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.

Thursday, February 12, 2015

High-intensity interval training benefits chronic stroke patients

Send your doctor after the EXACT stroke protocols needed for this. They didn't seem to answer any questions about how much neurogenesis and angiogenesis is created from this. A failure of this research.
http://medicalxpress.com/news/2015-02-high-intensity-interval-benefits-chronic-patients.html
High-intensity interval training is a promising rehabilitation strategy for chronic stroke patients and may be superior to the current guidelines of moderate-intensity continuous exercise, new research from the University of Cincinnati (UC) shows.
The research was presented Wednesday, Feb. 11, at the American Heart Association/American Stroke Association (AHA/ASA) International Stroke Conference 2015 in Nashville, Tennessee. Pierce Boyne, PT, DPT, NCS, a doctoral student and research assistant professor in the UC College of Allied Health Sciences' Department of Rehabilitation Sciences, is the study's lead author and project director.
Co-authors included Kari Dunning, PT, PhD, an associate professor in the Department of Rehabilitation Sciences, and Brett Kissela, MD, MS, Albert Barnes Voorheis Chair of Neurology and Rehabilitation Medicine in the UC College of Medicine and a member of the UC Neuroscience Institute. They are Boyne's mentors and were the principal investigators on two pilot grants that funded the project, which also included collaborators from Cincinnati Children's Hospital Medical Center and the College of Medicine's Department of Internal Medicine.
Current AHA/ASA post-stroke guidelines recommend moderate-intensity continuous exercise to improve aerobic fitness, mobility and cardiovascular health. High-intensity interval training differs from moderate-intensity continuous exercise by augmenting with bursts of concentrated effort alternated with recovery periods.
"In patients in the chronic stage of stroke recovery (six months or longer post-stroke), aerobic deconditioning is a major barrier to recovery," Boyne says. "We wanted to make a preliminary assessment of the comparative efficacy of high-intensity and moderate-intensity continuous exercise for improving aerobic capacity and walking function in chronic stroke."
Previous research has shown that high-intensity interval exercise is more effective than moderate-intensity continuous exercise for improving aerobic capacity among healthy adults and persons with heart disease. However, he says, no previous study has compared the two among persons with stroke.
Boyne and colleagues from the College of Allied Health Sciences Department of Rehabilitation Sciences, the UC College of Medicine's Departments of Internal Medicine and Neurology and Rehabilitation Medicine and Cincinnati Children's Hospital Medical Center recruited 16 subjects with residual gait impairment from stroke, all of whom passed a treadmill stress test prior to enrollment in the study. They were randomized to high-intensity or moderate continuous exercise for 25 minutes, three times a week, for four weeks.
The high-intensity interval group alternated 30 seconds of maximum tolerated treadmill speed with 30- to 60-second rest periods. The moderate continuous exercise group did continuous treadmill walking at 40 to 50 percent heart rate reserve. Outcomes were measured pre- and post-training by a blinded rater who assessed peak oxygen uptake, aerobic capacity, energy cost of walking, floor walking speed and treadmill walking speed.
Subjects in the high-intensity interval group showed significantly greater improvement in aerobic capacity and treadmill speed, Boyne says, with at least moderate improvement in the other categories. The moderate-intensity group showed essentially no change in the same time period, indicating that exercise intensity may be a key factor.
"These results show that high-intensity interval exercise is a potent intervention for improving and walking function in chronic stroke," Boyne says. "This is extremely promising because these changes occurred in just four weeks of training. However, further study with a larger sample is needed."

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