I really just enjoy seeing people improve their abilities after they've had a stroke. - Dr Kyle Reed, USF #stroke #iStride @MoterumTech #Strokecast #StrokeRecovery
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I learned about the iStride device when the initial research paper came out last year. It made a big difference in subjects' ability to walk. I thought you'd like to learn more about it. I know I did. So I reached out to the developer Dr. Kyle Reed. We talk about it, how it works, and the research in this episode.
So what's the principle behind how it works?
When we start walking after stroke, it's liberating. As we get more and more mobile we start to compensate for our affected side by walking differently. But that can cause problems later on. And our skills can top out.
At a certain point to get better, we need to break those new bad habits. The iStride is a therapeutic device that you wear on your unaffected foot. It teaches you to rely more on your affected leg to ultimately improve your walking ability years after stroke.
If you don't see the audio player below, visit https://Strokecast.com/MSN/iStride to listen to the conversation.
[#iStride helps because] when you're taking that longer step, you're actually spending more time on your impaired side. - Dr Kyle Reed, USF #stroke @MoterumTech #Strokecast
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Dr. Kyle B. Reed is an associate professor in the Department of Mechanical Engineering at the University of South Florida (USF). His rehabilitation research focuses on low-cost methods to restore abilities in individuals with asymmetric impairments, such as from stroke or unilateral amputations.
His research on Haptics focuses on thermal responses of the skin, coordinated motions, and human-robot interaction. He has over 100 publications and has 18 patents issued or pending with three patents licensed for commercialization. He is an Associate Editor for IEEE Transactions on Haptics, an IEEE Senior Member, a Senior Member of the National Academy of Inventors, and was a 2019 Core Fulbright U.S. Scholar.
He has received funding from the National Science Foundation, the National Institutes of Health, the Florida High Tech Corridor, the Orthotic and Prosthetic Education and Research Foundation, the American Orthotic & Prosthetic Association, and industry. Prior to USF, he was a post-doctoral scholar at Johns Hopkins University. He received his Ph.D. and master's from Northwestern University and his B.S. from the University of Tennessee, all in Engineering.
I really am a big fan of more home based therapies, I think that's, that's gonna be a very important piece. - Dr Kyle Reed, USF #stroke #iStride @MoterumTech #Strokecast #StrokeRecovery
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Sometimes you really need to kind of mess up the person in the beginning, reset their way of thinking about walking, and then get them going on a good path. - Dr Kyle Reed, USF https://Strokecast.com/iStride #stroke #iStride.
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Here's the pilot study that initially caught my attention:
https://jneuroengrehab.biomedcentral.com/track/pdf/10.1186/s12984-019-0569-x
There are couple more studies coming out soon showing the benefits of the iStride. Check out the abstracts here:
https://ahajournals.org/doi/abs/10.1161/str.51.suppl_1.TP144
https://apta.confex.com/apta/csm2020/meetingapp.cgi/Paper/23350
Always be skeptical of new approaches to recovery, but if it's not harmful, and it doesn't interfere with other treatments in terms of time or money, those new treatments may be a great choice.
There's hope of being able to go and get better with treatment years after your stroke. So don't just give up after that first year. - Dr Kyle Reed, USF #stroke #iStride @MoterumTech #Strokecast #StrokeRecovery
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The pro-democracy protests in Hong Kong negatively impacted people's treatment because they couldn't get to clinics. The recent anti-police brutality / Black Lives Matter protests in the US also likely disrupted people's care, which was already disrupted by COVID-19. It's okay to acknowledge that.
But that doesn't mean the protests are bad or need to stop. Every group that is fighting for its rights also has people with disabilities in its ranks. With all the upheaval, now is not the time for people with disabilities to stay silent. Now is the time to speak up even louder.
Disability doesn't mean we can't or shouldn't be part of the fight - it just means we may have a different role.
I think there's going to be some interesting things coming out of people that are stuck at home, that were getting therapy and are coming up with therapies of their own. - Dr Kyle Reed, USF #stroke #iStride @MoterumTech #Strokecast.
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An umbrella stand or tall vase is a great place to store canes by the door. It can also be a great place to swap from an indoor to an outdoor cane a you venture into the larger world.
And as long as you have to use a cane, make it awesome.
You can find hundreds of great options on Etsy:https://etsy.com/search?q=walking%20cane&ref=auto-1&as_prefix=walk
I've also acquired most of mine through FashionableCanes.com.
The brain is far more plastic than what people have thought historically. - Dr Kyle Reed, USF #stroke #iStride @MoterumTech #Strokecast #StrokeRecovery
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Reed Lab
https://reedlab.eng.usf.edu/
Dr. Kyle Reed's email address
kylereed@eng.usf.edu
iStride Device
https://reedlab.eng.usf.edu/iStrideDevice/
Moterum Technologies
https://moterum.com/
Clinical Trials
https://moterum.com/clinical-trials/
iStride video by USF
https://youtu.be/vlv7T5PynIM
USF Article about iStride
https://usf.edu/news/2019/stroke-patients-relearning-how-to-walk-with-peculiar-shoe.aspx
iStride on NBC DFW
https://nbcdfw.com/news/local/stroke-shoe-retrains-the-brain/15/
Pilot Study
https://jneuroengrehab.biomedcentral.com/track/pdf/10.1186/s12984-019-0569-x
Abstract from the AHA Journal
https://ahajournals.org/doi/abs/10.1161/str.51.suppl_1.TP144
Abstract from the APTA Conference
https://apta.confex.com/apta/csm2020/meetingapp.cgi/Paper/23350
Constraint Induced Movement Therapy from Physiopedia
https://physio-pedia.com/Constraint_Induced_Movement_Therapy
Amy Bastion at the Kennedy Kreiger Institute
https://kennedykrieger.org/patient-care/faculty-staff/amy-bastian
Fashionable Canes
https://FashionableCanes.com
Canes on Etsy
https://etsy.com/search?q=walking%20cane&ref=auto-1&as_prefix=walk
When you're walking, there's a point where you're actually falling forward, and you put your foot at just the right spot to catch you, and allow you to then swing over that foot and put the next foot down. - Dr Kyle Reed, USF #stroke.
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It's a really complex problem of what is the physical therapist physically doing. - Dr Kyle Reed, USF #stroke #iStride @MoterumTech #Strokecast #StrokeRecovery
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Strokecast is the stroke podcast where a Gen X stroke survivor explores rehab, recovery, the frontiers of neuroscience and one-handed banana peeling by helping stroke survivors, caregivers, medical providers and stroke industry affiliates connect and share their stories.
Bill Monroe is not a doctor or medical professional of any sort. He's just a marketing guy who now knows way more about neurology and neuroplasticity than any marketing guy should know.
Bill and Bill's guests provide general information, personal stories, education starting points and entertainment. They do not provide medical advice. Do not make any changes to your treatment plan or the execution of your treatment plan without discussing it with your doctor or personal medical team.
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