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, April 19, 2023

Older Adults May Achieve Same Cognition as Undergrads

Your doctor should already have interventions to recover your lost 5 cognitive years from your stroke  if they are competent at all. Then you can do these learning exercises.

 

Older Adults May Achieve Same Cognition as Undergrads

Summary: Improved cognition was seen in older adults who learned multiple new tasks, and the improvements got better as time passed, a new study reports.

Source: UCR


A set of recent studies demonstrates for the first time that learning multiple new tasks carries benefits for cognition long after the learning has been completed.

The finding affirms a long-held assertion of the lead researcher, Rachel Wu, who is an associate professor of psychology at UC Riverside. That is, older adults can learn new tasks and improve their cognition in the process, if they approach learning as a child does.

“Our findings provide evidence that simultaneously learning real-world skills can lead to long-term improvements in cognition during older adulthood,” Wu and her colleagues wrote in a recently published paper in the journal Aging and Mental Health. “Overall, our findings promote the benefits of lifelong learning, namely, to improve cognitive abilities in older adulthood.”

One year after they learned new skills, the older research subjects tested higher for certain cognitive tasks than prior to the learning. Consistently, the scores for cognitive functions increased on average by at least two to three times, sometimes more.

The first study had six participants, the second study, 27. The median age of the study subjects was 66 and 69 years old, respectively. To qualify for the study, participants had to be at least 55 years old, fluent in English, have normal or corrected-to-normal vision, and have no prior diagnosis of a cognitive impairment.

Participants in this study completed classwork and homework for approximately 15 hours a week for three months, time constraints Wu said limited the number of eligible participants.

For both studies, the participants learned at least three new skills, such as Spanish, using an iPad, photography, painting, and music composition over three months in a UC Riverside classroom for older adults. Cognitive tests were administered in a research lab before the start of the classes, halfway through the classes, and after three months of classes. There were then follow-up tests at three months, six months, and one year after the end of the classes.

 “The primary goal of the follow-up assessments was to determine if gains in cognitive abilities… would continue up to one year after the intervention,” the authors wrote.

The cognitive measures included attention, inhibition, and short-term memory, which requires remembering small amounts of information needed to perform tasks, such as recalling a phone number or words from a list.

The overall cognitive scores at three months, six months, and one year after the intervention were significantly higher than before the intervention, more than three times higher by many measures. In fact, the more time that passed after the learning had ceased, the higher the scores grew. 

This shows an older man
One year after they learned new skills, the older research subjects tested higher for certain cognitive tasks than prior to the learning. Image is in the public domain

“Remarkably, the cognitive scores increased to levels similar to undergraduates taking the same cognitive tests for the first time,” Wu said. “Our finding of continuous cognitive growth in older adulthood is unique because most studies show only maintenance of cognitive abilities or cognitive decline over time.”

The key to the difference, Wu surmises, is learning multiple tasks simultaneously in an encouraging environment, similar to what children experience.

“The time and energy commitment to do so was similar to a full undergraduate course load,” Wu and her colleagues wrote in the paper, titled “One-year cognitive outcomes from a multiple real-world skill learning intervention with older adults.”

For Wu, it is further affirmation of her past research, which demonstrated that older adults can learn by emulating the learning behaviors of children. Among other things, it means older adults must approach learning with an open mind, unafraid of criticism and failure, receptive to instruction, willing to learn multiple tasks at once, and with a belief they can improve with effort.

Along with Wu, authors of the paper include Leah Ferguson, Debaleena Sain, and Esra Kürüm, all of UCR; Carla M. Strickland-Hughes of University of the Pacific, and George W. Rebok, of Johns Hopkins University. 

About this cognition and aging research news

Author: John Warren
Source: UCR
Contact: John Warren – UCR
Image: The image is in the public domain

Original Research: Open access.
One-year cognitive outcomes from a multiple real-world skill learning intervention with older adults” by Rachel Wu et al. Aging & Mental Health


Abstract

One-year cognitive outcomes from a multiple real-world skill learning intervention with older adults

Objectives

Novel skill learning has been shown to have cognitive benefits in the short-term (up to a few months). Two studies expanded on prior research by investigating whether learning multiple novel real-world skills simultaneously (e.g. Spanish, drawing, music composition), for a minimum of six hours a week, would yield 1-year cognitive gains.

Method

Following a 3-month multi-skill learning intervention, Study 1 (N = 6, Mage = 66 years, SDage = 6.41) and Study 2 (N = 27, Mage = 69 years, SDage = 7.12) participants completed follow-up cognitive assessments 3 months, 6 months, and one year after the intervention period. Cognitive assessments tested executive function (working memory and cognitive control) and verbal episodic memory.

Results

Linear mixed-effects models revealed improvements in multiple cognitive outcomes from before the intervention to the follow-up timepoints. Specifically, executive function increased from pre-test to the 1-year follow-up for both studies (an effect driven mostly by cognitive control scores).

Discussion

Our findings provide evidence that simultaneously learning real-world skills can lead to long-term improvements in cognition during older adulthood. Future work with diverse samples could investigate individual differences in gains. Overall, our findings promote the benefits of lifelong learning, namely, to improve cognitive abilities in older adulthood.

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