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.

Wednesday, June 22, 2022

The younger we feel, the better we rehabilitate

Here's all the questionaires you need to take to find out how young you feel. If your doctor/hospital doesn't have them, ask why not? I certainly don't feel like I'm 66.

Participants completed a variety of measures: They were asked their subjective age (SA “How old/young do you feel?”); about how meaningful life is for them via subscales of the Presence of Meaning and Search for Meaning surveys; how successfully they felt they were aging using the Self-Rated Successful Aging Scale; their stance toward life via the Life Orientation Test; how much stress they experienced using the Perceived Stress Scale; how much they felt they had reached a state of comfort with themselves via the Personal Mastery Scale; measures of health and well-being including the Brief Symptom Inventory Anxiety Scale, the Patient Health Questionnaire, the CES-D Happiness Scale, and the Satisfaction with Life Scale; and other relevant measures including the Connor-Davidson Resilience Scale, the Brief Multidimensional Measure of Religiousness/Spirituality, the Santa Clara Brief Compassion Scale, and the Curiosity and Exploration Inventory.

The younger we feel, the better we rehabilitate

As scientists gradually discover evidence that people who feel younger than their chronological age are typically healthier and more psychologically resilient, the saying "you're only as old as you feel" rings increasingly true.

Could the expression also hold true for recuperating from ? Apparently so. Researchers from Bar-Ilan University in Israel have found that feeling young can increase the chances of successful from , even in old age. Their study was recently published in the journal Gerontology.

The study tracked 194 aged 73-84 undergoing rehabilitation from or stroke in several rehabilitation facilities across Israel. Fractures (mostly due to falls) and stroke are frequent health events that result in the loss of one's functional independence, considered the greatest fear of older adults.

Patients were interviewed several times throughout their rehabilitation. They were asked about their subjective age (how young they felt), feelings and experiences. Their functional independence was assessed by nursing personnel who rated their functioning level at admission and at discharge using the Functional Independence Measurement (FIM) test.

Patients who felt younger (had a younger subjective age) at hospital admission showed better functional independence at discharge approximately one month later. The beneficial effect of feeling younger was found both for patients who rehabilitated from osteoporotic fractures (mainly due to falls) and for those who rehabilitated from a stroke. The researchers also found that those who felt younger rehabilitated better because they were more optimistic about their chances of regaining their functional abilities.

"The effect of subjective age at admission on functional independence at discharge was confirmed," says Prof. Amit Shrira, from the Gerontology Program at the Department of Interdisciplinary Social Sciences, who led the study together with Prof. Ehud Bodner, also from the Interdisciplinary Social Sciences department. "However, the reverse effect—that of functional at admission on subjective age at discharge—was not confirmed. This supports the conclusion that a younger age identity is an important psychological construct that contributes to a more successful rehabilitation," added Shrira, who conducted the research with Dr. Daphna Magda Kalir from the Gender Studies Program, among others.

Surprisingly, subjective age was the strongest predictor of rehabilitation outcomes, stronger even than patients' and multiple chronic health conditions occurring simultaneously (physical multimorbidity) at admission. Chronological age and physical multimorbidity are generally considered by health care practitioners in determining prognosis, whereas subjective age is unknown to most practitioners. "Those who feel younger can maintain their health and functioning for longer periods, and as the current study shows, can recuperate better from disability. Therefore, by perceiving themselves to age successfully people may preserve a healthy and vigorous lifestyle," says Shrira.

In view of the findings, the researchers suggest that clinicians consider evaluating patients' subjective age when they design rehabilitation protocols. A younger subjective age may motivate older individuals to adhere to the rehabilitation protocol following osteoporotic fracture and stroke. Future research could assist in designing interventions geared to induce a younger subjective age in patients that might assist them in rehabilitating more successfully. Such interventions may help correct false beliefs of aging and include cognitive techniques that help change negative automatic thoughts about aging.


Explore further

Feeling younger buffers older adults from stress, protects against health decline

More information: Daphna Magda Kalir et al, Feeling Younger, Rehabilitating Better: Reciprocal and Mediating Effects between Subjective Age and Functional Independence in Osteoporotic Fracture and Stroke Patients, Gerontology (2022). DOI: 10.1159/000524885
 

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