Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:

Tuesday, April 11, 2017

Prevent Dementia: 4 Lifestyle Changes That Double Brain’s Speed

This has only been out for two years. Has your doctor gotten the exact protocol used and added it to all stroke survivors prescriptions? Or is s/he that fucking incompetent that nothing has been done?
These simple lifestyle changes improve reasoning, problem-solving, processing speed and may ultimately prevent dementia.
Healthy eating, brain training, exercise and good medical management may prevent dementia, a new study suggests.
The Finnish study is the first ever to properly test a special programme to prevent age-related cognitive decline.
The two-year study had 1,260 people aged 60-77 randomly assigned to either receive some general health advice or the special programme.
Here is some of the advice those in the special programme group were given:

1. Diet

People were advised to eat plenty of fruit and vegetables, wholegrain cereals and low-fat milk and meat products.
They were also told to eat no more than 50g of sugar each day and to have at least two portions of fish each week.

2. Cognitive training

People were given computer brain training sessions and given advice on memory and reasoning strategies they could use.
This could probably be substituted with generally keeping mentally active.
This might include things like reading, doing puzzles and being engaged with life.

3. Exercise

For physical exercise, the advice was to do some strength training, one to three times a week.
Aerobic exercise was recommended two to five times a week.
The exercise advice was tailored to the individual: some were able to do more, others less.

4. Medical management

Blood pressure was checked, along with weight and BMI.
Based on this they were given more recommendations for potential lifestyle changes.
Participants were advised to see their doctor for any medication they might need.

Prevent dementia?

The study found that after two years, those who had received the special programme scored 25% higher on a neuropsychological test.
On a test of processing speed, though, the special programme group did 150% better.
On a measure of executive functioning — which controls memory, reasoning and problem solving — the special programme group had scores 83% higher.
Professor Miia Kivipelto, who led the research, said:
“Much previous research has shown that there are links between cognitive decline in older people and factors such as diet, heart health, and fitness.
However, our study is the first large randomised controlled trial to show that an intensive program aimed at addressing these risk factors might be able to prevent cognitive decline in elderly people who are at risk of dementia.”
The study now continues for at least another seven years to look at whether it can prevent dementia and Alzheimer’s diagnoses.
The study was published in The Lancet (Ngandu et al., 2015).

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