So fucking what? This has been known for years. Publish a public protocol so survivors, therapists and doctors know exactly what needs to be done. That will never occur because everyone assumes SOMEONE ELSE WILL SOLVE THE PROBLEM.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=172591&CultureCode=en
American Stroke Association Meeting Report – Session A14 – Abstract
96 - Structured physical activity training after a stroke effectively
improves brain function. Training that lasts as little as 12 weeks can
be an effective treatment to limit cognitive decline following a stroke.
Exercise can improve brain function in chronic stroke patients.
Structured exercise training can significantly improve brain function
in stroke survivors, according to research presented at the American
Stroke Association’s International Stroke Conference 2017.
Stroke is the fifth leading cause of death in the United States, and
the leading cause of long-term disability. Studies estimate that up to
85 percent of people who suffer a stroke will have cognitive
impairments, including deficits in executive function, attention and
working memory. Because there are no drugs to improve cognitive
function, physical activity – such as physical therapy, aerobic and
strength training – has become a low-cost intervention to treat
cognitive deficits in stroke survivors.
In a meta-analysis of 13 intervention trials that included 735
participants, researchers analyzed the effects of various types of
physical activity on cognitive function among stroke survivors. They
found that structured physical activity training significantly improved
cognitive deficits regardless of the length of the rehabilitation
program (i.e., training longer than 3 months as well as from 1 to 3
months led to improvements in cognitive performance).
The researchers also found that cognitive abilities can be enhanced
even when physical activity is introduced in the chronic stroke phase
(beyond 3 months after a stroke).
“Physical activity is extremely helpful for stroke survivors for a
number of reasons, and our findings suggest that this may also be a good
strategy to promote cognitive recovery after stroke” said lead author
Lauren E. Oberlin, a graduate student at the University of Pittsburgh.
“We found that a program as short as twelve weeks is effective at
improving cognition, and even patients with chronic stroke can
experience improvement in their cognition with an exercise
intervention.”
The researchers analyzed general cognitive improvement, as well as
improvement specific to areas of higher order cognition: executive
function, attention and working memory. Exercise led to selective
improvements on measures of attention and processing speed.
The researchers also examined if cognitive improvements depended on
the type of physical activity patients engaged in. Previous studies on
healthy aging and dementia populations have found that aerobic exercise
by itself is enough to improve cognition, but the effects are increased
when combined with an activity such as strength training. Consistent
with this work, the authors found that combined strength and aerobic
training programs yielded the largest cognitive gains.
“Integrating aerobic training into rehabilitation is very important,
and for patients with mobility limitations, exercise can be modified so
they can still experience increases in their fitness levels,” Oberlin
said. “This has substantial effects on quality of life and functional
improvement, and I think it's really important to integrate this into
rehabilitative care and primary practice.”
Co-authors are Aashna M. Waiwood, Julie Bernhardt, Ph.D., Toby B.
Cumming, Ph.D., Anna L. Marsland, Ph.D., and Kirk I. Erickson, Ph.D.
Author disclosures are on the abstract.
http://newsroom.heart.org/news/exercise-can-significantly-improve-brain-function-after-stroke?preview=35dc632ef33e907728a1d41466c93ea6
Full bibliographic informationAHA/ASA International Stroke Conference 2017
Session A14 – Abstract 96 -- Control #: 17-ISC-A-4241-AHA
Effects of Exercise on Post-Stroke Cognitive Function
Author Block
Lauren
E Oberlin, Univ of Pittsburgh, Pittsburgh, PA; Julie Bernhardt, Toby B
Cumming, The Florey Inst of Neuroscience and Mental Health, Melbourne,
Australia; Anna L Marsland, Kirk I Erickson, Univ of Pittsburgh,
Pittsburgh, PA
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