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

Friday, July 14, 2017

A systematic review of the effect of physical exercise on cognition in stroke and traumatic brain injury patients

Well shit, once again the stupidity of a review that wouldn't be needed if we had publicly available stroke protocol databases updated each time new research comes out. Does no one in stroke have two functioning neurons to rub together?
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J76224&phrase=no&rec=133852&article_source=Rehab&international=0&international_language=&international_location=
NeuroRehabilitation , Volume 40(1) , Pgs. 33-48.

NARIC Accession Number: J76224.  What's this?
ISSN: 1053-8135.
Author(s): Vanderbeken, Ines; Kerckhofs, Eric.
Publication Year: 2017.
Number of Pages: 16.
Abstract: This literature review was conducted to determine whether physical exercise enhances cognition following traumatic brain injury (TBI) or stroke. Studies were identified through searches of PubMed, ScienceDirect and the reference lists of papers that were included for full-text evaluation. Medical subject headings from three concepts (brain injury, physical exercise, and cognition) were used to incorporate related search terms. All trials published in English that assessed cognition before and after an exercise intervention in human adults with TBI or stroke were included. Nine randomized and two non-randomized controlled trials (RCTs), as well as three single-group pre-post studies were included. Relevant data concerning the methods and results of the included studies were extracted. Methodological quality of the RCT’s was evaluated using the PEDro scale. Non-randomized trials were assessed using the Downs and Black checklist. The included trials were generally of medium methodological quality, though often plagued with issues of internal and external validity. The studies exhibited great heterogeneity, rendering a meta-analysis infeasible. Though well-designed studies are still needed, the preponderance of evidence suggests a positive effect of physical exercise on global cognitive functioning, especially in the chronic stages of a brain injury. Time after injury as well as the duration of the exercise program are mediating factors.

No comments:

Post a Comment