Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, September 5, 2014

Lack of sleep may shrink your brain

I slept like shit in the hospital so I was given sleeping pills. Is your doctor concerned about not letting your brain shrink while you recover from your stroke? What is your doctors stroke protocol to prevent such shrinkage?

Poor sleep quality is associated with increased cortical atrophy in community-dwelling adults

  1. Anders M. Fjell, PhD
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  1. Correspondence to Dr. Sexton: claire.sexton@ndcn.ox.ac.uk
  1. Published online before print September 3, 2014, doi: 10.1212/WNL.0000000000000774 Neurology 10.1212/WNL.0000000000000774

Abstract

Objective: To examine the relationship between sleep quality and cortical and hippocampal volume and atrophy within a community-based sample, explore the influence of age on results, and assess the possible confounding effects of physical activity levels, body mass index (BMI), and blood pressure.

Methods: In 147 community-dwelling adults (92 female; age 53.9 ± 15.5 years), sleep quality was measured using the Pittsburgh Sleep Quality Index and correlated with cross-sectional measures of volume and longitudinal measures of atrophy derived from MRI scans separated by an average of 3.5 years. Exploratory post hoc analysis compared correlations between different age groups and included physical activity, BMI, and blood pressure as additional covariates.

Results: Poor sleep quality was associated with reduced volume within the right superior frontal cortex in cross-sectional analyses, and an increased rate of atrophy within widespread frontal, temporal, and parietal regions in longitudinal analyses. Results were largely driven by correlations within adults over the age of 60, and could not be explained by variation in physical activity, BMI, or blood pressure. Sleep quality was not associated with hippocampal volume or atrophy.

Conclusions: We found that longitudinal measures of cortical atrophy were widely correlated with sleep quality. Poor sleep quality may be a cause or a consequence of brain atrophy, and future studies examining the effect of interventions that improve sleep quality on rates of atrophy may hold key insights into the direction of this relationship

 

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4 comments:

  1. Billy EthridgeSeptember 5, 2014 at 7:52 PM

    The conclusions in this article, however qualified these conclusions may be -- like many facts essential to stroke rehabilitation -- are insufficiently addressed by MDs and other medical professionals. Indeed, the vital importance of sleep, and rest in general, is often ignored or taken for granted.

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    Replies
    1. oc1deanSeptember 5, 2014 at 8:54 PM

      And if we had a stroke association worth its salt we could go to that and be confident that all these questions would be addressed.

      Delete
    2. AnonymousSeptember 6, 2014 at 9:23 AM

      Dean, the mandate of Heart and Stroke Foundation is to support health education and research not to support stroke survivors. They do have lots of generic pamphlets about stroke though. Most people assume that HSN of Canada supports survivors like Parkinson ' s or ALS. However support for survivors is not part of their mandate. I think that is the case with the American Stroke Assn. As well.

      Delete
    3. oc1deanSeptember 7, 2014 at 12:30 AM

      The problem is that we have no stroke protocols for how to address sleep problems post-stroke and no way to get someone to create them. Unless we expect every single stroke doctor in the world to do this work. That will never occur, so everyone is waiting for somebody else to solve the problem.

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