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.

Tuesday, April 14, 2026

KU neurology professor persistent in push for more understanding of stroke rehabilitation

 You're a damn professor with access to lots of brain power! JUST SOLVE THE PROBLEM OF STROKE RECOVERY!

You can be a great professor if you can solve that simple problem!  Leaders solve problems; you're NO leader yet!

You're also pushing HIT, which I would never do!

High Intensity Training (46 posts to April 2017)

Oops, I'm not playing by the polite rules of Dale Carnegie,  'How to Win Friends and Influence People'. 

Telling your supposedly smart stroke medical 'professionals' they know nothing about stroke is a no-no even if it is true. 

Politeness will never solve anything in stroke. Yes, I'm a bomb thrower and proud of it. Someday a stroke 'leader' will try to ream me out for making them look bad by being truthful, I look forward to that day.

KU neurology professor persistent in push for more understanding of stroke rehabilitation

Sandra Billinger’s research has resulted in widely adopted protocols in stroke recovery and exercise testing.March 26, 2026 | Dustin Vann
Sandra Billinger, Ph.D., professor of neurology at KU School of MedicineWhen Sandra Billinger, Ph.D., isn’t in a research lab, uncovering the latest breakthroughs in stroke recovery and exercise science, one might find her at work on another project: tending to her home garden. “It’s something I really enjoy,” Billinger said of her gardening hobby. “I like to build things, and I see gardening as a project you’re building on and see through to a finished product. That kind of thing is very exciting to me. Billinger, a professor in the Department of Neurology at the University of Kansas School of Medicine, has seen many significant scientific discoveries to the finish line during hercareer as a researcher. Her most widely recognized contribution is the development of the recumbent stepper submaximal exercise test, which predicts a person’s peak oxygen consumption or aerobic fitness. Nearly 15 years after its publication, it remains a widely adopted protocol for research and practical, clinic-based fitness assessment. “I’ve always had this curiosity that makes me ask questions, and finding ways to do things better,” Billinger said. “If you leave things the way they are, how do you grow? In the last year alone, she has co-authored a paper on high-intensity gait training, been named the principal investigator for a multi-site clinical tria investigating home-based stroke telerehabilitation and, alongside colleagues at KU Medical Center, received a patent related to a novel system for monitoring a patient’s response to exercise. 

“She is a visionary,” Michael Abraham, M.D., a professor in the Department of Neurology, said of his colleague and frequent collaborator.  “She thinks years into the future and has a good eye for the big picture.” 

A generous collaborator 

Billinger’s forward-thinking mindset doesn’t happen in a vacuum. For an innovative idea to reach its potential, Billinger believes that multiple perspectives are essential. (But, you're obviously missing the stroke survivor perspective; contact me at oc1dean@gmail.com and I'll give you my unfiltered perspective on all the failures in stroke! 32,000+ posts on that for my take)

“Collaboration has always been critical to me,” Billinger said. “It pushes me to think about things differently, explore new avenues of research or to see data from a different viewpoint.” 

Billinger’s collaborative approach has proved inspiring to colleagues such as Sarah Eickmeyer, M.D., professor and chair of the Department of Physical Medicine and Rehabilitation.  

“She’s very generous with her time and open to multiple new team members at a given time,” Eickmeyer said.  

As a physician also interested in stroke recovery, Eickmeyer appreciates the dynamic Billinger brings to the field. 

“As a researcher, she really tries to understand where a busy clinician is coming from and seeks to integrate her research team into the clinical work,” Eickmeyer said. “That approach makes it seamless and easy to collaborate.” 

Sandra Billinger stands in her lab, near a study participant who sits on a recumbent bike with various wires strapped to him, which are connected to a visible computer beside the bike.
Billinger has undertaken multiple stroke studies to discover the
most effective therapy protocols.
(Stroke recovery therapy has only a 10% chance of full recovery. Should be working on solving the 5 causes of the neuronal cascade of death in the first week and thus saving hundreds of million to billions of neurons!)

That integration of perspectives has also shaped the scientific direction of Billinger’s laboratory. In her work with transcranial Doppler ultrasound, a noninvasive test that uses sound waves to measure blood flow in the brain’s major arteries, she sought to move beyond simple associations and examine how multiple physiologic systems interact during exercise. In an integrative study published in the Journal of Applied Physiology, Billinger and her team investigated how heart rate, blood pressure, carbon dioxide and cerebral blood flow influence one another during exercise. To answer those questions, she partnered with statisticians at the University of Washington. The collaboration generated first-of-its-kind data clarifying the relationships underlying cerebrovascular responses to exercise.

An attentive mentor 

The qualities that make Billinger a respected colleague are also the ones that make her a sought-after mentor for younger medical professionals. 

“Dr. Billinger is highly invested in the success of her trainees,” said Bria Bartsch, a student in KU’s rehabilitation science doctoral program who works in the Research in Exercise and Cardiovascular Health laboratory where Billinger serves as director. “She always makes time for updates and research questions despite being a very busy and accomplished researcher in the field of stroke recovery.” 

Billinger’s dedication to her trainees is something that many have carried into their own careers. 

“What stands out most to me is her combination of practical efficiency with genuine generosity in mentorship,” said Jacqueline Palmer, DPT, Ph.D., who worked alongside Billinger during her postdoctoral fellowship and is now an assistant professor at the University of Minnesota. “Sandy created an environment where I felt genuinely valued as a colleague and instilled in me a foundational principle I now carry in my own lab: that research participants and their experience come first.”  

For Billinger, mentorship always begins with a conversation. 

“To be a good mentor, I have to understand [my mentee’s] goals,” Billinger said. “When a mentee can articulate what exactly they want to do, then I try to position them with projects and connect them with others who can help them reach that goal.” 

A future of innovation 

In early February, Billinger traveled to New Orleans for this year’s International Stroke Conference, delivering a talk on high-intensity interval training, part of her ongoing effort to refine how intensity is defined and implemented in stroke recovery. This year will also mark the release of Billinger’s stepper submaximal exercise test as a smartphone app, translating years of research into a tool designed to increase access to precision-guided exercise. There’s also her home garden, which she’ll continue to cultivate. 

Whether advancing stroke recovery or tending to new growth at home, Billinger remains focused on building systems that endure.

“Persistence, I think, is part of innovation,” Billinger said. “You’ve got to keep pushing for it.” 

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