Introducing Tailwind
Here you can learn about Tailwind™, a unique device that clinical studies have
demonstrated can permanently improve arm movement in stroke patients who
have lost upper extremity function - even years after their stroke event. The device is also helpful in improving arm function following brain injury, tumor and cerebral palsy. Tailwind is
a home-based exercise device developed by researchers at
the University of Maryland Medical School.
Effective for Stroke Survivors
Tailwind consists of two handles that move along independent
resistance-free tracks. The user moves the handles along each track
from different starting marks - and has auditory cues to guide when to
move his or
her arms. It is a "sound-to-brain" neural pathway retraining approach
that is theorised to help users with mild stroke symptoms achieve
life-altering results.
First of a Kind for Stroke
Tailwind has been demonstrated in clinical studies to permanently improve arm movement in stroke patients who have lost upper extremity function. In published
clinical studies, the science behind Tailwind was found to be a potentially useful solution in stroke rehabilitation.
So don't let discouragement from years of rehab that did not deliver the results you wanted prevent you from trying new Tailwind. If you have the motivation
to work with this device, research suggests it will work for you.
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Rehabilitation
in your own hands
Repetitive bilateral arm training and motor cortex activation in chronic stroke: a randomized controlled trial.
In this article in JAMA, the authors examine the mechanisms by which cortical networks are influenced by the interventions in post-stroke rehabilitation. JAMA. 2004 Oct 20;292(15):1853-61.
CONTEXT: Reorganization in central motor networks occurs during early recovery from hemiparetic stroke. In chronic stroke survivors, specific rehabilitation therapy can improve upper extremity function.
OBJECTIVE: To test the hypothesis that in patients who have chronic motor impairment following stroke, specific rehabilitation therapy that improves arm function is associated with reorganization of cortical networks.
DESIGN, SETTING, AND PATIENTS: A randomized controlled clinical trial conducted in a US ambulatory rehabilitation program with 21 patients (median [IQR], 50.3 [34.8-77.3] months after unilateral stroke). Data were collected between 2001 and 2004.
INTERVENTIONS: Patients were randomly assigned to bilateral arm training with rhythmic auditory cueing (BATRAC) (n = 9) or standardized dose-matched therapeutic exercises (DMTE) (n = 12). Both were conducted for 1 hour, 3 times a week, for 6 weeks.
MAIN OUTCOME MEASURES: Within 2 weeks before and after the intervention, brain activation during elbow movement assessed by functional magnetic resonance imaging (fMRI) and functional outcome assessed using arm function scores.
RESULTS: Patients in the BATRAC group but not in the DMTE group increased hemispheric activation during paretic arm movement (P = .03). Changes in activation were observed in the contralesional cerebrum and ipsilesional cerebellum (P = .009). BATRAC was associated with significant increases in activation in precentral (P<.001) and postcentral gyri (P = .03) and the cerebellum (P<.001), although 3 BATRAC patients showed no fMRI changes. Considering all patients, there were no differences in functional outcome between groups. When only BATRAC patients with fMRI response were included (n = 6), BATRAC improved arm function more than DMTE did (P = .02).
CONCLUSIONS: These preliminary findings suggest that BATRAC induces reorganization in contralesional motor networks and provide biological plausibility for repetitive bilateral training as a potential therapy for upper extremity rehabilitation in hemiparetic stroke.
Luft AR, McCombe-Waller S, Whitall J, Forrester LW, Macko R, Sorkin JD, Schulz JB, Goldberg AP, Hanley DF.
Division of Gerontology, Department of Medicine, University of Maryland School of Medicine, Baltimore 21201, USA.