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 lays out what needs to be done to get stroke survivors closer to 100% recovery. 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

Thursday, November 22, 2018

Personalised Physical Exercise Program Reverses Functional Decline in Adults Aged Older Than 75 Years

You will need something like this post stroke. So ask your doctor for it.  You doctor will need to get you 100% recovered to be able to do that. So the whole post-stroke rehab starts with your doctor giving you specific stroke rehab protocols that get you 100% physically recovered. 

Personalised Physical Exercise Program Reverses Functional Decline in Adults Aged Older Than 75 Years


An individualised, multicomponent exercise program proved safe and effective to reverse the functional decline associated with acute hospitalisation in very elderly patients, according to a study published in JAMA Internal Medicine.
Nicolás Martínez-Velilla, MD, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain, and colleagues assessed the effects of an innovative multicomponent exercise intervention on the functional status of 370 very elderly patients undergoing acute-care hospitalisation.
Patients were randomised to an exercise or control (usual-care) intervention. The control group received usual-care hospital care, which included physical rehabilitation when needed. The in-hospital intervention included individualised moderate-intensity resistance, balance, and walking exercises (2 daily sessions).
The primary endpoint was change in functional capacity from baseline to hospital discharge, assessed with the Barthel Index of independence and the Short Physical Performance Battery (SPPB).
Secondary endpoints were changes in cognitive and mood status, quality of life, handgrip strength, incident delirium, length of stay, falls, transfer after discharge, readmission rate, and mortality at 3 months after discharge.
The exercise intervention program provided significant benefits over usual care. At discharge, the exercise group showed a mean increase of 2.2 points on the Short Physical Performance Battery (SPPB) scale and 6.9 points on the Barthel Index over the usual-care group.
Hospitalisation led to an impairment in functional capacity (mean change from baseline to discharge in the Barthel Index of -5.0 points in the usual-care group, whereas the exercise intervention reversed this trend (1.9 points).
The intervention also improved the SPPB score (2.4 points vs 0.5 points in controls). Significant intervention benefits were also found at the cognitive level of 1.8 points over the usual-care group.
“Our study shows that intervention involving, innovative, personalised multicomponent physical exercise that includes moderate intensity endurance training over a very short period of time, has a significant benefit on routine care, and may help to reverse the functional and cognitive deterioration associated with the hospitalisation of the elderly,” said Dr. Martínez-Velilla.
Reference: http://dx.doi.org/10.1001/jamainternmed.2018.4869
SOURCE: Elhuyar Fundazioa

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