Deans' stroke musings: Grip strength and walking pace and cardiovascular disease risk prediction in 406,834 UK Biobank participants

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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.

Saturday, April 18, 2020

Grip strength and walking pace and cardiovascular disease risk prediction in 406,834 UK Biobank participants

My grip strength was excellent with all the whitewater canoeing I was doing, my walking pace was also excellent. The only way to know the stroke was going to occur was if my Dad's doctor had told him to get his kids tested when he was found to have 80% blockage in a carotid artery. My risk level was non-existent from all the stroke risk calculators I have done.

Buttercup whitewater slalom races in MN and WI, I took 1rst, 2nd and 3rd in the three years prior to stroke in OC1 and 1rst two years in a row in OC2(Open canoe 2 person), partners have those trophies. Have not paddled whitewater since, if I flipped I would not be able to swim myself, the canoe and the paddle to shore. It is what I miss the most of my pre-stroke life.

Grip strength and walking pace and cardiovascular disease risk prediction in 406,834 UK Biobank participants

Mayo Clinic Proceedings — Welsh CE, Celis-Morales CA, Ho FK, et al. | April 14, 2020

This study was undertaken to evaluate whether the addition of grip strength and/or self-reported walking pace to established cardiovascular disease (CVD) risk scores improves their predictive abilities. Researchers included a sum of 406,834 participants from the UK Biobank, with baseline measurements between March 13, 2006, and October 1, 2010, without CVD at baseline. They evaluated the correlations of grip strength and walking pace with CVD outcomes using Cox models adjusting for classical risk factors (as included in established risk scores), and Via alterations in C-index and categorical net reclassification index, predictive utility was ascertained. The results of this study reveal that the addition of grip strength or usual walking pace to existing risk scores results in improved CVD risk prediction, with an additive impact when both are added. Although further external confirmation is needed, these tools could serve an important addition to CVD risk screening due to these measures are cheap and easy to administer.