Deans' stroke musings: Comparing Gait Parameters Can Predict Decline in Memory, Thinking

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, December 2, 2016

Comparing Gait Parameters Can Predict Decline in Memory, Thinking

I had a significant decline in gait post-stroke. Does that predict my decline in memory and thinking? My gait is still off 10 years later. The same study should have included abnormal participants like stroke and TBI survivors, like the real world contains rather than these cherry picked participants.
http://dgnews.docguide.com/comparing-gait-parameters-can-predict-decline-memory-thinking?
A study published in the Journal of Alzheimer's Disease found that problems associated with gait can predict a significant decline in memory and thinking.
Using the Rochester Epidemiology Project, researchers from the Mayo Clinic, Rochester, Minnesota, examined medical records of residents from Olmsted County, Minnesota, who were aged between 70 and 89 as of October 1, 2004.
The analysis included 3,426 cognitively normal participants enrolled in the Mayo Clinic Study of Aging who had a complete gait and neuropsychological assessment.
At baseline and every 15 months (mean follow-up, 1.93 years), participants had a study coordinator evaluation, neurological examination, and a neuropsychological assessment using 9 tests that covered 4 domains. Gait parameters were assessed with the GAITRite instrument.
Spatial (stride length), temporal (ambulatory time, gait speed, step count, cadence, double support time), and spatiotemporal (cadence) gait parameters, and greater intraindividual variability in stride length, swing time, and stance time were associated with a significant decline in global cognition and in specific domains including memory, executive function, visuospatial, and language.
The results of the study also support the role of computerised analysis because the computer tool detected modifications before impairment was detected with a standard neuropsychological test.
“The presence of gait disturbances increases with advancing age and affects the independence of daily living, especially in the elderly,” said lead author Rodolfo Savica, MD, Mayo Clinic. “Computerised gait analysis is a simple, noninvasive test that potentially could be used to identify patients at high risk for cognitive decline and to target appropriate therapies.”
SOURCE: Mayo Clinic