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:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Tuesday, June 6, 2017

Fitness, Not Fat, Is Key to Post-Stroke Recovery

Stuff like this just means your doctor can ignore solving any of the problems in stroke  since s/he can easily blame you for your lack of recovery.  I was in the best shape of my life prior to stroke and still have residual physical deficits, mainly due to spasticity.
http://www.strokesmart.org/Fitness
Posted by Robert Priedt, HealthDay Reporter May 31 2017
People who were active and exercised regularly before their stroke were less likely to face disability after the attack, researchers say.
But the amount of body fat a person had did not seem to be tied to post-stroke disability, the study found.
Fitness was key, though.
"Being physically inactive before stroke predicts a higher risk of being dependent both before and after stroke," said study author Pamela Rist, of Harvard University. Her team's findings were published online in the journal Neurology.
The new study involved more than 18,000 people with no history of stroke who were followed for an average of 12 years. During that time, nearly 1,400 of the participants suffered a stroke but survived.
Three years after their stroke, those who had exercised regularly before their stroke were 18 percent more likely to be able to perform basic tasks -- such as bathing on their own, the researchers found.
The fitter individuals were also 16 percent more likely to be able to perform more complex tasks, such as managing money on their own, compared to those who did not exercise before their stroke, the findings showed.
"We also found that a person's body mass index was not a factor in predicting their level of disability after stroke," Rist said in a journal news release. Body mass index is an estimate of body fat based on weight and height.
Two experts in stroke care who reviewed the findings said the study highlights the importance of exercise.
The research "provides additional evidence that regular exercise has health benefits that last into a person's future," regardless of stroke, said Dr. Andrew Rogove. He directs stroke care at Northwell Health's Southside Hospital in Bay Shore, N.Y.
Dr. Ajay Misra is chair of neurosciences at NYU Winthrop Hospital in Mineola, N.Y. He said the study "provides insight into the fact that doctors should emphasize to their patients not only weight-reduction strategies for stroke and possibly heart attack prevention, but also the importance of leading a very active lifestyle to improve their chances of survival and recovery in case a stroke occurs."


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