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News

A stroke can have a profound impact on a person’s cognitive abilities, affecting memory, attention, executive functions, and processing speed. While cognitive impairment can limit daily independence and reduce quality of life, recent advances in cognitive rehabilitation are offering new hope to survivors. By harnessing the power of neuroplasticity; the brain’s ability to reorganise itself… rehabilitation is moving beyond traditional paper-and-pencil exercises towards a more intensive, personalised, and technology-driven approach. At its core, cognitive rehabilitation is based on two complementary approaches: restorative and compensatory.

  • Restorative approaches aim to repair or restore a damaged cognitive function. These techniques often involve repetitive, focused training to stimulate and reorganise neural pathways affected by the stroke.
  • Compensatory approaches focus on teaching new strategies and skills to help a person work around their cognitive deficits. This might involve using external aids like memory notebooks or technology to manage daily life.

Digital technologies are now playing a central role in delivering cognitive rehabilitation, offering engaging, interactive, and data-driven therapies.

  • Computer-assisted cognitive training (CACT): Software platforms, like BrainHQ and RehaCom, provide structured, game-like exercises that target multiple cognitive domains, including attention, working memory, and processing speed. A recent meta-analysis found that CACT was significantly more effective than conventional methods for improving general cognitive function as measured by the Montreal Cognitive Assessment (MoCA), which heavily emphasises executive function.
  • Virtual Reality (VR) and gamification: VR offers a safe, simulated environment for stroke survivors to practice real-world tasks, such as shopping or managing finances. The immersive nature of VR can increase patient motivation and engagement, which is critical for driving neuroplastic change. Studies suggest VR can be more effective than conventional training for improving overall cognitive function, attention, and executive function.
  • Telerehabilitation: Using technology to provide rehabilitation remotely is increasing access and allowing for higher doses of therapy in the home or community. This is particularly valuable for patients facing challenges with transport or access to high-quality rehabilitation centres.

Increasingly, researchers are exploring how to combine different types of therapies to maximise recovery.

  • Exercise and cognitive training: Combining physical activity, such as aerobic exercise, with cognitive training appears to enhance global cognitive function and memory. Exercise increases cerebral blood flow and levels of neurotrophins, such as brain-derived neurotrophic factor (BDNF), which promotes neuronal survival and plasticity.
  • Brain stimulation: Non-invasive brain stimulation techniques, like transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), can be used alongside traditional therapies to modulate cortical excitability and promote neuroplasticity. While the evidence is still evolving, some studies suggest that NIBS can enhance the effects of therapy, particularly for neglect and language deficits.
  • Integrated cognitive-behavioral training: Recent research highlights the benefits of integrating cognitive training with behavioral strategies. A study in chronic stroke patients found that adding a computer-based cognitive-behavioral training program to a physical therapy regimen significantly enhanced cortical reorganisation and improved performance in memory, attention, and logical reasoning.

While promising, the field of cognitive rehabilitation still faces challenges, including the heterogeneity of stroke and the need for larger, high-quality clinical trials. However, several trends point towards a more effective future:

  • Personalised, biomarker-driven care: Tailoring interventions to the individual patient, guided by biomarkers and neuroimaging, could optimise outcomes.
  • Multidisciplinary collaboration: Optimising recovery requires seamless cooperation between neurologists, rehabilitation specialists, engineers, and technology developers.
  • Leveraging motivation: Designing rehabilitation around engaging, gamified, and ecologically valid tasks can increase patient motivation and adherence, which are key drivers of neuroplasticity.

The field of stroke aphasia is witnessing a new wave of developments, pushing beyond traditional speech and language therapy (SLT) toward technologically enhanced and personalised care. Recent news and academic publications from 2025 highlight significant advancements in digital health, novel surgical techniques, and interdisciplinary care models aimed at improving long-term outcomes and quality of life for stroke survivors.

For example, new research, including a randomised controlled trial published in March 2025, shows that generative AI chatbots can effectively support the emotional well-being of neuro-rehabilitation patients. For stroke survivors, these AI companions can monitor subtle changes in mood and communication patterns between therapy sessions, helping to detect early signs of depression and anxiety.

Technology-supported aphasia therapies delivered via computers, tablets, or virtual reality (VR) continue to offer new avenues for intensive, long-term care. The Big CACTUS trial confirmed the superiority of self-managed, computerized SLT over usual care for chronic aphasia. Similarly, the online virtual environment “EVA PARK“ uses a fantasy island context to provide engaging, real-life communication scenarios. In acute stroke care, AI software is being used to interpret brain scans more rapidly. Early analysis from NHS England suggests this can reduce the time to treatment by over an hour, potentially tripling a patient’s chances of a full recovery.

A clinical trial published in The BMJ in June 2025 has demonstrated the effectiveness of combining a type of neck surgery (C7 neurotomy) with intensive SLT for patients with chronic post-stroke aphasia and arm spasticity. Patients receiving both treatments showed greater improvement in communication abilities than those who received SLT alone.

The European Stroke Organisation (ESO) guidelines, published in May 2025, reinforce the importance of intensive and frequent SLT. It recommends at least 20 hours of therapy, four or more days per week, and notes that digital or group therapy can augment traditional one-on-one sessions.

Further research reinforces the critical need for better long-term support for stroke survivors, particularly for non-motor complications like fatigue, sleep disturbance, and depression. These issues are often under-recognised and under-treated but can significantly impact recovery and quality of life. These recent developments demonstrate a shift toward more integrated, personalised, and technology-assisted approaches in stroke aphasia care.

Upper limb robots can supplement ARNI training by assisting with intensive, repetitive exercises that might otherwise be too demanding for trainers or therapists to deliver or us stroke survivors to manage to do. The best results are seen clinically when robotic therapy is combined with conventional methods, and different robots are suited for varying needs.

Upper limb exoskeletons provide assistance tailored to the patient’s needs and stage of recovery. They can support full limb movement for those with very limited function, offer support only when needed as motor control improves, gently guide the limb back to the correct path if movement deviates, and even provide resistance for more advanced patients working to regain strength. Robotics can deliver a higher dosage of repetitive, task-oriented exercises and provide consistent, objective data to track progress. They can be broadly categorised into two types based on their function and how they interact with the stroke survivor:

* End-effector devices, which are independent of the patient and attach at a single, distal point, such as the hand… and are effective for training movements in a horizontal plane but are less capable of controlling and isolating the movement of individual joints.

* Exoskeleton devices, however are wearable, powered devices resemble and attach directly to the human arm, with their joints aligned to mimic human joints, which allows for assisted movement of specific joints in the hand, wrist, elbow, and shoulder. Upper limb exoskeletons operate in several modes to help with different stages of recovery:

  • Assistive mode: For patients with very little to no movement, the exoskeleton fully supports the limb and helps the patient perform the desired motion.
  • Assist-as-needed (AAN) mode: As the patient recovers some motor function, the device detects their initial movement intention and provides support only when needed to complete the task.
  • Corrective mode: This mode provides force to gently guide the limb back toward the correct trajectory if the patient’s movement deviates from the desired path.
  • Resistive mode: For patients with significant motor recovery, the exoskeleton can provide resistance to help them regain strength and better control their movements.

Integrating exoskeletons into stroke rehabilitation offers several advantages. They enable high-intensity, repetitive, and task-specific training crucial for motor relearning, which is difficult to achieve manually. Many systems also enhance patient engagement through virtual reality and gamification. Exoskeletons provide objective data on performance and range of motion, helping therapists track progress and customize treatment. Some portable devices also allow for easier access to rehabilitation at home.

Despite their potential, challenges remain. Exoskeletons can be costly and are not always readily available. Proper fitting is also essential for comfort and effectiveness due to the potential for misalignment with human joints. While exoskeletons can improve upper limb function, transferring these gains to daily activities and maintaining them long-term is an area that requires further research and optimization.

A new glove-based system that uses functional electrical stimulation (FES) to activate individual fingers could offer a more effective way to support hand rehabilitation in people recovering from stroke or spinal cord injuries.

The FESGlove delivers targeted electrical stimulation to specific hand muscles and nerves, offering greater selectivity than many current systems, which often cause unintended finger movements by stimulating larger forearm muscles. The device features 10 independent stimulation channels and combines silver fiber and hydrogel electrodes within a stretchable glove. Users can adjust settings like frequency, current amplitude, and pulse width to suit different needs.

The FESGlove isn’t just for a clinical setting—they can be used at home, allowing for longer, more frequent, and more convenient rehabilitation sessions. The benefits include:

  • Improved dexterity: With targeted stimulation, users can practice fine motor skills needed for tasks such as grasping small objects.
  • Increased muscle strength: Repetitive, functional movements performed with the glove help rebuild strength in weakened hand muscles.
  • Reduced spasticity: The technology has been shown to reduce muscle tone and spasticity, especially in the wrist, which can interfere with movement.
  • Enhanced independence and quality of life: By enabling users to perform daily activities with greater ease, FESGlove could restore confidence and significantly improve quality of life.
  • Motivation for therapy: For many users, being able to perform tasks they haven’t been able to do for years provides powerful motivation to continue with their therapy.

Developed by researchers at the University of Bath and Shanghai Jiao Tong University (and published in the journal Neuroelectronics in June 2025) , the glove was designed to overcome limitations in traditional rehabilitation techniques that often fail to restore the fine motor control needed for tasks like buttoning a shirt or typing. The research team sees the FESGlove as a potential platform that could eventually be integrated with brain-computer interfaces and other advanced neurorehabilitation tools.

A quick warning: FES treatment is not for everyone. They are most effective when the nerve pathways between the spinal cord and the hand muscles are still intact. Contraindications include having a pacemaker, defibrillator, or uncontrolled epilepsy. As with any medical device, consultation with a healthcare professional is necessary to determine suitability.

In the coming years, stroke rehabilitation is set to be transformed by advances in technology and a deeper understanding of the brain’s ability to heal. A move away from one-size-fits-all treatments will be replaced by highly personalized, tech-driven approaches that improve outcomes, especially for chronic stroke survivors. The shift toward precision medicine, powered by technologies like artificial intelligence (AI), is a major development in neurorehabilitation. AI algorithms can analyze a patient’s data from various sources to create customized treatment plans that adapt in real-time to their progress.

  • Predictive modeling: Machine learning models predict patient recovery trajectories based on clinical assessments, demographics, and neuroimaging. This information helps therapists set realistic goals and decide on the most effective interventions.
  • Targeted therapy: A deeper understanding of neuroplasticity—the brain’s ability to reorganize itself—is enabling more targeted therapies. For example, studies in chronic stroke patients show that the window for meaningful recovery can be extended well beyond the initial acute phase.
  • Focus on hidden disabilities: While traditional rehab has focused on motor function, recent research highlights the need to address non-motor symptoms like fatigue, pain, and psychological issues. Personalized plans will incorporate these factors to improve overall quality of life.

Several groundbreaking technologies are moving from research labs to clinical practice, promising to maximize patient progress.

  • Robotics and exoskeletons: Robotic-assisted therapy provides highly repetitive, intensive training that speeds up motor recovery. Wearable exoskeletons can assist with gait rehabilitation, helping patients relearn how to walk.
  • Virtual reality (VR): VR creates immersive, engaging environments where patients can practice functional tasks in a safe, controlled setting. This technology can be tailored for motor and cognitive rehabilitation, enhancing motivation and recovery.
  • Brain-computer interfaces (BCI): For patients with severe motor impairments, BCI technology offers a path to regaining function. By decoding a patient’s motor intentions from their brain signals, BCIs can control external devices or trigger functional electrical stimulation (FES) to assist with movement.
  • Wearable sensors: Wearable technology tracks movement, gait, and daily activity in real-world settings. This objective data helps clinicians monitor progress, adjust therapy, and provides patients with a tangible record of their recovery.
The future of rehab will not be confined to hospital walls. Telemedicine and in-home technology will play a crucial role in delivering care.
  • Telerehabilitation: Remote rehabilitation services delivered via communication technology can increase access to therapy, reduce costs, and improve adherence by allowing patients to continue their exercises at home.
  • Home-based therapy: AI and wearable sensors can create personalized, home-based programs with real-time feedback, enabling patients to perform high-intensity therapy in their own environment.
  • Long-term engagement: Combining engaging VR games, remote monitoring, and personalized feedback can help overcome plateaus and encourage continued practice long after formal therapy ends.
While the future of stroke rehab is bright, its successful implementation depends on a collaborative, patient-centered approach.
  • Interdisciplinary collaboration: Clinicians, researchers, engineers, and technology developers must work together to create effective, user-friendly solutions that translate research into practice.
  • Addressing the digital divide: It is crucial to ensure that technology-driven rehabilitation is accessible to all, addressing issues of cost, connectivity, and digital literacy.
  • Ethical considerations: As AI and BCI become more integrated, ongoing discussions are needed to address data privacy, security, and algorithmic bias.
The landscape of stroke rehabilitation is evolving, offering newfound hope to survivors. By harnessing these technological and scientific advances, we at ARNI are sure that the future promises a more personalised, accessible, and ultimately more effective recovery journey for all.

Following stroke, a foot drop gait is common, affecting 20 to 30 per cent of stroke survivors (Peishun et al., 2021). We know that for decades, the standard of care has involved Ankle-Foot Orthoses (AFOs)—passive, rigid braces that stabilises the ankle but rather fails to promote active muscle engagement. However, a new frontier of technology, including advanced neuro-prosthetics, wearable exoskeletons, and smart orthoses, is revolutionising how we treat foot drop, shifting the focus from passive compensation to active rehabilitation.

Functional Electrical Stimulation (FES) has been a significant advancement over traditional AFOs. Recent research is focused on creating smarter, more adaptive FES systems. Novel algorithms now use information from muscle synergy patterns—the coordinated activation of multiple muscles—to optimize stimulation delivery and create a more natural gait. Implantable FES systems, with electrodes placed directly on the nerve, offer an even more discreet and comfortable experience by eliminating the need for surface electrodes.

The rise of the Internet of Things (IoT) and smart sensor technology is creating new possibilities for personalised and home-based rehabilitation. Instead of static plastic, modern orthoses can incorporate sensors to provide real-time feedback on walking patterns.

* Real-Time Feedback: In-shoe sensors can track gait metrics like pressure distribution and foot inclination, providing immediate feedback to both the user and clinician.

* Tele-rehabilitation: Mobile apps linked to smart devices allow for remote monitoring, personalized guidance, and progress tracking, empowering patients to continue therapy at home.

* Aesthetic and Comfort-Focused Design: Innovations like the “HDC Shoe” prioritise aesthetics and discretion, overcoming a major barrier to patient acceptance of traditional, bulky AFOs.

Technology is fundamentally changing the prognosis for stroke survivors with foot drop. As research moves from single-technology solutions to hybrid systems, integrating robotics, FES, and AI, we are moving closer to a future where rehabilitation is truly personalised.

For many stroke survivors, regaining arm and hand function is a difficult and often frustrating process. Traditional rehabilitation methods, while foundational, can be intensive, repetitive, and limited by therapist availability. In the months immediately following a stroke, the brain exhibits enhanced neuroplasticity; a critical window for recovery that requires as much task-specific practice as possible in order to take advantage it. Increasingly, a wave of new technologies is revolutionising upper limb rehabilitation, offering innovative and engaging ways to target and extend this time-window as much as possible by supplementing conventional therapy.

Virtual Reality (VR) is transforming monotonous exercises into interactive games, boosting patient engagement and motivation. Studies have shown that when used alongside traditional therapy, VR can significantly improve motor function and quality of life for stroke survivors.

Immersive or non-immersive VR systems—using head-mounted displays, computer screens, or tablets—place patients in virtual environments where they can practice real-world tasks. A patient might use a motion-tracking glove to “catch” objects in a virtual space, or practice hand movements in a simulated kitchen to promote greater engagement. Real-time feedback can be delivered; gamification, and task-specific training in a safe, controlled environment can increase exercise intensity and provide an enjoyable experience.

Robotic devices can also supplement therapy by assisting with intensive, repetitive exercises that might otherwise be too demanding for therapists or patients. The best results often occur when robotic therapy is combined with conventional methods, and different robots are suited for varying needs.

Robotics can deliver a higher dosage of repetitive, task-oriented exercises and provide consistent, objective data to track progress.

Rehabilitation robots can be broadly categorised into two types based on their function and how they interact with the stroke survivor: end-effector devices, which are independent of the patient and attach at a single, distal point, such as the hand… and are effective for training movements in a horizontal plane but are less capable of controlling and isolating the movement of individual joints. Exoskeleton devices, however are wearable, powered devices resemble and attach directly to the human arm, with their joints aligned to mimic human joints, which allows for assisted movement of specific joints in the hand, wrist, elbow, and shoulder.

Upper limb exoskeletons operate in several modes to help with different stages of recovery: 
  • Assistive mode: For patients with very little to no movement, the exoskeleton fully supports the limb and helps the patient perform the desired motion.
  • Assist-as-needed (AAN) mode: As the patient recovers some motor function, the device detects their initial movement intention and provides support only when needed to complete the task.
  • Corrective mode: This mode provides force to gently guide the limb back toward the correct trajectory if the patient’s movement deviates from the desired path.
  • Resistive mode: For patients with significant motor recovery, the exoskeleton can provide resistance to help them regain strength and better control their movements. 

Functional Electrical Stimulation (FES) uses electrical pulses to activate muscles artificially, helping to practice functional tasks like grasping and reaching. When coupled with voluntary movement, this technique can help promote neuroplasticity, the brain’s ability to reorganize itself. Surface electrodes can be placed on the skin, or in more advanced setups, integrated into electrode arrays on a fabric sleeve or orthosis.

Some systems are also triggered by electromyography (EMG) or brain-computer interfaces (BCIs), allowing the patient’s intent to control the stimulation. By actively involving the patient’s brain and body, FES reinforces connections between intention and movement, which is crucial for recovering motor control.

Portable, wearable sensors and smart devices enable rehabilitation to extend beyond the clinic and into the home. This provides continuous monitoring and feedback, which is key for maximizing recovery through high-intensity, repetitive practice.

Wearable sensors take the form of wrist-worn sensors or special gloves can track arm movements and provide real-time feedback through a tablet or app. Gamified devices have also been available for many years. Both the following are produced by long-term colleagues of ARNI: GripAble, is a great example which turns exercises into engaging, fun activities for at-home use. And Neuroball is used to play video games that track hand and arm movements. It’s designed to motivate users to complete hundreds of physical therapy repetitions from home. Such examples help to maintain patient motivation and exercise adherence outside of supervised sessions.

To sum; technology is not seen currently by experts in stroke as a replacement for therapists, but as a powerful partner able to deliver high dosages of repetitions in order to complement therapy or retraining interventions. By combining these advanced tools with expert guidance, survivors can achieve levels of recovery that were once impossible.

We predict that that the future of stroke rehabilitation will continue to see these technologies becoming more personalised, accessible, and integrated into a holistic approach that can help stroke survivors ultimately to reclaim function and independence as they seek to retrain & recover autonomy in the community.

Recent news in stroke rehabilitation highlights advancements like using retro video games for cognitive and motor recovery, new wearable robotic devices to assist with arm and leg movement, and high-intensity walking programs showing promise for improving mobility and quality of life in early stroke patients.

Additionally, new non-invasive techniques such as transcranial magnetic stimulation and transcranial direct current stimulation are being investigated for their potential to enhance motor and language skills.

Retro Video Games: researchers in Sydney are using retro video games like “Foot Tetris” and “Space Invaders” to make rehabilitation fun and effective, helping patients with balance, cognitive reaction times, and complex stepping manoeuvres.

Wearable Robots & Devices: startups and universities are developing wearable robots and connected systems for ankle, foot, and upper limb rehabilitation. These devices, some with embedded electrodes, help retrain the brain and muscle connection by detecting muscle activation and stimulating nerves.

Neurostimulation: clinics and universities are researching non-invasive brain stimulation techniques, such as transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), to improve motor and language recovery after a stroke.

Your blood type plays a role in more than just transfusions. Recent research suggests it may also influence your risk of developing certain health conditions, including stroke. While it’s not the only factor that matters, understanding the connection between blood type and stroke risk can give you a clearer picture of your overall health.

People with blood type A may face a slightly higher risk of early-onset ischemic stroke. A study published in 2022 in the journal Neurology analyzed genetic data from over 16,000 stroke patients and nearly 600,000 controls. The researchers found that individuals with type A blood were 16% more likely to experience a stroke before the age of 60 compared to those with other types. One reason may involve clotting. People with type A blood tend to have higher levels of a protein called von Willebrand factor, which helps blood clot. While this is important for healing, it can also increase the risk of clot formation in blood vessels, potentially leading to a stroke.

Though type AB is the rarest blood type, some research suggests it may carry one of the highest stroke risks. A 2014 study from the University of Vermont found that individuals with type AB blood had an 83% higher risk of stroke. Furthermore, a protein known as Factor VIII, which plays a role in blood clotting, was determined to account for 60% of the association between type AB blood and stroke risk. The combination of A and B antigens as well as higher clotting factor levels may influence inflammation, vascular function, and the likelihood of blood clots, leading to a heightened stroke risk.

The evidence for blood type B and stroke is less consistent. According to a 2023 meta-analysis that examined 145,000 stroke cases and 2,000,000 controls, there is no significant association between blood type B and ischemic stroke. Other smaller studies have found mixed results, with only weak associations between blood type B and stroke risk..

If you have blood type O, the research is a bit more reassuring. Multiple studies have found that people with type O blood generally have a lower risk of developing blood clots and by extension, a lower risk of ischemic stroke. According to the 2022 study mentioned above, those with type O blood were 12% less likely to experience an early-onset stroke compared to those with other blood types. People with type O blood typically have lower levels of von Willebrand factor and factor VIII, both of which play a role in clotting. While this can lead to slower clotting in injuries, it also seems to provide some protection against unwanted clots in the arteries.

One of the more interesting findings from recent research is that the connection between blood type and stroke risk may be stronger in younger adults. The 2022 Neurology study found that the difference in stroke risk based on blood type was more pronounced in people under 60. This may be because in older adults, other factors, like high blood pressure, atrial fibrillation, and diabetes, play a more dominant role in stroke risk. In younger individuals, genetic and biological differences such as blood type may stand out more clearly.

A new research initiative aims to lay the foundation for the country’s first genetic screening programme for brain aneurysms—potentially reshaping how the NHS identifies and manages a life-threatening but often overlooked condition that can devastate families for generations.

The ROAR-DNA Project, a UK-based multicentre research project bringing together researchers from University Hospital Southampton NHS Foundation Trust (UHS) and the University of Southampton, is the first study of its kind and scale to investigate the genetic markers that may predispose people to develop brain aneurysms.

Brain aneurysms are balloon-like swellings in blood vessels of the brain, found in approximately 3 per cent of the UK population, that’s over 2 million people. While most aneurysms remain stable and harmless, around 1 in 100 will rupture, usually without warning, causing a subarachnoid haemorrhage (SAH)—a type of stroke that can be fatal or severely disabling.

In the UK, an estimated 3,000 to 5,000 people experience a brain aneurysm rupture each year, with around half of these cases proving fatal.

Most aneurysms are sporadic, meaning they are one-off events, but there is evidence of a strong genetic component to the development of intracranial (brain) aneurysms. They often run in families with over 16 per cent of patients with an aneurysm having an affected parent or sibling.

Despite this significant data, no genetic screening programme currently exists, and little is known about the genes that impact aneurysm growth and rupture.

The UK four-year ROAR-DNA Project aims to close that gap by collecting and analysing genetic data from 6,000 patients with brain aneurysms, comparing this against data from patients without brain aneurysms, working in tandem with the existing ROAR Study, which is already tracking over 20,000 patients across the NHS—the largest study of its kind globally.



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    ARNI Stroke Rehab & Recovery
    51 minutes ago
    ARNI Stroke Rehab & Recovery

    Are you a stroke survivor trying to strength train at home??
    Then you need to get yourself a Dr Tom’s Combo Bar! It's seriously solid state and is only £99. This innovative exercise bar is particularly designed for stroke survivors wanting to strength train at home.

    Get yours now!! Retrain safely as a stroke survivor, with a greater range of motion than with a usual bar, with Dr Tom’s Combo Bar.

    Designed and patented by Dr Tom Balchin in 2012, and currently manufactured and sold by Primal Strength, Dr Tom’s Combo Bar was designed for people with limitations from stroke, who often have difficulties with arm extension (particularly with spasticity), requiring triceps stimulation.

    Furthermore, people training after head trauma (often military personnel) who have required surgery (craniotomy) have to take care that triceps work with a bar doesn’t inadvertently impact upon scar tissue, thereby initiating or exacerbating epilepsy.

    Dr Tom’s Combo Bar allows you to perform Lying or Seated Overhead Triceps Extensions BUT with some major advantages:

    Firstly, the Shape of the Bar allows room for your head meaning you get a greater range of motion and more muscle fibre recruitment. Secondly, the Neutral Grip Ergonomic Handles mean you not only get a better contraction of the lateral head of the triceps but you also minimise the stress on the elbows that often comes with this exercise.

    This bar is also really great for variations of Standing Bicep Curls, with a better range of movement at the top position.

    You can even use it for Standing or Seated Overhead Presses and by grasping the top handle enclosure, Standing or Bent-Over Rows. Squats, Shrugs or for Complexes!

    This bar is great: it will take anything you can throw at it. Use it for every upper-body session.

    Get this bar now and 100% of your purchase goes directly back to helping people with acquired or traumatic brain injury. arni.uk.com/product/dr-toms-combo-bar/     ... See MoreSee Less

    Are you a stroke survivor trying to strength train at home?? Then you need to get yourself a Dr Tom’s Combo Bar! Its seriously solid state and is only £99. This innovative exercise bar is particularly designed for stroke survivors wanting to strength train at home. Get yours now!! Retrain safely as a stroke survivor, with a greater range of motion than with a usual bar, with Dr Tom’s Combo Bar. Designed and patented by Dr Tom Balchin in 2012, and currently manufactured and sold by Primal Strength, Dr Tom’s Combo Bar was designed for people with limitations from stroke, who often have difficulties with arm extension (particularly with spasticity), requiring triceps stimulation. Furthermore, people training after head trauma (often military personnel) who have required surgery (craniotomy) have to take care that triceps work with a bar doesn’t inadvertently impact upon scar tissue, thereby initiating or exacerbating epilepsy. Dr Tom’s Combo Bar allows you to perform Lying or Seated Overhead Triceps Extensions BUT with some major advantages: Firstly, the Shape of the Bar allows room for your head meaning you get a greater range of motion and more muscle fibre recruitment. Secondly, the Neutral Grip Ergonomic Handles mean you not only get a better contraction of the lateral head of the triceps but you also minimise the stress on the elbows that often comes with this exercise. This bar is also really great for variations of Standing Bicep Curls, with a better range of movement at the top position. You can even use it for Standing or Seated Overhead Presses and by grasping the top handle enclosure, Standing or Bent-Over Rows. Squats, Shrugs or for Complexes! This bar is great: it will take anything you can throw at it. Use it for every upper-body session. Get this bar now and 100% of your purchase goes directly back to helping people with acquired or traumatic brain injury. https://arni.uk.com/product/dr-toms-combo-bar/
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    ARNI Stroke Rehab & Recovery
    2 hours ago
    ARNI Stroke Rehab & Recovery

    Here's a tip if you're faced with stairs that have no handrail/handrail on the wrong side.
    Get the person with you to stand one step lower and put your hand on their shoulder for support while you take a step.
    www.arn#neuroplasticityp#strokerehabilitationb#StrokeRecoveryk#ARNIstrokerehabt#neurorehabn#ARNIstrokerehabt#stairsafterstrokefterstroke     ... See MoreSee Less

    Heres a tip if youre faced with stairs that have no handrail/handrail on the wrong side. Get the person with you to stand one step lower and put your hand on their shoulder for support while you take a step. www.arni.uk.com #neuroplasticity #strokerehabilitation #strokerecovery #arnistrokerehab #neurorehab #ARNIstrokerehab #stairsafterstroke
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    ARNI Stroke Rehab & Recovery
    2 hours ago
    ARNI Stroke Rehab & Recovery

    New research shows promising advancements for people living with aphasia after a stroke:

    New discoveries in brain plasticity: recent studies are offering a deeper understanding of how the brain can rewire itself after a stroke. Researchers are using advanced brain imaging to see how certain therapies can engage intact brain regions, helping to recover language skills.

    Bilingual patients benefitting from new modelling: computational modeling is now being used to help clinicians determine the most effective language for therapy in bilingual people with aphasia.

    Focusing on intensive, early therapy: recent research confirms that receiving early, high-intensity speech and language therapy, ideally starting within a month of the stroke, can lead to the biggest gains in communication skills for survivor.

    If you or a loved one is living with aphasia, consider discussing with ARNI about joining in to our much-loved aphasia
    www.arni.uk.com
    #strokeexercise #neurorehabilitation #strokerehab #ARNIstrokerehab #StrokeRecovery #aphasia #StrokeRecovery #strokeawareness #speechtherapy #neurology #healthcarenews #SayAphasia     ... See MoreSee Less

    New research shows promising advancements for people living with aphasia after a stroke: New discoveries in brain plasticity: recent studies are offering a deeper understanding of how the brain can rewire itself after a stroke. Researchers are using advanced brain imaging to see how certain therapies can engage intact brain regions, helping to recover language skills. Bilingual patients benefitting from new modelling: computational modeling is now being used to help clinicians determine the most effective language for therapy in bilingual people with aphasia. Focusing on intensive, early therapy: recent research confirms that receiving early, high-intensity speech and language therapy, ideally starting within a month of the stroke, can lead to the biggest gains in communication skills for survivor. If you or a loved one is living with aphasia, consider discussing with ARNI about joining in to our much-loved aphasia www.arni.uk.com #Strokeexercise #Neurorehabilitation #Strokerehab #ARNIStrokerehab #StrokeRecovery #Aphasia #StrokeRecovery #StrokeAwareness #SpeechTherapy #Neurology #HealthcareNews #SayAphasia
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    ARNI Stroke Rehab & Recovery
    5 hours ago
    ARNI Stroke Rehab & Recovery

    Why train standing up when it’s possible to train sitting down? There are a number of good reasons. The most obvious one is that we are practising ultimately for moving around on our feet, not practising for sitting on a chair.
    In daily life, before you had a stroke, you were spending a good portion of your day on your feet. Time now to have a go at doing the best you can to regain standing position, with your weight as balanced between your two legs as possible. To maintain an upright position is essential for regaining strength in your lower body and to improve your balance. This leads to your ability to walk well. ‘Balance’ is simply your ability to hold your body vertical and keep that position while doing activities. Your balance keeps you from falling, and is controlled by several systems working together, sending and getting signals from your brain. A stroke can change your balance due to any (or all) of the following: an injury to one of the systems that controls stability, damage to the system connections to your brain or direct injury to your brain. A stroke can affect the way your sight, the receptors in your inner ears and your body sensors work together, and how the signals get to and from your brain. So, if you cannot see clearly, you may not be able to react to what is around you as easily as you did before. If you cannot sense where your head or trunk is positioned, your brain may have trouble knowing what signals to send to your muscles to keep your body upright. If you cannot feel and sense where your limbs are moving, it is hard for your brain to be sure where to send your limbs to for the next step. Balance control is an active process maintained by the central nervous system to keep the body upright. The brain relearns how to interpret the information and forms new movement plans to send out to your muscles to adjust for changes in your balance. These newly learned movement plans, over time, are stored in your brain. With lots of practice, your brain can begin to use the new movement plans in response to changes in your balance. Using moveable surfaces can help here, which is why therapists often use therapy balls, bolsters and rocker boards to challenge trunk control. Your brain must be able to take in the information from your environment and adjust your body so you stay balanced. If the part of your brain in charge of this task is injured from a stroke, the information may not be processed well. Your brain may also have trouble sending the right messages back to your muscles. By challenging your balance in training situations, the receptors are being retrained to pick up information. Which is why although it can be a scary thing to do, balance training is a very important part of your rehabilitation.
    The second major reason for training on your feet is that you work harder than in a seated position, which is better for your general fitness. A recent study in Dalhousie University, Canada, placed the activities and heart rates of 20 stroke patients with ischemic stroke who participated in routine inpatient and outpatient stroke rehabilitation, under observation. It was found that neither PT nor OT sessions elicited enough cardiovascular stress to induce a training effect. The patients involved in this study were only 2-14 weeks from the date of the stroke, but they already needed more intensive training than therapy could deliver. Interesting. This exactly mirrors my own experience too. How about you? It was also found in the study that activities that evoked the greatest heart rate increases were performed in the upright position and involved transitional movements. This information should be like gold-dust to the successful stroke survivor: it is just one more confirmation that the sooner you get up and get moving, the better.
    From The Successful Stroke Survivor by Balchin, Tom.
    www.arni.uk.com
    If you like this post then please share it with others. Each time that you share a post, you can directly help other people – as who knows which people in the world might find us and gain, either directly from the charity or simply by being able to copy an ‘innovative and useful’ move/trick of the trade that might help them manage after stroke.
    Every time you share, you could directly help someone – as knowledge is power 😉
    #neurorehab #strokerehab #neuroplasticity #strokeexercise #arnistrokerehab #strokerecovery #strokerehabilitation     ... See MoreSee Less

    Why train standing up when it’s possible to train sitting down? There are a number of good reasons. The most obvious one is that we are practising ultimately for moving around on our feet, not practising for sitting on a chair. In daily life, before you had a stroke, you were spending a good portion of your day on your feet. Time now to have a go at doing the best you can to regain standing position, with your weight as balanced between your two legs as possible. To maintain an upright position is essential for regaining strength in your lower body and to improve your balance. This leads to your ability to walk well. ‘Balance’ is simply your ability to hold your body vertical and keep that position while doing activities. Your balance keeps you from falling, and is controlled by several systems working together, sending and getting signals from your brain. A stroke can change your balance due to any (or all) of the following: an injury to one of the systems that controls stability, damage to the system connections to your brain or direct injury to your brain. A stroke can affect the way your sight, the receptors in your inner ears and your body sensors work together, and how the signals get to and from your brain. So, if you cannot see clearly, you may not be able to react to what is around you as easily as you did before. If you cannot sense where your head or trunk is positioned, your brain may have trouble knowing what signals to send to your muscles to keep your body upright. If you cannot feel and sense where your limbs are moving, it is hard for your brain to be sure where to send your limbs to for the next step. Balance control is an active process maintained by the central nervous system to keep the body upright. The brain relearns how to interpret the information and forms new movement plans to send out to your muscles to adjust for changes in your balance. These newly learned movement plans, over time, are stored in your brain. With lots of practice, your brain can begin to use the new movement plans in response to changes in your balance. Using moveable surfaces can help here, which is why therapists often use therapy balls, bolsters and rocker boards to challenge trunk control. Your brain must be able to take in the information from your environment and adjust your body so you stay balanced. If the part of your brain in charge of this task is injured from a stroke, the information may not be processed well. Your brain may also have trouble sending the right messages back to your muscles. By challenging your balance in training situations, the receptors are being retrained to pick up information. Which is why although it can be a scary thing to do, balance training is a very important part of your rehabilitation. The second major reason for training on your feet is that you work harder than in a seated position, which is better for your general fitness. A recent study in Dalhousie University, Canada, placed the activities and heart rates of 20 stroke patients with ischemic stroke who participated in routine inpatient and outpatient stroke rehabilitation, under observation. It was found that neither PT nor OT sessions elicited enough cardiovascular stress to induce a training effect. The patients involved in this study were only 2-14 weeks from the date of the stroke, but they already needed more intensive training than therapy could deliver. Interesting. This exactly mirrors my own experience too. How about you? It was also found in the study that activities that evoked the greatest heart rate increases were performed in the upright position and involved transitional movements. This information should be like gold-dust to the successful stroke survivor: it is just one more confirmation that the sooner you get up and get moving, the better. From The Successful Stroke Survivor by Balchin, Tom. www.arni.uk.com If you like this post then please share it with others. Each time that you share a post, you can directly help other people – as who knows which people in the world might find us and gain, either directly from the charity or simply by being able to copy an ‘innovative and useful’ move/trick of the trade that might help them manage after stroke. Every time you share, you could directly help someone – as knowledge is power 😉 #neurorehab #strokerehab #neuroplasticity #strokeexercise #arnistrokerehab #strokerecovery #strokerehabilitation
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    ARNI Stroke Rehab & Recovery
    20 hours ago
    ARNI Stroke Rehab & Recovery

    From groundbreaking AI to immersive virtual reality, new advancements are helping survivors regain function and hope. Here's a look at what's new:

    AI-Driven Diagnostics: New AI tools are being used to interpret brain scans and identify the best treatment options faster. In the NHS, a new system has helped doctors diagnose strokes over 60 minutes faster, potentially tripling the chances of a full recovery for some patients.
    Vagus Nerve Stimulation (VNS): The FDA has approved a device that stimulates the vagus nerve during rehabilitation exercises. This "paired VNS" therapy, when combined with rehabilitation, has helped patients generate 2 to 3 times more hand and arm function than standard therapy alone, even years after their stroke.
    Neurologic Music Therapy (NMT): NMT is gaining traction for its transformative effects. By using rhythmic and melodic elements, this therapy can help improve gait, speech, and cognitive function by triggering new neural connections in the brain.
    Virtual Reality (VR) Therapy: VR is making rehab more engaging and effective; studies are showing that combining VR games with traditional physical therapy can significantly improve arm function and mobility for survivors by increasing their engagement and the intensity of their sessions.

    We think that these developments showcase a shift toward more personalised (and hopefully effective) recovery methods.
    www.arni.uk.com
    #Strokeexercise #Neurorehabilitation #Strokerehab #ARNIStrokerehab #StrokeRecovery #Rehabilitation #NeuroTech #StrokeAwareness #AITechnology #VirtualReality #MusicTherapy #VNS #HopeAfterStroke     ... See MoreSee Less

    From groundbreaking AI to immersive virtual reality, new advancements are helping survivors regain function and hope. Heres a look at whats new: AI-Driven Diagnostics: New AI tools are being used to interpret brain scans and identify the best treatment options faster. In the NHS, a new system has helped doctors diagnose strokes over 60 minutes faster, potentially tripling the chances of a full recovery for some patients. Vagus Nerve Stimulation (VNS): The FDA has approved a device that stimulates the vagus nerve during rehabilitation exercises. This paired VNS therapy, when combined with rehabilitation, has helped patients generate 2 to 3 times more hand and arm function than standard therapy alone, even years after their stroke. Neurologic Music Therapy (NMT): NMT is gaining traction for its transformative effects. By using rhythmic and melodic elements, this therapy can help improve gait, speech, and cognitive function by triggering new neural connections in the brain. Virtual Reality (VR) Therapy: VR is making rehab more engaging and effective; studies are showing that combining VR games with traditional physical therapy can significantly improve arm function and mobility for survivors by increasing their engagement and the intensity of their sessions. We think that these developments showcase a shift toward more personalised (and hopefully effective) recovery methods. www.arni.uk.com #Strokeexercise #Neurorehabilitation #Strokerehab #ARNIStrokerehab #StrokeRecovery #Rehabilitation #NeuroTech #StrokeAwareness #AITechnology #VirtualReality #MusicTherapy #VNS #HopeAfterStroke
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    Us who have had a stroke only get 6 weeks of the physio and that’s that

    And everything cost money ☹️

    Yh don’t see no one after 7 month

    I got no rehab, absolutely nothing, done everything myself, I struggle to get excited by this type of news as we all know it will be a postcode lottery like everything else

    ARNI Stroke Rehab & Recovery
    23 hours ago
    ARNI Stroke Rehab & Recovery

    A new glove-based system that uses functional electrical stimulation (FES) to activate individual fingers could offer a more effective way to support hand rehabilitation in people recovering from stroke or spinal cord injuries.
    The FESGlove delivers targeted electrical stimulation to specific hand muscles and nerves, offering greater selectivity than many current systems, which often cause unintended finger movements by stimulating larger forearm muscles.
    The device features 10 independent stimulation channels and combines silver fiber and hydrogel electrodes within a stretchable glove. Users can adjust settings like frequency, current amplitude, and pulse width to suit different needs.
    Developed by researchers at the University of Bath and Shanghai Jiao Tong University, the glove was designed to overcome limitations in traditional rehabilitation techniques that often fail to restore the fine motor control needed for tasks like buttoning a shirt or typing.
    The research team sees the FESGlove as a potential platform that could eventually be integrated with brain-computer interfaces and other advanced neurorehabilitation tools.
    This study was published in the journal Neuroelectronics on June 2, 2025.
    www.arni.uk.com
    #strokerehab #neurorehabilitation #StrokeRecovery #functionalelecticalstimulation #neuroscience #medicaltechnology #FutureOfMedicine #strokeawareness #fes     ... See MoreSee Less

    A new glove-based system that uses functional electrical stimulation (FES) to activate individual fingers could offer a more effective way to support hand rehabilitation in people recovering from stroke or spinal cord injuries. The FESGlove delivers targeted electrical stimulation to specific hand muscles and nerves, offering greater selectivity than many current systems, which often cause unintended finger movements by stimulating larger forearm muscles. The device features 10 independent stimulation channels and combines silver fiber and hydrogel electrodes within a stretchable glove. Users can adjust settings like frequency, current amplitude, and pulse width to suit different needs. Developed by researchers at the University of Bath and Shanghai Jiao Tong University, the glove was designed to overcome limitations in traditional rehabilitation techniques that often fail to restore the fine motor control needed for tasks like buttoning a shirt or typing. The research team sees the FESGlove as a potential platform that could eventually be integrated with brain-computer interfaces and other advanced neurorehabilitation tools. This study was published in the journal Neuroelectronics on June 2, 2025. www.arni.uk.com #strokerehab #neurorehabilitation #StrokeRecovery #functionalelecticalstimulation #Neuroscience #MedicalTechnology #FutureofMedicine #StrokeAwareness #fes
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    ARNI Stroke Rehab & Recovery
    1 day ago
    ARNI Stroke Rehab & Recovery

    The future of stroke recovery is here, and it's full of exciting possibilities ;) 🚀🧠
    For many reading this at ARNI Stroke Rehab, stroke rehabilitation has meant months of repetitive therapy with a slow, uncertain path forward. But advances in technology are paving the way for a new era of highly effective, personalised recovery.
    Imagine a future where stroke survivors can:
    🤖 Train with robotic devices: Wearable exoskeletons and robotic limbs can provide precise, high-intensity, and repetitive therapy, helping retrain the brain to form new connections.
    🎮 Immerse themselves in virtual reality (VR): VR headsets create engaging, interactive games and simulations that make therapy more motivating, turning repetitive exercises into goal-oriented tasks.
    🧠 Use their minds to move: Brain-computer interfaces (BCIs) are learning to decode a person's thoughts to control robotic devices or stimulate muscles, restoring movement even in those with severe paralysis.
    ⚕️ Heal with regenerative medicine: Groundbreaking research in stem cell therapy shows promise in repairing damaged brain tissue at the cellular level.
    For those with lived experience, these innovations offer new hope and for researchers and clinicians, they provide powerful tools to unlock the brain's full potential for recovery.
    Are you or a loved one a stroke survivor? What tech innovation are you most excited about? Share your thoughts below! 👇
    w#strokerehabo#neurorehabilitationo#StrokeRecovery##Rehabilitation##neurosciencen#medicaltechnologyd#FutureOfMedicineu#strokeawarenessS#roboticse#VirtualReality##braincomputerinterfacemputerInterface     ... See MoreSee Less

    The future of stroke recovery is here, and its full of exciting possibilities ;) 🚀🧠 For many reading this at ARNI Stroke Rehab, stroke rehabilitation has meant months of repetitive therapy with a slow, uncertain path forward. But advances in technology are paving the way for a new era of highly effective, personalised recovery. Imagine a future where stroke survivors can: 🤖 Train with robotic devices: Wearable exoskeletons and robotic limbs can provide precise, high-intensity, and repetitive therapy, helping retrain the brain to form new connections. 🎮 Immerse themselves in virtual reality (VR): VR headsets create engaging, interactive games and simulations that make therapy more motivating, turning repetitive exercises into goal-oriented tasks. 🧠 Use their minds to move: Brain-computer interfaces (BCIs) are learning to decode a persons thoughts to control robotic devices or stimulate muscles, restoring movement even in those with severe paralysis. ⚕️ Heal with regenerative medicine: Groundbreaking research in stem cell therapy shows promise in repairing damaged brain tissue at the cellular level. For those with lived experience, these innovations offer new hope and for researchers and clinicians, they provide powerful tools to unlock the brains full potential for recovery. Are you or a loved one a stroke survivor? What tech innovation are you most excited about? Share your thoughts below! 👇 www.arni.uk.com #strokerehab #neurorehabilitation #StrokeRecovery #Rehabilitation #Neuroscience #MedicalTechnology #FutureofMedicine #StrokeAwareness #Robotics #VirtualReality #BrainComputerInterface
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    My partner has just started using an exoskeleton and next month will use a neuroskin with it

    After attending spinal injury classes, I was referred to an MSK doctor for discharge who noticed a significant reduction in strength down the left side of my body and inquired about a potential stroke. This observation was further supported by two physiotherapy assessments. My doctor has since scheduled a consultation with a neurologist for December. In the meantime, I've found your page incredibly informative and helpful in understanding my situation. Thank you for providing such valuable resources.🩷

    All of them ! Looks like a flurry of activity in that space offering possibilities that aren’t here now moving forward.. watching eagerly on Harry’s behalf and hoping maybe sone opps for local trials soon .. Thx for keeping new hope on the horizon

    Jacqueline Bartlett

    ARNI Stroke Rehab & Recovery
    1 day ago
    ARNI Stroke Rehab & Recovery

    There are many things that all stroke survivors must do, and many things that most will need to do. Start with basic tasks that you need to master in order that you can work towards more complex tasks. Everything you do will rewire your brain: by doing more, you will develop more motor control and gain strength. You will ‘get nothing by doing nothing’.
    www.arni.uk.com
    Not sure what to do? Call us on 0203 053 0111 or email support@arni.uk.com to find out if there's a trainer near you who can help you.
    #neuroplasticity #neurorehab #strokerecovery #strokerehab #strokeexercise #arnistrokerehab #strokerehabilitation #strokesurvivorscan     ... See MoreSee Less

    There are many things that all stroke survivors must do, and many things that most will need to do. Start with basic tasks that you need to master in order that you can work towards more complex tasks. Everything you do will rewire your brain: by doing more, you will develop more motor control and gain strength. You will ‘get nothing by doing nothing’. www.arni.uk.com Not sure what to do? Call us on 0203 053 0111 or email support@arni.uk.com to find out if theres a trainer near you who can help you. #neuroplasticity #neurorehab #strokerecovery #strokerehab #strokeexercise #arnistrokerehab #strokerehabilitation #strokesurvivorscan
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    ARNI Stroke Rehab & Recovery
    1 day ago
    ARNI Stroke Rehab & Recovery

    If you have upper limb difficulties, this is the online video that will be your ally. Here, Dr Tom shows you how you, too, can get as excellent function back in your upper limb as he has. He shows you what he did to gain function and shows tools that he has built to help survivors train their reach, grasp and release. He then shows you exactly how to make or acquire what you need to do what many hundreds of people have used to significantly (and very quickly) to reduce spasticity and flaccidity – and to gain control again of your more-affected hand.
    arni.uk.com/product/the-successful-stroke-survivor-dvd-volume-6/

    #StrokeRecovery #neuroplasticity #ARNIstrokerehab #strokerehabilitation #strokeexercise #neurorehab #strokearmrehab #strokerehab     ... See MoreSee Less

    If you have upper limb difficulties, this is the online video that will be your ally. Here, Dr Tom shows you how you, too, can get as excellent function back in your upper limb as he has. He shows you what he did to gain function and shows tools that he has built to help survivors train their reach, grasp and release. He then shows you exactly how to make or acquire what you need to do what many hundreds of people have used to significantly (and very quickly) to reduce spasticity and flaccidity – and to gain control again of your more-affected hand. https://arni.uk.com/product/the-successful-stroke-survivor-dvd-volume-6/ #strokerecovery #neuroplasticity #arnistrokerehab #strokerehabilitation #strokeexercise #neurorehab #strokearmrehab #strokerehab
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    ARNI