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, September 6, 2023

Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomised trial (ENAbLE-pilot)

You'll have to ask your doctor to get the diet protocol. I'm sure it doesn't cover all your needs post stroke.

For dementia prevention; for cognitive improvement; for cholesterol reduction; for plaque removal; for Parkinsons prevention; for inflammation reduction; etc.

Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomised trial (ENAbLE-pilot)

Abstract

Background:

Improving physical activity levels and diet quality are important for secondary stroke prevention.

Aim:

To test the feasibility and safety of 6-month, co-designed telehealth-delivered interventions to increase physical activity and improve diet quality.

Methods:

2 x 2 factorial trial (physical activity [PA]; diet [DIET]; PA + DIET; control) randomised, open-label, blinded endpoint trial. Primary outcomes were feasibility and safety. Secondary outcomes included stroke risk factors (blood pressure, self-report physical activity (International Physical Activity Questionnaire [IPAQ]) and diet quality (Australian Recommended Food Score [ARFS]), and quality of life. Between-group differences were analysed using linear mixed models.

Results:

Over 23 months 99 people were screened for participation and 40 (40%) randomised (3 months to 10 years post- stroke, mean age 59 [16] years). Six participants withdrew and an additional 5 were lost to follow-up. Fifteen serious adverse events were reported, none were deemed definitely or probably related to the intervention. Median attendance was 32 (of 36) PA sessions and nine (of 10) DIET sessions. The proportion of missing primary outcome data (blood pressure) was 3% at 3 months, 11% at 6 months and 14% at 12 months. Between group 95% confidence intervals showed promising, clinically relevant difference in support of the interventions across the range of physical activity, diet quality and blood pressure outcomes.

Conclusion:

Our telehealth physical activity and diet interventions were safe and feasible and may have led to significant behaviour change.

Trial Registration:

ACTRN12620000189921

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