What are some good foods for a stroke survivor to eat?

There is not a particular recommended diet for stroke survivors who are recovering. On the contrary, there are no diets a stroke survivor should strictly avoid. The most important principle is to have a balanced diet of protein, carbohydrates, fat, vitamins, and minerals. Adhering to healthy eating habits is crucial.

It is especially important to consume fresh fruits and vegetables, low-fat foods, fish, and nuts. Vegetables not only contain essential minerals but are also rich in nutrients and fiber. In addition, it is low in calories which is helpful for treating or preventing obesity. Fibroid materials in fruit is better absorbed when fruits are eaten not juiced. Fish contains high levels of unsaturated fatty acids which should be consumed at least twice a week.

If you are worried about hyperlipidemia and completely remove meat or fish from your diet, the supply of essential fatty acids and essential amino acids may be insufficient. So, it is recommended that you consume an appropriate amount. However, excessive intake of sugar and salt through instant foods, high-fat foods, spicy, and salty foods can cause obesity, hypertension and diabetes. Obesity may lead to allergic sclerosis, therefore you should refrain from overeating.

Can you drink coffee or green tea after a stroke?

Long-term intake of small amounts of coffee that does not contain sugar or non-dairy creamer is known to be effective in preventing cardiovascular disease. But excessive intake may result in arrhythmia or cardiac arrest.

Green tea contains a kind of flavonoid called catechin. Flavonoids have antioxidant properties and are known to reduce mortality from stroke and cardiovascular disease when ingested long-term in low doses.

What else is important besides diet?

Stroke patients may experience slowed motor function due to paralysis and various complications. Therefore, along with the diet, regular exercise is necessary to maintain the motor functions. Exercise helps to maintain the patient’s physical abilities and mental health. There may be those that feel uncomfortable visiting sports or rehabilitation centers for exercise or rehabilitation training due to time and distance constraints. RAPAEL Smart Solution enables you to undergo rehabilitation training whenever you want at home. If you want to learn more about RAPAEL, please visit our website.

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

Cerebral Palsy is a neurological disorder occurring during brain development that is characterized by abnormalities in body movement and muscle coordination. While it is not life threatening, it can present unique challenges and require significant therapeutic interventions throughout the lifespan.

Typically when a therapist treats a child with CP, programming consists of stretching, strengthening, positioning, splinting, compensatory training or a combination of those interventions. As any therapist can tell you, achieving and maintaining results requires constant repetition and focus.

But simple task repetition can become monotonous and anyone with a child knows that maintaining focus is not always easy, particularly for the modern child who has a multitude of more enticing interactive games at their fingertips. So how can we motivate kiddos to stay invested in therapeutic exercises?

Virtual reality(VR) based rehabilitation technology like Smart Kids by Neofect bridges the gap; connecting neuroscience, gamification and traditional therapeutic insight to create an enticing toy that kids actually want to keep playing.

But what is the Science saying?

Recent studies using commercially available VR products like the Smart Kids as a supplement to traditional approaches for children with CP have reported statistically significant improvements in:

*Cortical reorganisation: Brain changes! Targeted, sustained interaction between the brain and the nerves of the isolated muscle systems has been shown to create neuroplastic changes in the central and peripheral nervous systems particularly in cortical areas related to motor learning and control. [3].[2].[4, 5]

*Motor control: Use it or lose it! Repetition of muscle use over time leads to improved strength, manual dexterity, motor planning skills as well as increased ability to generalize this strength increase into use of the arm during daily tasks [1]. [6].

*Motivation and confidence: I’m winning! When abilities are challenged appropriately kids can become motivated to keep playing in order to achieve game goals[8, 9]. Through the achievement of small wins in the game, kids are secretly performing prescribed exercises while building the confidence needed to attempt novel tasks outside of the VR experience.

*Compliance: Time flies when you’re having fun! VR use can increase home exercise compliance levels in children who feel like they are gaming and not exercising which enhances conventional physiotherapy effectiveness[7].

*Cognition: Get your head in the game! Improved concentration and levels of participation have been reported when using VR intervention[11]. The games provide feedback which enables kids to improve their performance while giving them a measurable sense of achievement[12] through persistence and control over their actions.

To hear from one of our Smart Kids users, her family and physician, check out Ilana’s Story. For a trial or to find out more about whether the RAPAEL Smart Kids is a good fit for your child’s rehabilitation needs, email us at info@neofect.com or call us at 888-623-8984.

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

1. Luna-Oliva, L., et al., Kinect Xbox 360 as a therapeutic modality for children with cerebral palsy in a school environment: a preliminary study. Neurorehabilitation, 2013. 33(4): p. 513-21.
2. Snider, L., A. Majnemer, and V. Darsaklis, Virtual reality as a therapeutic modality for children with cerebral palsy. Developmental neurorehabilitation, 2010. 13(2): p. 120-8.
3. Riener, R. and M. Harders, Virtual Reality for Rehabilitation, in Virtual Reality in Medicine. 2012, Springer. p. 161-180.
4. You, S.H., et al., Cortical reorganization induced by virtual reality therapy in a child with hemiparetic cerebral palsy. Developmental Medicine & Child Neurology, 2005. 47(9): p. 628-35.
5. Huang, H.-h., et al., Bound for success: a systematic review of constraint-induced movement therapy in children with cerebral palsy supports improved arm and hand use. Physical Therapy, 2009. 89(11): p. 1126-1141.
6. Winkels, D.G., et al., Wii-habilitation of upper extremity function in children with cerebral palsy. An explorative study. Developmental neurorehabilitation, 2013. 16(1): p. 44-51.
7. Bryanton, C., et al., Feasibility, motivation, and selective motor control: virtual reality compared to conventional home exercise in children with cerebral palsy. Cyberpsychology & Behavior, 2006. 9(2): p. 123-8.
8. Harris, K. and D. Reid, The influence of virtual reality play on children's motivation. Canadian Journal of Occupational Therapy - Revue Canadienne d Ergotherapie, 2005. 72(1): p. 21-9.
9. Meyer-Heim, A. and H.J.H. van, Robot-assisted and computer-enhanced therapies for children with cerebral palsy: current state and clinical implementation. Seminars in Pediatric Neurology, 2013. 20(2): p. 139-45.
10. Weiss, P.L., P. Bialik, and R. Kizony, Virtual reality provides leisure time opportunities for young adults with physical and intellectual disabilities. Cyberpsychology & Behavior, 2003. 6(3): p. 335-42.
11. Lewis, G.N. and J.A. Rosie, Virtual reality games for movement rehabilitation in neurological conditions: how do we meet the needs and expectations of the users? Disability and rehabilitation, 2012. 34(22): p. 1880-1886.
12. Sveistrup, H., et al., Outcomes of intervention programs using flatscreen virtual reality. Conference Proceedings: ... Annual International Conference of the IEEE Engineering in Medicine & Biology Society, 2004. 7: p. 4856-8.

NEOFECT’s RAPAEL Smart Rehabilitation Solutions provides customizable training through the use of engaging games specifically developed for users recovering from medical episodes like stroke, brain injury or hemiplegia.

Each game is scientifically designed to reinforce optimal neuroplastic recovery through muscle activation practice and the use of audiovisual feedback. The artificial intelligence algorithm built into the RAPAEL solutions guides the user through a series of rehabilitation games based on the user’s individualized preferences and progress.

Wondering what games are available? Let’s check out a few that focus on increasing wrist movement!

Honeybee Baseball

In Honeybee Baseball the user plays as a baby honey bee who dreams of becoming a baseball player. Each movement of the wrist controls his ability to hit the balls flying at him in batting practice. .

Training Methods

1. The bee moves up and down on the screen with user Wrist Extension and Flexion.
   

2. As the levels progress, the curve balls become more complex.
   

3. The user must anticipate and move the bee into position to hit the ball.
   

Training Results

1. Score: Total number of balls “hit” during training
2. Play Time: Total training time
3. Wrist Flexion / Extension ROM : Largest movement angle that the user achieved during training

Sushi Train

Sushi Train is a training game where the user plays as chef at a popular sushi restaurant. Quick wrist movements enable the user to plate each order as it comes down the line according to the pictures displayed.

Training Methods

1. Look at the sushi orders in the right and left pictures.
   
2. The user activates Forearm Pronation or Supination to shift the sushi onto the plate to the left or the right.
   
3. The user receives points by placing the correct orders on each plate within the allotted time. .
   

Training Results

1. Score: Total number of sushi pieces placed on the correct plate.
2. Play Time: Total training time
3. Success Rate: Ratio of correct sushi placements to total number of pieces presented during training time.
4. Wrist Pronation/Supination ROM: Largest pronation or supination movement angle achieved during training

Cast Away

Cast away is a training game where the user plays as a fisherman on an idyllic lake.
Quick and modulated wrist movements allow the user to cast a line and reel in a catch!

Training Methods

1. Use Wrist Radial Deviation & Ulnar Deviation to cast the fishing line.
   
2. The speed of the wrist movement will determine the distance the fishing line is cast. Larger fish may be caught at farther distances.
   
   3)If a fish takes the bait, it can be caught by controlling the angle of the wrist, ensuring that it is neither too tight nor too loose. The status of the fishing line is shown on the gauge to the right of the screen.
   

Training Results

1. Score: Total number of fish caught during training
2. Play Time: Total training time
3. Wrist Radial / Ulnar Deviation ROM: Largest movement angle achieved during training

This game training is not just for fun. These are just a sampling of the games available through Neofect’s Rapael smart rehabilitation solutions. Each game is scientifically designed to engage the user in repetitive activation of target muscle groups while simultaneously stimulating visual and auditory senses to reinforce neuroplasticity and accelerate recovery. The artificial intelligence system that is built into the RAPAEL solutions suggests rehabilitation games based on patients’ preferences and progress, delivering optimal therapy programs for each individual user.

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

ComCog is a brain re-training software that focuses on attention and cognition. These skills are essential for successful community living and independence in everyday life. This software has been shown to improve working memory for users with Alzheimer’s. ComCog has also helped users with brain injuries increase their attention span. This June, as we acknowledge Alzheimer’s and Brain Awareness month (https://www.alz.org/abam/), we’d like to introduce this new brain training software, Neofect Com/Cog.

ComCog has existed for a number of years in Asia but has only recently come to the US under the US rehabilitation technology brand, NEOFECT, the makers of the Smart Glove and other Smart Rehabilitation products.

Com/cog uses computer assisted cognitive rehab along with NEOFECT’s learning algorithm to guide a user through cognitive training based on their skills. Cognitive skills refer to the intellectual activities that encompass memory, reasoning, attention and language. Damage to cognitive function can cause difficulties in ones’ daily life. Promoting brain neuroplasticity is a key element to the rehabilitation process after a brain injury. Neuroplasticity is a concept that states that the brain will essentially rewire itself to compensate for the area of injury or damage. Cognitive rehabilitation focuses on the importance of retraining the brain.

After utilizing the ComCog software for a 4-week training period, patients with traumatic brain injury were shown to improve their attention to more closely resemble that of their healthy counterparts. This is due to the concept of neuroplasticity which says that the brain will rewire itself to work even when parts of it are injured..

In Alzheimer’s dementia patients, a 4-week training program using ComCog was shown to significantly increase memory capabilities. Patients were able to better remember words and objects that had been presented to them previously and scored higher on tests of orientation and recall.

For a trial of the ComCog product, contact Rebecca Roberts
rebecca.roberts@neofect.com
508-564-2122

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

Calendars are essential for just about anyone who wants to stay on track toward their goals . In order to ensure that we fit in all of the important “to-dos” and complete tasks essential to our well-being, writing it down and tracking our progress are often good strategies. You can also apply this technique to create your own recovery calendar after stroke. A recovery calendar can help you to keep up with a daily schedule, and also reward you with the satisfaction of crossing out the completed goals. It is a simple way to stay motivated and concentrate on recovery.

How Does A Recovery Calendar Work?
You can use several different formats (see some of our examples below). A recovery calendar should include your participation in rehab exercises, symptoms and functional improvements that you’re noticing.

Benefits of a Recovery Calendar

• Use it to keep track of your progress
• It helps you identify your positive and negative inclinations during the recovery process.
• It allows you to accurately measure how much you have improved.
• It helps you to concentrate on your goals.
• It aids in distinguishing between the effective and ineffective methods.
• It provides accurate records for assessing the past.

Are you unsure of the exercises to include in your calendar? One of the options for your continued recovery is e one of the RAPAEL Smart Rehab tools, which can be effective for continued stroke recovery.

RAPAEL’s rehab training games are designed to stimulate the patient’s visual and auditory senses simultaneously, increasing plasticity of brain and assisting in the re-education of brain’s motor cortex. Here’s an example of a recovery calendar that includes assorted exercises, including RAPAEL Smart Rehab tools .

Recovery Calendar: Exmaple

RAPAEL Smart Rehab products are designed to be customized for each patient, allowing them to freely practice rehabilitation at home. Like the doctors or therapists who provide exercise schedules tailored to the patient’s condition and progress, the algorithm and artificial intelligence analyzes user progress and suggests personalized exercises, with real time adjustments in the difficulty level. After the training activity is completed, a survey will be used to study your personal preferences and recommend the right game for you. If you have more questions about RAPAEL Rehab solutions, optimized for stroke rehabilitation after stroke, please visit our website Home.neofect.com

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

Stroke causes weakness and or paralysis in about 75% of stroke survivors(1). This can cause difficulties with activities of daily living such as getting dressed, eating and bathing. Having to depend on others to assist with activities of daily living can get frustrating but with the correct rehabilitation techniques, considerable progress can be made.

Research has shown that the three most important ways for stroke survivors to recover hand function is performing repetitive hand and arm exercises, performing fine motor control exercises and performing repetitive task specific training exercises.

1. Repetitive exercises- A stroke causes damage to the brain which can cause one side of the body to have weakness. However our brain has the ability to rewire itself after an injury, this is called neuroplasticity. The principles behind neuroplasticity states that in order for the brain to rewire itself it requires repetitive exercises to be done in order to build new pathways.

2. Fine motor control exercises (AROM)-Stroke survivors tend to present with fine motor control difficulties secondary to either an overabundance of muscle mass or a lack of muscle mass. Research shows that in order to improve fine motor control it is important to perform repetitive fine motor control exercises and to utilize the affected hand as much as possible when performing daily tasks.

3. Repetitive task specific training-Researchers have found that in order to improve ones coordination of functional tasks that involves reach to grasp one must perform repetitive tasks that forces them to involve grasp and transport together with a specific emphasis on planning and executing the two components together. (2)

The Smart Pegboard is a modern version of a standard pegboard that you would typically see in a therapy clinic or hospital. The Smart Pegboard lights up and interacts with you providing auditory and visual feedback. The Smartpeg board allows for a fun way to address all three of the above mentioned approaches. The Smart Pegboard provides repetitive fine motor control activities which requires the use of overall grasp and in hand manipulation. While performing these tasks the client is being forced to involve grasp and transport together with a specific emphasis on planning and executing these two components together to complete each task. The client can choose from different size pegs or shapes to further grade the activity.

To find out more information regarding the Rapael Smart Pegboard please call us at 888-623-8947 or email us at contactus@neofect.com.

(1) Lawrence ES, Coshall C, Dundas R, Stewart J, Rudd AG, Howard R, et al. Estimates of the prevalence of acute stroke impairments and disability in a multiethnic population. Stroke 2001 Jun;32(6):1279–84.
(2) Van Vliet PM, Sheridan MR. Coordination between reaching and grasping in patients with hemiparesis and healthy subjects. Archives of Physical Medicine and Rehabilitation 2007; 88(10):1325-1331.

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

Children with cerebral palsy may be classified as Diplegic, Hemiplegic, Quadriplegic, Dyskinetic, Ataxic or a mixture of these depending on the presentation of their symptoms.

This classification system is useful for determining overarching areas of deficit, but can leave much to be desired when identifying a kiddos level of functional capacity or severity of disability.

While these traditional markers continue to be the primary method of classification used in the medical field, there is an additional system that can provide a more robust picture of the kiddo as a whole.

The Gross Motor Function Classification System (GMFCS) uses 5 levels to classify a child’s individual motor abilities through an analysis of functional mobility or more simply, how they get from place to place.

<Level 1>

Level 1 includes children who have no restraints when walking. They can ambulate freely without instability. Typically children in this level do not wear any assistive devices.

<Level 2>

Level 2 includes children who can walk without assistance but may have some difficulty at times. Typically these kiddos cannot jump or balance on one foot, may fall frequently and/or need to hold onto railings when walking up stairs or over curbs.

<Level 3>

Level 3 includes children who need to use an assistive device to walk upright. These kiddos can walk in certain environments for reduced distances by self directing the use of devices such as revere walkers or forearm crutches. For longer distances children in level 3 will used wheeled mobility and can often self propel their chair.

<Level 4>

Level 4 includes children who require external assistance in order to get around. They may use a wheelchair or a walker with significant help and support to compensate for lack of speed and/or stability. The child on the right is using a device called a Gait trainer, which provides trunk support for those who are unable to fully support themselves using a typical walker..

Level 5

Level 5 includes children who require the assistance of a guardian for all movements. These kiddos often cannot support their head and trunk while seated and may utilize wheelchair positioning devices such as head rests and lateral supports.

Sometimes, the distinctions between different levels can be unclear. Kiddos can have varying abilities, depending on the day. The best way to determine which level is the best fit is to think of how the child gets around most of the time, not just their best performance.

GMFCS levels may seem to focus on lower body function, but many of these assistive devices require the use of arms and hands as well. Try using the RAPAEL Smart Kids if your child is having difficulties using their hands! RAPAELSmart Kids recommends customized games for the pediatric mind, providing consistent motivated training by displaying the results after each training exercise. Please visit our homepage (home.neofect.com) to find out more about RAPAEL Kids!

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

A Vietnam Veteran who had 3 strokes: Michael Eustace

I went to move and I couldn’t. I moved forward and slid right onto the floor. Started to get a little bit better and then I had another stroke. And then had problems with the heart and wound up having 3 strokes and 1 heart attack.

I couldn’t move my arm, I couldn’t move my hand, I couldn’t do anything. At that point I started to try to get better.
They kept saying, “What is your goal?”
I said my goal is to get up and walk again.
My goal is to get up and use my hand.

For me it was like it opened up a world of things that I could do with my hand, and get more mobility, because it motivates you to do more. You don’t appreciate things that you do before that you can’t do now.

"If it wasn’t for RAPAEL, I’d probably never bend my hand the way it is now."

Often after a stroke or other neurological injury the recovery process can continue long after traditional rehab and therapy end. Hopefully once you or your loved one returns home you attempt to adhere to a home exercise program geared at maintaining and increasing strength and range of motion. Unfortunately, life can get in the way, even with the best intentions, and self-directed home rehab can be less effective than we would like it to be. Therapists have identified 3 main reasons why your home rehab program isn’t giving you the results you want.

· You aren’t clear about what you “should” be doing.
Sometimes we can be overconfident in our knowledge of what exercises to perform, how to perform them and when to change the routine. Without clinical feedback it can be a constant challenge to know if what we are doing is helping or hurting or even making a difference at all. It’s all too common to be using outdated techniques, over/under-challenging yourself, targeting the wrong muscles or simply being poorly positioned during exercise.

· You aren’t sticking with it
Repetition and consistency are the keys to making progress. Unfortunately, when you are eager to get better it’s easy to fall into the trap of expecting to see progress overnight. Many home programs are abandoned because of lack of noticeable progress. Boredom is the other key reason for home therapy abandonment. Patients tend to adhere to home programs that show results and keep them engaged.

· You aren’t using the right tools – The Brain is the most important tool for neurologic injury recovery. Often people don’t know that they need to engage neuroplasticity to repair the brain - body connections which are affecting their muscle tone, strength and functional capacity after stroke. Neuroplastic changes require you to be alert, engaged, motivated. If you are disengaged, inattentive, distracted, or doing your exercises without thinking it is unlikely that your brain is capable of rewiring broken pathways.

So how can you fix it? Get savvy about what’s out there!

Once therapy ends, you and/or your caregivers may look for programs or products outside of the traditional rehab system to supplement your home programs. Devices such as the RAPAEL Smart Glove provide an interactive digital environment to modernize and demystify the home rehab process after stroke.

Many of the traditional pitfalls of at home therapy can be avoided with features such as digital progress reports delineating progress with remote monitoring provided by a live therapist. Gamified exercises that maintain engagement in repetitive tasks and optimize conditions ripe for neuroplastic change. With a unique algorithm system the smart glove adjusts the challenge level required in each activity to your personalized skill set in real time, ensuring that you are always working toward neuroplastic changes. Don’t get intimidated by home therapy programs. Start researching and learning about taking control of your recovery.

To find out more about the Rapael Smart Glove and other Neofect products please call us at 888-623-8947 or email us at contactus@neofect.com.

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

Can stroke patients exercise?

Slowed motor function, poor physical strength, and cardiorespiratory function can occur due to physical paralysis and various complications of a stroke patient. These factors may detur a stroke patient from exercising. However, a moderate amount of exercise improves muscles and neural functions as well as cardio and pulmonary function. Furthermore, it can help prevent or control diseases such as diabetes and hypertension, empowering you to live an active and confident life. Therefore, regular home-training is beneficial for the patient’s physical and mental health. However, improper exercise may cause negative side effects. Recuperation requires exercise, but patient’s conditions such as fitness level, sickness, paralysis, and complications must be taken into account.

What kind of exercise is good for stroke patients?

Workouts that helps maintain flexibility and endurance are appropriate for stroke patients. Exercise that require sudden movements or a lot of energy such as running, jump roping, and weight training pose a high risk of injury. For those with high blood pressure or diabetes, it may cause a strain to the heart. You should choose aerobic exercises suitable to your abilities such as walking, cycling, or swimming. It is recommended to exercise more than 3 days a week, 40 minutes per session. However, adjust the intensity to avoid fatigue. The most important thing is to work out regularly over a long period of time at a moderate intensity rather than cramming it into one session. RAPAEL Smart Solution is a digital rehab device that has been developed to enable users to undergo rehab training at home.

What are some thing that needs to be considered when exercising?

Although it is important to exercises, don’t get hurt. When going outside, it is advisable to carry a cane or other mobility devices to prevent falling. Stroke patients should avoid exercising in winter conditions. Sudden exposure to the cold air can abruptly contract the blood vessels that have been dilated overnight, which could lead to a myocardial infarction or another stroke. In the case of a recurrence, the patient may not be able to receive treatment due to lack of assistance. If you have diabetes, exercise before breakfast should be avoided at all cost. After a meal, wait for 1 to 3 hours before your exercise. Be careful not to exercise too heavily even briefly or exercise for an extended period of time as your blood sugar can suddenly drop.

RAPAEL Home Inquiry:

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-Phone: (888) 623-8984

＊The Brain, the Most Important Human Organ
An adult’s brain weighs only about 3 lbs, but it is known to be one of the most important organs in our bodies. Because the brain is very soft and delicate, it is susceptible to damage under external force and can also be susceptible to damage from internal forces like strokes and aneurysms as well. The brain produces clear, colorless liquid called the cerebrospinal fluid that flows outside the brain, and the brain is protected by floating within this liquid. The cerebrospinal fluid helps to mitigate external impact and lessen outside forces. The brain can be divided into three different parts based on where they are located: The cerebrum, cerebellum, and the brain stem in between.

The brain is responsible for almost all functions related to seeing, hearing, thinking, moving, and feeling. The different parts of the brain are closely linked with each other in complex ways, enabling us to do a variety of different things. These connections enable us to perform complex activities as part of our daily lives. When the parts of the brain responsible for such complex activities are damaged, the result is difficulty in the areas that those functions of the brain controls.

＊Functions of brain part

• Cerebrum: Responsible for higher-level thinking, such as language, calculation, thoughts, judgment, etc.
• Cerebellum: Contributes to coordination and precision in movement
• Brain stem: In charge of vital functions for survival, such as consciousness, respiration, heart rate, movements of the stomach and intestines, etc.

＊The brain and stroke

One of the most widely known diseases associated with such an important organ is a stroke. Stroke refers to the disruption in the blood supply to the brain, resulting from a clot or a bleed, which leads to the death of brain cells within a short period of time. This leads to deficits in the areas mentioned above based on the area of the brain that was affected.

Someone in the US has a stroke about once every 40 seconds. Each year, about 795,000 people experience a new or recurrent stroke. Approximately 610,000 of these are first attacks, and 185,000 are recurrent attacks. Stroke is the leading cause of long term disability in the US. As can be seen in the statistics, stroke is a much more common occurrence than many people know, and many are suffering from the aftereffects of this disease.

Individuals who have had strokes face ongoing difficulties in their daily lives due to conditions such as hemiplegia. “RAPAEL Home” was developed to provide these patients with the opportunity to receive hand and arm rehabilitation whenever and wherever they want. The internal artificial intelligence algorithm gives recommendations on suitable games for the patients to guide their rehab program. These games motivate users and enable patients to have fun during their rehabilitation training. If you are interested in learning more about RAPAEL Smart Rehab products, please visit our website for more information.

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

Stroke recovery is going to be different for everyone based on their age, where the stroke occurred, what type of stroke they had as well as the stroke survivors health before the stroke. Based on how one is affected by the stroke will determine their stages of rehab. Not everyone will go through all 5 stages depending on the level of severity.

Stage 1. The Acute Hospital Stay:
Anyone who shows any signs of stroke should be brought to the emergency room immediately. Tests will be done to determine what type of stroke it is and that will determine how the doctors choose to treat the stroke. After a stroke one will usually be in the hospital for a few days to a few weeks based on the severity of the stroke.

Stage 2. Inpatient Rehabilitation or Skilled Nursing Facility:
A stroke survivor who can tolerate/ requires 3 hours of therapy a day will be transferred to an inpatient rehabilitation hospital. Someone who requires rehabilitation daily however can not tolerate 3 hours of therapy or does not require that much therapy will be discharged to a skilled nursing facility.
At the inpatient rehabilitation hospital or skilled nursing facility one will usually work with an occupational therapist, physical therapist and a speech therapist. These therapist will work with a stroke survivor in order to increase their independence in hopes to send them back home. Research shows that the first 90 days post stroke is when patients exhibit the most rapid healing. (1) Therefore it is important to work very hard with the therapist.
While in inpatient rehabilitation the therapist will work with the patient as well as with their families to set up a safe discharge plan. The therapist will determine what the best equipment needed for that patient and will order it for them before they go home. The therapist will also arrange for further therapy.

Stage 3. Home Health:
During this stage the occupational therapist, physical therapist and speech therapist will come work with the client in their home setting. Working in a home setting can be very helpful to make sure the client can be as independent as possible in their own environment. Once the therapist determines that the client has met their goals in the home setting they will then refer them to outpatient therapy services.

Stage 4. Outpatient Rehabilitation Services:
Most stroke survivors will complete their last stent of therapy in an outpatient clinic. Outpatient therapy will work on goals to get the client to be as independent as they can be inside the home as well as in the community. Once the client has reached all their goals they will be discharged from therapy.

Stage 5. Self Motivating Home Exercise Program:

It is important for a stroke survivor to stay motivated even after they have been discharged from all therapy programs. Research shows that people can continue to recover from a stroke for years after the original stroke. One way to continue to make progress is by using either the RAPAEL Smart Glove or Smart Board. These products will help increase the brain's ability to rewire itself and increase ones range of motion and strength in the upper extremities. To learn more about the Smart Board or Smart Glove Please call us at 888-623-8947 or email us at contactus@neofect.com.

(1) Wade D, Wood V, Langton H. . Recovery After Stroke- The first 3 Months. Journal of Neurology, Neurosurgery, and Psychiatry 1985;48:7-13.

RAPAEL Home Inquiry:

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-Phone: (888) 623-8984

Most people have heard of or been affected by stroke, however, not everyone knows about the underlying causes and risk factors.
Today, Let’s take a look at 7 conditions and lifestyle choices that might contribute to a higher risk of stroke.

1. Heredity and age

Although risk of stroke is not always genetically inherited. Studies have demonstrated higher likelihood for stroke in those who have a family history. Stroke risk also intensifies as we age, and doubles every ten years after the age of 55.

2. Diabetes

Diabetes can induce atherosclerosis and commonly increases blood pressure and dyslipidemia. These factors contribute to an increase in stroke risk by 1.8 to 2.5 times in the diabetic population.

3. Cardiovascular disease

20% stroke patients suffer from heart disease. Malfunctions in the heart can disrupt cause the blood to collect in the vessels and create blood clots. These blood clots can at times cause stroke by traveling to the cerebral blood vessels and blocking blood flow to the brain.

4. High blood pressure

The two major categories of stroke are cerebral infarction and cerebral hemorrhage, with infarction making up 80% of cases. If blood pressure is consistently high, there is a high risk of arteriosclerotic narrowing of the cerebral blood vessels. If this narrowing results in a complete blockage, cerebral infarction often occurs.

5. Hyperlipidemia
Hyperlipidemia refers to a condition where cholesterol, triglycerides, and low-density lipoproteins are too high. Conditions where high-density lipoprotein are too low can also be referred to as hyperlipidemia. People with hyperlipidemia are reported to have up to 1.8 to 2.6 times the risk of developing cerebral infarction.

6. Smoking

Smoking causes blood vessels to lose their elasticity, resulting in hardened blood vessel walls and increases in blood viscosity. Such conditions make blot clots more common. Another concern relating to smoking involves poor oxygen saturation to the brain. The carbon dioxide contained in cigarette smoke is absorbed into the blood, reducing the oxygen content.

7. Alcohol and obesity

Heavy alcohol use and obesity are also compounding risk factors. Obesity can increase the risk of stroke due to inflammation caused by excess fatty tissue . This can lead to difficulty in blood flow and an increased risk of blockage, both of which can cause strokes. Drinking excessive amounts of alcohol can trigger atrial fibrillation – a type of irregular heartbeat. Atrial fibrillation increases your risk of stroke by five times, as it is associated with blood clots.

Steady management of any controllable risk factors is very important in the prevention of stroke. Speak to your healthcare provider about your options.

If you have suffered a stroke in the past and are interested in further rehabilitation training options check out the RAPAEL Solution specially designed for stroke rehabilitation.

RAPAEL Home Inquiry:

-Home.neofect.com
-Phone: (888) 623-8984

In the previous post, we briefly looked at different areas of the brain and its functions related to stroke. . After a stroke, depending on the area of the brain affected, there are different approaches you can consider in terms of stroke rehabilitation.

Recovery of motion after stroke is possible through the principles of neuroplasticity. Rehabilitation training can help improve the quality and degree of movement that is affected related to stroke. Here are some benefits of stroke rehabilitation that are important to keep in mind: :

Benefits of Stroke Rehabilitation

1. Early rehabilitation and intensive training, involving hundreds of repetitions, allows for greater opportunity for improvement of movement after stroke.

2. Rehabilitation activates the neural networks of the brain and what “fires together, wires together” to use undamaged areas of the brain to compensate for the areas affected by the stroke

3. Stroke rehabilitation and increased activity and exercise can decreases the risk of of having future strokes

4.Rehabilitation scan improve independence with activities of daily living and return to meaningful tasks

5. Rehabilitation can help prevent complications after a stroke such as edema, blood clots or other complications

Individuals who have had a stroke often start receiving rehabilitation after they are medically stable. Studies have shown that the faster early and intensive rehabilitation is implemented after the patient is medically stable, around 24-48 hours, the more primed the brain is for re-wiring. —

This ability of the brain to rewire itself after stroke or brain injury is also known as , neuroplasticity. For more information about how neuroplasticity works, please refer to this post.

Consistent and repetitive training is an important feature of rehabilitation training. RAPAEL Home was developed to provide consistent and fun rehabilitation training through the use of training activities. With an algorithm based on artificial intelligence, the device evaluates the patient’s motion, coordination and timing and recommends suitable training sessions based upon the findings. One of our goals at NEOFECT is to make sure that Smart Rehab technology is easily accessible for patients to use in their home. If you want to learn more or sign up for a 7 day free trial, please visit our website.

*RAPAEL Home Inquiry:
-Home.neofect.com
-Phone: (888) 623-8984

Functional Orthosis that is used to Minimize Spasticity

Many stroke survivors suffer from a lot of spasticity in their affected hand causing them to present with a clenched fist. Many people have a hard time independently opening their fingers back up preventing them from completing functional tasks. Spasticity is caused by miscommunication from the brain to the affected hand.

There are a few different options of how to treat spasticity. These treatments can be temporary or permanent. A temporary option would be getting a botox injection to the hand. Botox is a medication that is used to relax the muscles. Botox usually lasts about 3 months and then the medication will wear off.

In order to treat spasticity in a more permanent way one would have to retrain the brain in order to prevent miscommunication from the brain to the hand. One is able to rewire the pathways in the brain by Neuroplasticity. Neuroplasticity means that the brain has the ability the rewire itself even in injured areas by performing repetitive tasks and movements. The RAPAEL Smart Glove and Smartboard allow for the this repetitive movement.

Another way to treat spasticity is by utilizing hand splints (orthosis). If someone keeps their hand clenched all day their muscles will start to shorten, causing them to get very tight. If the hand is in a clenched position for too long without being stretched it can cause contractures. Contractures can be very painful and can require surgery to release them. In order to prevent contractures it is important to stretch out the muscles.

A great way to provide a long passive stretch is by utilizing Neofect’s new Extender. The NEOFECT Extender is a functional orthosis that is used to minimize spasticity, maintain functional grasp as well as prevent stiffness. To find out more about the NEOFECT Extender please call us at 888-623-8947 or email us at contactus@neofect.com.

*Available at Amazon: https://www.amazon.com/dp/B07F451V87

*RAPAEL Home Inquiry:
-Home.neofect.com
-Phone: (888) 623-8984

Artificial Intelligence Healthcare for Stroke Rehabilitation

AI Healthcare is emerging as next-generation technology, bringing fundamental changes to one's lifesty.le as well as to healthcare ecology through the change of healthcare paradigm, explosive data growth, and organic emergence of cutting edge technologies. Traditional healthcare was focused on curing a disease. However, healthcare today is moving on to advanced prevention, early diagnosis, and customized care services. The main reason for this shift is secondary to the needs of the customers’ for an innovative healthcare service that can lower their medical expenses, which has been aggravated because of the aging population.

As leading expert medical knowledge is exponentially-increasing, the medical data and the ability to connect the knowledge to the next-generation medical industry in increasing. AI is highly regarded as the most efficient form of technology for medical big-data analysis.

Big-data itself has become an educational infrastructure that develops AI systems, AI and Big-data formulated a virtuous circulation and triggered a new medical service, called “AI Healthcare.” Furthermore, the active AI-tech-based combination of diverse fields, such as medical technology and ICT(Internet Communication Technology) expands the applicative opportunity of conversion technology in the medical industry. This technological convergence is forecasted to be a source of the innovative medical service.
Recently, AI technology has been introduced in various healthcare related industries and has been applied to the medical picture analysis, study of diagnosis, prevention, treatment, and new development of medicine. We are expecting the healthcare industry to provide customized treatment to each patient with AI.

RAPAEL is a customized rehabilitation solution, designed to enable a patient to enjoy one’s rehabilitation at anytime and anywhere with the smart rehabilitation device. Based on AI and clinical grounds, RAPAEL consistently measures the patient’s condition and suggests proper training game content to the patient. RAPAEL motivates the patient by reflecting the user’s preference on the system.
The training data of the patient is saved in a cloud system,, therefore the patient can train at home and at the hospital seamlessly. As the rehabilitation data is shared with the medical team, the patient can be effectively managed at all times. If you are interested in RAPAEL, please visit our website for a free consultation: Home.neofect.com.

*RAPAEL Home Inquiry:
-Home.neofect.com
-Phone: (888) 623-8984

Family Support After Stroke

Strokes can be devastating events that have long term effects on the entire family. The recovery process can be difficult to navigate. If you are wondering where to begin check out these tips on how to best support your loved one after a stroke.

Get organized
Navigating the complex world of healthcare services can be incredibly complex. Information often gets lost in translation or forgotten over time. Creating a caregiver notebook or folder can be a helpful way to consolidate information and keep track of what’s happening around you and your loved one.

This notebook may include:

• Contact information: A running list of all those involved, including family members, doctors, therapists, specialists etc.
• A Schedule: keep a list of your loved one’s preferences and daily needs that can be used by others if you are away. This may include when they like to have a shower, foods they cannot eat, or a list of enjoyable hobbies.
• A therapy log: Keep track of all medical procedures and daily occurrences in therapy. This will help you and future clinicians to understand what has been done in the past and inform their choices for the future.

Educate yourself:
As soon as you have a few free moments, start to research. The more you know the better you will be at making informed decisions and acting as an advocate for your loved one. There is a plethora of stroke related information available on the internet and via your healthcare providers.
Start by learning the basic information surrounds stroke etiology, prognosis and recovery process. Sites like the national stroke association and strokesmart.org can help you gain a better understanding of where to go from here.
Once you have a better grasp on the basics. You may want to familiarize yourself with what products and services are available that may enhance the quality of your loved one’s recovery process. Technology is constantly evolving, and Products like RAPAEL’s smart rehabilitation tools can supplement traditional therapeutic techniques both while in the hospital or at home. Check out neofect.com to find out more.

Modify the Environment
Remember to check in with your care team to find out how you can help ensure that your loved one returns to a safe and stable living environment. The home may need to be adapted by adding grab bars or ramps to prevent further decline or injury. Double check that all equipment needed such as walkers or bed side commodes will be available on or before the day of discharge. Your loved one may need more than physical assistance once at home, you may need to appoint someone to buy groceries, open mail, pay bills, pick up medication or attend to financial planning.

Provide emotional support
The risk for significant mood changes and depression increases dramatically after a stroke. Don’t underestimate how important your emotional support and presence can be to your loved one. They may feel isolated or afraid. At times they also may not have full control of their emotions, which could lead to unexpected laughter or tears. Remember to be patient with them and with yourself. Support groups both online and in person can be a life saver for many patients and caregivers. Taking care of yourself is vital to both you and your loved one. Remember to value yourself and the work you are doing for your loved one.

*RAPAEL Home Inquiry:
-Home.neofect.com
-Phone: (888) 623-8984

Consistent participation in rehabilitation can be hard to sustain, often because it is difficult for patients to notice progress as it is happening. Small changes are often unseen or overlooked as insignificant. Perceived lack of progress can lead to burnout and abandonment of rehab programming. Keeping track of even the tiniest goal achievements can be a great way to remain empowered during recovery.

What can little achievements signify?
reduced dependency on caregivers
progress toward a new set of skills
increased energy for participation in preferred activity

Most patients have a tendency to judge their progress based on unreasonable expectations of themselves in the short term. They can become frustrated when their abilities fluctuate from day to day and can easily forget that stroke recovery is a marathon, not a sprint. Concrete measurements taken over the long term can be a great way to reinforce that functional recovery happens bit by bit.

What to keep track of?
How quickly a task can be completed
How long a position or motion can be maintained
How many repetitions can be performed at one time.
Distances traveled
Videos demonstrating quality of movement or speech
Devices or equipment required during an activity

When to take measurements?
These objective measurements should be taken consistently to best track progress as well as to understand the body’s normal variations in ability from day to day. It is best to record the important data in written or visual form for easy access For example, keep a log of the time it takes to walk a certain distance or finish buttoning a shirt. With consistent practice and documentation, the time needed will improve. If a plateau in progress in reached, the training methods may need to be adjusted.

Maintaining documentation throughout the stroke recovery process can be invaluable for patients, caregivers and medical practitioners. Modern tools like RAPAEL’s smart rehabilitation devices can make this process significantly easier. Proprietary software utilizes artificial intelligence to automatically gather and record complex data in a digital format while patients are focused on task specific activity. During each activity the smart algorithm is seamlessly recording speed, accuracy and range of motion thus eliminating the need for the patient to self record results which can easily be inaccurate or inconsistent. The consolidated reports section allows patients to easily access tracked information about their progress in order to remain motivated. Please visit home.neofect.com if you are curious about RAPAEL, a digital solution for hand rehabilitation of stroke patients.

Medical Tests for Diagnosing Strokes

A stroke is a medical condition occurring due to anomalies in the cerebral blood vessels. Although professionals are often able to make an approximate diagnosis from observing the symptoms, it can be difficult to determine the type or cause of injury without further testing.

Strokes occur due to either a cerebral hemorrhage (bleeding in the brain) or cerebral infarction(lack of blood to the brain). As the two diseases require a completely different treatment process, imaging is vital for treatment planning. To determine the cause of a stroke medical professionals may order one of more of these tests:

• Computed Tomography (CT): CT combines special x-ray equipment with sophisticated computers to produce multiple images an area of the body. Availability and access to CT scans is widespread and often provides the speediest imaging option. In the hyperacute phase, a noncontrast CT (NCCT) scan is usually ordered to exclude or confirm hemorrhage

  • Computed Tomography Angiography (CTA) is a specific CT technique where a contrast material may be injected intravenously and images are obtained of the cerebral blood vessels. Blood flow can be detected at the same time using a technique called Computed Tomography Perfusion (CTP).

• Sonography: is used to collect information on blood flow velocity and obstructions using measurements of the echoes of harmless ultrasound waves
  • Carotid Ultrasound examines the carotid and vertebral arteries located in the neck.
  • Transcranial Doppler (TCD)- examines the arteries inside the skull

• Magnetic resonance Imaging (MRI) uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of the brain.
  • Magnetic Resonance Angiography (MRA) is a type of magnetic resonance imaging (MRI) scan that specifically examines blood vessels.. It can be performed in combination with brain MRI to detect less common causes of ischemic stroke.

Even once patients return home to rehabilitate, physicians may continue to reorder new versions of these specialized images in order to gain more information over time and prevent relapse. Periodic checkups and communication with your medical team are essential to determining a medical plan as well as a creating a tailored exercise program to promote functional recovery.

RAPAEL’s smart rehab solution devices have been developed to create functional rehabilitation exercise programming for patients with nervous and musculoskeletal disorders such as stroke. The lightweight and compact equipment along with smart cloud computing allows consistent training to be carried out even at home. Training is customized based on the patient's condition, backed up with clinical trials and includes live occupational therapist support.

*RAPAEL Home Inquiry:
-Home.neofect.com
-Phone: (888) 623-8984

Hand Exercise for Stroke Rehabilitation

Due to the size of the area of the brain responsible for the motion of the hand, and the complexity of hand movement, it’s typical to experience hand dysfunction following a stroke. To improve your mobility and dexterity, repetition and task-based practice is the key to motor recovery. Generally, the improvement of motor function happens from proximal to distal or near the trunk, working its way outward toward the extremities. A variety of exercise sequences can assist with maintaining range of motion and improving hand function following stroke.

Workout Examples for Stroke Patients

• Stretching: Often after stroke, patients experience tone or tightness in the hand. In order to manage that tone and improve flexibility, stretching the fingers daily is important. Be careful to stretch the whole hand, taking care not to cause hyperextension of the fingers.

• Weight bearing: Depending on the scale of the recovery of paralysis and the tone or tightness experienced, weight bearing can have multiple positive effects. By placing the hand on a flat surface, weight bearing can serve as a stretch as well as an opportunity to provide input to the hand and arm, reminding the individual of its position in space.

• Working on fine motor control
  • Attempt to move fingers individually. (By the way, there is a great training activity in the Smart Glove program that does just that as the user plays along to music.)
  • Pick up household items and place them in a container to encourage grasp, release and reach
  • Fasten buttons or other fasteners to practice manipulating small objects

Before starting a rehabilitation program at home, it is best to visit an occupational or physical therapist to provide guidance on your home rehab program. If it’s difficult to get rehabilitation in an outpatient setting on a regular enough basis, which can often be the case, Smart Rehabilitation can be a great supplement to your home program.

RAPAEL Smart Rehabilitation Solutions are designed to assist in the rehabilitation of neurological and musculoskeletal system disorders. Our Smart Rehab tools encourage repetition and engagement by turning the arm or hand into a controller for fun training activities to improve range of motion, coordination and timing. For more information, visit our website home.neofect.com and request a consult with 7-day money back guarantee.

*RAPAEL Home Inquiry:
-Home.neofect.com
-Phone: (888) 623-8984

You might be contemplating to buy a home exercise equipment for stroke recovery. To develop muscle control as fast as possible, it is very important to train yourself repeatedly. The more you exercise, the more you activate neuroplasticity and positive results you will earn in the long run.

Before purchasing any stroke recovery gadgets, you must consider the 3 criteria as below:

1. Affordable: You already spent so much money to survive. Affordable equipment will help you cutting high cost pressure for stroke recovery.
2. Motivating: To rehabilitate steadily, the equipment should motivate you for a long-term.
3. Two-way feedback: Enables you to communicate with professional therapists regularly to check if you are improving from the past with the right position and form.

Here is one of the best gadgets for stroke victims from NEOFECT, a smart rehabilitation solution company.

1. NEOFECT Extender

NEOFECT Extender is a hand and wrist brace for stroke patients. The glove helps minimize spasticity and maintains the appropriate stretch for functional hand movement. With specially designed finger straps, users can grip and grasp stuff for their daily living tasks. Simply wearing this washable glove during your nap will help you keep your fingers straight. An Amazon customer says, “This glove really helps relieve the stiffness in my fingers. I had a stroke 2 years ago so being able to move my fingers to grip things again is huge progress for me.”

2. RAPAEL Smart Glove

RAPAEL Smart Glove is a high-tech rehab device for your hand that follows your hand motions, measuring the slightest movements in your hand with accelerometer and bending sensors. It is the only way to do progressive hand exercises at home without using hand putty. You can do more comprehensive and entertaining exercises that you actually look forward to doing. RAPAEL Smart Glove ensures that you do your exercises correctly and gives you instant feedback to evaluate your performance with only minimal movement needed for success. A user, Jess Mcnair from San Francisco CA says, “The smart glove has been an innovative, exciting and accessible way to continue therapy at home. There have been noticeable improvements in my right hand’s movement.” Visit here to learn more about RAPAEL Smart Glove.

3. RAPAEL Smart Board

RAPAEL Smart Board is a medical device that is accessible to any patient experiencing limitation to functional movements due to damage in their shoulder or elbow joints to improve the functional arm reaching ability with gamified contents, like tennis competition, finding diamonds on the sand, etc. Visit here to learn more about RAPAEL Smart Board.

4. Pegboard

The RAPAEL Smart Pegboard allows for a fun way to strengthen Fine-Motor Skills by providing activities, which requires the use of overall grasp and in hand manipulation. Based on the client's needs, the activities can be made more or less difficult. The RAPAEL Smart Pegboard takes your traditional pegboard and brings it into the 21st century, adding a digital training program that lights up the board and interacts with you as you do your exercises. The RAPAEL Smart Pegboard offers a wide range of fun and interactive games and challenges that makes users think about where they place their pegs on the board, working on skills like planning, organization and reaction time. The RAPAEL Smart Pegboard offers a variety of exciting games that increases overall visual motor skills, memory, decision making, information processing, hand coordination, and perceptual skills.

5. ComCog

ComCog is a brain re-training software that focuses on attention and cognition. Cognitive training is essential for successful community living and independence in everyday life. This software has been shown to improve working memory for users with Alzheimer’s. ComCog has also helped patients with brain injuries increase their attention span. Comcog uses computer assisted cognitive rehab along with NEOFECT’s learning algorithm to guide a user through cognitive training based on their skills. Cognitive skills refer to the intellectual activities that encompass memory, reasoning, attention and language. Damage to cognitive function can cause difficulties in ones’ daily life. Promoting brain neuroplasticity is a key element to the cognitive rehabilitation process after a brain injury. Neuroplasticity is a concept that states that the brain will essentially rewire itself to compensate for the area of injury or damage. Cognitive rehabilitation focuses on the importance of retraining the brain.

6. Drop Foot Brace

NEOFECT Drop Foot Brace is an ankle and foot brace for Stroke, neurologic disorders and nerve injury patients. The brace maintains foot dorsiflexion and prevents the foot from inverting during gait. With its ergonomic design, the brace helps individuals to walk more naturally but assisting with lifting the toes and keeping the ankle in alignment. Based on the expertise of a physical therapist, the Drop Foot Brace is designed to support ankle and keep the foot dorsiflexed.

Different strap tensions are available to increase ankle stability. 3 high tension straps and 1 low tension strap provides appropriate support to improve gait. A 2mm foot pad provides support to keep the toes from clawing during walking. Compare to other foot drop splints, the NEOFECT Drop Foot brace is made of fabric material which is easier to wear and accommodates socks and shoes. Foot drop may be accompanied by numbness according to nerve changes. The NEOFECT Drop Foot’s open heel design allows for increased sensation and motion during gait and activities of daily living.

*RAPAEL Home Inquiry:
-Home.neofect.com
-Phone: (888) 623-8984