-balloon actuator for advanced hand rehabilitation after stroke

Taking a mirror box and complicating it with digital addons. Only 6 pages and see if your doctor can construct this for you

Multi-balloon actuator for advanced hand rehabilitation after stroke

 

32 Hand Therapy Exercises for Stroke Recovery

For those with minor amounts of damage in the hand/finger control areas.
There is not a single one of these I can do and passively extending my fingers hundreds of thousands of times in 10 years hasn't produced any results yet. Should I have been doing mirror box therapy and action observation instead?
https://www.flintrehab.com/2015/hand-therapy-exercises-after-stroke/?

UK Stroke Forum - Monday 28 - Wednesday 30 November 2016 ACC, Liverpool

Looking at the schedule, it seems to be a complete waste, nothing on any of the problems in stroke and the session 'How to achieve 45 minutes of therapy a day?' has got to be a joke. The goal should be 10-12 hours of therapy a day, including action observation, PROM, lucid dreaming, mirror box therapy, thermal stimulation, positive side effects of eating spicy foods.  This is a perfect example of the incompetence in stroke.
https://www.stroke.org.uk/sites/default/files/uk_stroke_forum_preliminary_programme_as_of_08.08.16.pdf

Mirror-box training in healthy subjects and a patient with hemiparesis

You'll have to send your doctor after the EXACT PROTOCOL used. Since our 

fucking failures of stroke associations  do not keep track of all stroke research and the protocols used in research you are completely on your own. 500,000+ US stroke survivors a year all looking for the same protocols on how to recover 100%. What a completely idiotic thing to do since we have NO stroke leadership.

The latest here:

Mirror-box training in healthy subjects and a patient with hemiparesis

• R. Rosipal^a,
• N. Porubcová^{b, c},
• B. Cimrová^c,
• I. Farkaš^c

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doi:10.1016/j.clinph.2015.11.174

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Objective

Mirror therapy (MT) is an approach of neurorehabilitation improving motor functions after stroke. MT represents a mental process by which an individual rehearses a given motor action by reflecting movements of the non-paretic side in a mirror as if it were the affected side. Although a number of small-scale research studies have shown encouraging results, there is no clear consensus about the effectiveness of the therapy. The aim of this study is to investigate objective changes in EEG after MT.

Methods

A set of seven healthy volunteers carried-out five mirror-box training sessions. The same training is carried-out twice a week with a patient with hemiparesis for more than six months. The eleven channels of EEG placed over the sensorimotor and left occipital cortex are recorded. In addition to the standard power spectral analysis of EEG we decompose EEG into elemental components or “atoms.” We estimate EEG atoms using multiway parallel factor analysis (PARAFAC) for modeling.

Results

Compering resting EEG prior and after training we found statistically significant increase of the motor-related oscillatory μ-rhythm in a hemiparetic patient. Atomic decomposition of EEG shows stable spatio-frequency components of motor-related synchronization and desynchronization of EEG in a hemisphere contralateral to the mirror-box.

My theory on motor recovery - stroke rehab

I put this out there with no professional background, borrowed from Cassalita and my original OT on eccentric vs. concentric contractions.Most therapists focus on functional recovery because that's what they are paid for. From some questions directed to me, a lot of survivors have a specific movement they want to recover - not necessarily functional. And no one is giving them any help in planning out how to recover that.  And as Steven Wolf says, 'Stroke patients need to rely more on their own problem solving to regain mobility', Prerequisites are a decent muscle anatomy or body-building book or anatomy software that shows the complete range of movement of the muscles you are interested in. My example is the bicep.
1. First you need to see where you have some control. straighten your arm out, see if you can exert force at any point in the contraction phase, this might entail having someone lift your arm up bit by bit to see if you have some muscle control at any point, try this standing and lying down. That determines if you have some concentric contractions. Then get the lower arm to 90 degrees to your body and try to lower it. You may need someone to pull on your hand to tell if you can resist. That determines if you have eccentric contractions.
2. If you have control at any point, start there and move it back and forth, thousands to millions of times.
3. If that doesn't produce anything it's time to go to the dead brain recovery options - these are not really proven yet and some can be quite dangerous(videos and mirrors)
    a. Mental imagery
    b. Passive movement
    c. Mirror therapy
    d. Thermal therapy
    e. Action observation
4. If 3 works go back and repeat 1 and 2.

Remember, this is not for personal use, ask your doctors and therapists for validation first.

If your doctor or therapist has given you something better, please post it, it must be worth a lot since it is not public information.

Mirror Training The Mirror as the Element Connecting Both Hands to One Hemisphere

The low-tech version of therapy.
http://nnr.sagepub.com/content/26/5/484.abstract?etoc

Abstract

Background. Mirror therapy (MT) is a promising therapeutic approach in stroke patients with severe hand paresis. Objective. The ipsilateral (contralesional) primary sensorimotor cortex (SMC) and the mirror neuron system have been suggested to play decisive roles in the MT network. The present study investigated its underlying neural plasticity. Methods. Two groups of healthy participants (n = 13 in each group) performed standardized fine motor tasks moving pegs and marbles (20 min/d for 4 days) with their right hand with either a mirror (mirror training group, MG) or a nonreflective board (control training group, CG) positioned orthogonally in front of them. The number of items moved by each hand was tested after each training session. Functional MRI (fMRI) was acquired before and after the training procedure to investigate the mirror training (MTr)-specific network by the analysis of the factors Time and Group. Results. The hand performance test of the trained right hand did not differ between the 2 groups. The untrained left hand improved significantly more in the MG compared with the CG. fMRI analysis of action observation and imitation of grasping tasks demonstrated MTr-specific activation changes within the right dorsal and left ventral premotor cortex as well as in the left SMC (SMC_left). Analysis of functional and effective connectivity showed a MTr-specific increase of functional coupling between each premotor region and the left supplementary motor area, which in turn showed an increased functional interaction with the ipsilateral SMC_left. Conclusions. MTr remodels the motor system by functionally connecting hand movement to the ipsilateral SMC. On a system level, it leads to interference of the neural circuit related to motor programming and observation of the trained hand with the illusionary movement of the untrained hand.

Mirror Therapy for Post-Stroke Rehabilitation

From the Brain Injury Association of Mass. At least it gives a protocol in the presentation.
http://www.biama.org/Annual%20Conference%202012%20handouts/K.%20HAndouts.pdf

VS Ramachandran on your mind

This is only 23 minutes and helps you understand more about the brain, He created the mirror box to amputate phantom limbs and moving paralyzed arms.
http://www.ted.com/talks/vilayanur_ramachandran_on_your_mind.html
Another Ted talk by him: On mirror neurons.
VS Ramachandran: The neurons that shaped civilization 7:44 minutes
http://www.ted.com/talks/vs_ramachandran_the_neurons_that_shaped_civilization.html
His Wikipedia entry:
http://en.wikipedia.org/wiki/Vilayanur_S._Ramachandran

dead brain recovery options

Since I have huge amounts of dead brain these are the therapies I am using to try to get them moved to another location. This is not actually recovering the dead brain, it is trying to move the functions that area of brain controlled to another place. This is probably the hardest thing to do, especially with no research guidance or medical support on how to do this. So this is just my opinion only, try your doctors to see if they have anything better and then reply here.

mental imagery:
Andrea Zimmermann-Schlatter*1,2, Corina Schuster2,3, Milo A Puhan4,
Ewa Siekierka5 and Johann Steurer4
http://www.jneuroengrehab.com/content/pdf/1743-0003-5-8.pdf
Using Motor Imagery in the Rehabilitation of Hemiparesis ,
Mental imagery for promoting relearning for people after stroke: A randomized controlled trial1 , *1 .
Archives of Physical Medicine and Rehabilitation , Volume 85 , Issue 9 , Pages 1403 - 1408

Mirror-box therapy: Rehabilitation of hemiparesis after stroke with a mirror
Altschuler EL, Wisdom SB, Stone L, Foster C, Galasko D, Llewellyn DME, Ramachandran V
The Lancet - Vol. 353, Issue 9169, 12 June 1999, Pages 2035-2036

Passive movement: http://www.ncbi.nlm.nih.gov/pubmed/15003755
The effects of repetitive proprioceptive stimulation on corticomotor representation in intact and hemiplegic individuals.

Thermal therapy: http://stroke.ahajournals.org/cgi/content/full/strokeaha;36/12/2665
researchers found that cycles of heat and cold significantly enhanced the
sensory and motor function in the arms and hands of stroke survivors after a few weeks of therapy.
Music therapy: I am way too late for this to help but this should be part of every survivors' therapy in the hospital.
http://www.msnbc.msn.com/id/35502970/ns/technology_and_science-science/
http://www.epsychology.us/rhythm-of-life-music-shows-potential-in-stroke-rehabilitation/
https://web.archive.org/web/20090726073749/http://hubpages.com/hub/Music-Therapy-Healing including Kenny Rogers
I don't think I could have handled Kenny in the hospital.
Lucid dreaming: This one is just my completely off-the-wall idea. Why waste the time spent sleeping. Of course I have no proof/research that supports this. I try to dream using my pre-stroke abilities.
Do not take any of this as medical advice