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.

Sunday, January 19, 2025

Post-stroke patients have difficulty following instructions, making rehabilitation uncertain

 You've described a problem, offered NO solution; TOTALLY FUCKING USELESS! I'd have you all fired! The whole point of stroke research is to get survivors recovered, NOT to get yourself published!

Post-stroke patients have difficulty following instructions, making rehabilitation uncertain

Researchers at the Ben-Gurion University of the Negev in Beersheba examined how a stroke affects the ability to follow changing instructions.

 Identification and rapid response to stroke  (photo credit: freepik)
Identification and rapid response to stroke
(photo credit: freepik)

Every year, about 18,000 people in Israel suffer a stroke, but only about 5,200 receive advanced disability-preventing treatments within the available time window.

Some 15 million people worldwide suffer a stroke every year; five million die, and another five million are left permanently disabled, placing a burden on families and communities. Stroke is one of the three leading causes of death and one of the main causes of disability in the Western world.

Every day, we use our capacity to understand instructions for routine daily activities that have a major impact on stroke patients’ rehabilitation but have never been studied before.

Dr. Reut Binyamin-Netser and Prof. Lior Shmuelof from the Department of Cognitive and Brain Sciences at Ben-Gurion University of the Negev in Beersheba examined how a stroke affects the ability to follow changing instructions and what cognitive abilities underlie this ability.

The study was conducted at the Joint Laboratory for Neurological Rehabilitation Research of BGU and ADI-Negev Nahalat Eran. Anat Shaked Ravni, BGU engineer, also participated in the study.

 A stroke patient walks (credit: Negev Lab)Enlrage image
A stroke patient walks (credit: Negev Lab)

They and their team have just published their findings in the journal Neuropsychology under the title “Rapid instructed task learning is impaired after stroke and associated with impairments in prepotent inhibition and processing speed.”

Stroke usually occurs because of a sudden disruption in the blood supply to brain tissue by a blood clot or bleeding, resulting in neuronal damage that can present in various ways.

Causing cognitive impairment

One of the most common disabilities that occurs (72% of cases) after stroke is cognitive impairment: memory and attention problems and difficulties that require executive functions, adaptation processes to change, adjustments to unexpected situations, and self-control.

These disabilities lead to functional deficits, a lower chance of independent functioning after stroke, and difficulty participating in and benefiting from their rehabilitation treatment.

To investigate the phenomenon, the researchers examined two groups of subjects living at ADI-Negev. One group consisted of 31 stroke patients, while 36 people who had not suffered a stroke but were in the same age range (55 to 75) served as a control group.


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All participants in the study were given computerized tasks in which they had to respond to stimuli according to their color and location on the screen, as well as other tasks designed to characterize cognitive abilities, such as response inhibition ability and information processing speed using symbols.

The results showed decreased accuracy and response times during instruction following a stroke. In addition, there was a decrease in information processing speed and response inhibition, the ability to suppress prepotent behavior that is inappropriate or no longer required. A relationship was also found between the patient’s response inhibition abilities and ability to follow instructions.

THE INABILITY to respond makes it difficult for patients to be rehabilitated, said Binyamin-Netser. Understanding instructions and tasks is also the basis for motor rehabilitation – opening/closing bottle lids, picking up a glass of water and drinking it, arranging puzzles, picking small objects from one container and moving them to another, turning doorknobs, reading magazines, and turning the pages of books or newspapers.

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