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 26, 2025

High-Intensity Functional Activities Specific Training (FAST) in Post-Stroke Rehabilitation: A Randomized Trial on Motor Recovery and Quality of Life Improvements

 Your competent? doctor WILL 100% GUARANTEE that HIT will not cause a stroke? By verifying that your aneurysms will not blow out? Not just pooh poohing your question?

Do you really want to do high intensity training?

Because Andrew Marr blames high-intensity training for his stroke. 

Can too much exercise cause a stroke?

The latest here:

High-Intensity Functional Activities Specific Training (FAST) in Post-Stroke Rehabilitation: A Randomized Trial on Motor Recovery and Quality of Life Improvements

First published: 26 April 2025

Funding: The authors received no specific funding for this work.

ABSTRACT

Background

Stroke often leads to long-term disability, impacting motor function, mobility, and quality of life. However, the effectiveness of different intensities of functional training in improving these outcomes in stroke rehabilitation is not well established.

Purpose

This study aimed to determine the effects of different intensities of functional activities specific training on upper extremity function, mobility, fall risk, and quality of life in stroke patients.

Methods

This randomized controlled trial was conducted in a rehabilitation setting (PRH Islamabad) with age 40–60 years and 3 months post-stroke. Participants (N = 99) were randomly (simple) assigned to conventional therapy, moderate-intensity, or high-intensity training with 33 in each group. Eligibility criteria included a Montreal Cognitive Assessment score of 18–25, Fugl-Meyer Assessment score of 50–70 and a Modified Rankin Scale score of 3 and 4, suggesting moderate motor impairment and moderate to severe disability, respectively. Participants with severe spasticity, inability to follow two-step commands, concurrent stroke treatments, other neurological conditions, and a history of falls were excluded. The 12-week training program utilized the FAST-Table, and outcomes including Fugl-Meyer Assessment for upper extremity, Berg Balance Scale, and Stroke-Specific Quality of Life Urdu scale—were assessed at baseline, 4, 8, and 12 weeks.

Results

The mean age of participants were 65.4 ± 7.2 years, gender (52% male, 48% female, ischemic 70%, and hemorrhagic 30%). The high-intensity group showed significant improvements in Fugl-Meyer Assessment-Upper Extremity scores at weeks 8 and 12 (p < 0.05), Timed Up and Go test (p < 0.05), Berg Balance Scale scores (p < 0.05), and Stroke-Specific Quality of Life Urdu scale (p < 0.05). Moderate-intensity and conventional groups also showed improvements individually.

Discussion

High-intensity functional training leads to greater improvements in physical performance and quality of life in stroke survivors compared with moderate-intensity functional training and conventional therapies.

Trial Registration: https://clinicaltrials.gov/ (NCT05158543)



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