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

Sunday, July 8, 2018

Gait variability can predict the risk of cognitive decline in cognitively normal older people

This is going to need to be retested for those with stroke.
https://www.mdlinx.com/journal-summaries/gait-mild-cognitive-impairment-elderly-variability/2018/06/29/7526580/?
Dementia and Geriatric Cognitive DisordersByun S, et al. | June 29, 2018

In this 4-year prospective cohort study, researchers examined the connection of gait speed and gait variability (an index of how much gait parameters, such as step time, fluctuate step-to-step) with the risk of cognitive decline in elderly individuals with normal cognitive function. This study was conducted with 91 community-dwelling cognitively normal elderly individuals with no cerebral ischemic burden or Parkinsonism. It was noted that subjects with slow gait speed showed comparable mild cognitive impairment (MCI) risk to those with mid-to-high speed. In multivariate analysis, however, patients with high gait variability showed an approximate 12-fold higher risk of MCI vs those with mid-to-low variability. In cognitively normal elderly individuals without cerebral ischemic burden or Parkinsonism, gait variability could be a better prognosticator of cognitive decline than gait speed.

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