Discussion on the Rehabilitation of Stroke Hemiplegia Based on Interdisciplinary Combination of Medicine and Engineering

Abstract

Interdisciplinary combinations of medicine and engineering are part of the strategic plan of many universities aiming to be world-class institutions. One area in which these interactions have been prominent is rehabilitation of stroke hemiplegia. This article reviews advances in the last five years of stroke hemiplegia rehabilitation via interdisciplinary combination of medicine and engineering. Examples of these technologies include VR, RT, mHealth, BCI, tDCS, rTMS, and TCM rehabilitation. In this article, we will summarize the latest research in these areas and discuss the advantages and disadvantages of each to examine the frontiers of interdisciplinary medicine and engineering advances.

Effects of Acupuncture Combined with Biofeedback Therapy on Limb Motor Rehabilitation in Patients with Acute Stroke: Systematic Review and Meta-Analysis

“…Hand spasm in hemiplegic patients after stroke is a manifestation of abnormal muscle tone after upper motor neuron injury, which is caused by increased activity of spinal cord reflex and is characterized by the increase of stretch reflex with the increase of speed. It is caused by the loss of regulation of stretch reflex in the higher center after stroke [ 6 ]. In short, the recovery of hand dysfunction is difficult and time-consuming, which is not only a difficult problem for rehabilitation workers, but also brings many difficulties and challenges to the rehabilitation training of the upper limb and hand function of hemiplegic patients because of hand spasm.…”

A Review on the Mechanisms of Stroke-Induced Muscle Atrophy

“…Furthermore, damage to specific motoneurons, such as those innervating type II fibers, may be more affected post-stroke, and thus harder to activate given that they need greater synaptic excitation due to their size [51,84]. It is important to note that muscle atrophy is primarily understood as the result of disrupted neurological connections, leading to hemiparesis [85]. Thus, physical exercise may be one of the most effective therapies in enhancing neural plasticity in post-stroke recovery to compensate for the effects of the lesion and its negative downstream effects seen in the musculoskeletal system [86][87][88].…”

Disease Etiology and Demographic Characteristics of Hemiplegic Patients in the Department of Physical Medicine and Rehabilitation of a University Hospital

“…İnme, serebral damarlarda rüptür varsa hemorajik ve serebral kan akımında kesilme varsa iskemik olarak iki şekilde sınıflandırılır. İskemik sınıf; başka bir alandan kopup gelmiş ise embolik, kesintiye sebep yerel bir trombüs ise trombotik olarak belirtilir (1,2). Erişkinlerde önemli sağlık sorunlarından biri olan inme, özürlülük yapan hastalıklar içinde ilk sırada yer alıp kardiyovasküler hastalıklar ve kanserden sonra dünyada en sık 3. ölüm nedeni olan bir durumdur.…”