Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 34,483 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain!trillions and trillions of neuronsthatDIEeach day because there areNOeffective 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. Did your doctor somehow miss the recovery protocol that Pedro Bach-y-Rita used to recover fully back in 1958 with only a partial brain?
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.
Showing posts with label sedentary behavior. Show all posts
Showing posts with label sedentary behavior. Show all posts
Sedentary time wouldn't exist if you had EXACT 100% RECOVERY PROTOCOLS! Your patients would be practicing the millions of reps needed because they are looking forward to 100% recovery! If you can't see that; you're a fucking blithering idiot! If sedentary time exists everything in your hospital is incompetent!
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.
Researchers at Kanazawa University and the Japanese Stroke & Physical Activity Multiple Center Research Team have identified distinct sedentary behavior patterns among patients with stroke undergoing inpatient rehabilitation.
Sedentary behavior refers to time spent sitting, reclining or lying down while awake. It is highly prevalent during stroke rehabilitation. Although reducing sedentary time and promoting physical activity are important goals, patients with stroke may differ not only in how much time they spend sedentary but also in how that sedentary time is accumulated and interrupted.
(My sedentary time was spent sleeping since I was totally exhausted all the time; my doctor DID NOTHING FOR THAT! I was cardiovascularly extremely fit, so don't blame me for the problem!)
In this multicenter prospective study, the research team analyzed data from 420 patients with stroke admitted to 14 rehabilitation hospitals in Japan. Sedentary behavior was objectively assessed using triaxial accelerometers at admission and again one month later. The researchers applied cluster analysis using five sedentary behavior indicators: short (less than 30 minutes), medium (30–59 minutes) and long (60 minutes or more) sedentary bout ratios, total sedentary time, and break frequency.
The analysis identified three subgroups: a low sedentary behavior group, a moderate sedentary behavior group, and a high sedentary behavior group. The study also found that changes in sedentary behavior patterns from admission to one month differed among these groups.
These findings, published in the Journal of Neurologic Physical Therapy, suggest that support for reducing sedentary behavior after stroke should not take a one-size-fits-all approach. Early behavioral profiling using sedentary behavior indicators may help guide the development of individualized strategies to reduce sedentary time during rehabilitation.
"We hope that this study will serve as a starting point for considering more individualized support for patients after stroke," said Masashi Kanai of Kanazawa University.
"Rather than simply trying to reduce sedentary time in the same way for all patients, it may be important to understand each patient's sedentary behavior pattern and how it changes during rehabilitation. We will continue working to promote the assessment of physical activity and sedentary behavior in clinical practice."
More information
Masashi Kanai et al, Clustering of Sedentary Behavior and Longitudinal Changes in Patients With Stroke Undergoing Rehabilitation, Journal of Neurologic Physical Therapy (2026). DOI: 10.1097/npt.0000000000000559
Sedentary behavior (sitting/reclining) has been associated with depression in adults, but the relationship with dementia remains unclear. To address this, associations of mentally passive (e.g., TV-viewing) and mentally active (e.g., office work) sedentary behaviors with incident dementia were examined, including how theoretically replacing mentally passive sedentary behavior with mentally active sedentary behavior, light and moderate-to-vigorous physical activity impacts incident dementia risk.
Methods
Data originate from the Swedish National March Cohort, including 20,811 adults aged 35–64 years (baseline, 1997). Incident dementia was identified through a linkage (2016) with the Swedish National Patient Register and the Swedish Cause of Death Register. Passive and mentally active sedentary behaviors as well as light and moderate-to-vigorous physical activity were also assessed using questionnaires. Analyses included single, partition, and substitution Cox proportional hazards models, adjusting for potential confounders. Analyses were conducted in 2025.
Results
There were 569 incident cases of dementia over 393,104 person-years; median follow-up time was 19.2 years. Mentally passive sedentary behavior was associated with a higher incidence of dementia in crude (hazard ratio=1.16, 95% CI=1.11, 1.22) but not adjusted models (hazard ratio=1.04, 95% CI=0.98, 1.10). Each additional 1 hour per day of mentally active sedentary behavior was associated with a 4% lower risk for developing dementia (hazard ratio=0.96, 95% CI=0.93, 0.98). There was a significant age interaction, indicating a higher protective effect of mentally active sedentary behavior among older participants (aged 50–64 years). In the partition models accounting for all behaviors, increasing 1 hour per day of mentally active sedentary behavior, while maintaining passive sedentary behavior and light and moderate-to-vigorous physical activity constant, was associated with an 11% lower risk for incident dementia (hazard ratio=0.89, 95% CI=0.81, 0.97). Similarly, substituting 1 hour per day of passive sedentary behavior with the same amount of mentally active sedentary behavior was associated with a 7% reduction in the risk for incident dementia (hazard ratio=0.93, 95% CI=0.87, 0.99).
Conclusions
Mentally passive sedentary behavior may increase the risk of dementia. Replacing passive with mentally active sedentary behaviors or with physical activity may reduce the risk of dementia in older adults.
We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.Silent brain infarction (SBI) is associated with a markedly increased risk of subsequent stroke. Identifying actionable, modifiable risk factors for stroke prevention is essential. Physical activity (PA) is a known protective factor, but the specific impact of sedentary behavior on stroke risk in SBI patients and its interaction with PA remain unclear. This study examines the independent and joint effects of sedentary time (ST) and PA on stroke risk in SBI patients. In this prospective cohort study, we used health check-up data from Chinese hospitals for SBI patients and followed participants for incident stroke. ST and PA were assessed at baseline. The dose–response relationship between ST and stroke risk was evaluated with restricted cubic spline regression. Cox proportional hazards models estimated the independent effects of ST, Moderate-to Vigorous Intensity Physical Activity (MVPA), and their joint effects on stroke risk. Compared with ST < 8 h/day, ST ≥ 8 h/day was associated with a substantially higher risk of stroke (HR, 4.20 [95% CI, 2.23–7.93]); For joint effects, compared with the reference group (ST < 8 h/day & MVPA ≥ 300 min per week (min/wk)), the group with ST ≥ 8 h/day and MVPA ≥ 300 min/week had (HR 3.32 [95% CI 1.11–9.89]). Prolonged sedentary time (≥ 8 h/day) is an independent risk factor for stroke in SBI patients. Engaging in ≥ 300 min/week of MVPA attenuates the adverse association between ST and stroke risk. Reducing sedentary behavior and achieving adequate MVPA may be important for stroke risk management in SBI patients.
Data availability
The datasets generated and/or analyzed during the current study are not publicly available due to the fact that they contain sensitive information that could compromise the privacy of participants. Additionally, the datasets are part of ongoing research projects, and sharing them publicly could interfere with future analyses. However, they are available from the corresponding author upon reasonable request.
And this useless research was because you missed this from many years ago! Solve the problem; DON'T JUST LAZILY TELL US IT EXISTS! I'd have you all fired for incompetence.
Yunyi Yan, Janice J. Eng, Stanley H. Hung, Mark T. Bayley, Krista L. Best, Louise A. Connell, Sarah J. Donkers, Sean P. Dukelow, Victor E. Ezeugwu, Marie-Hélène Milot, Brodie M. Sakakibara, Lisa Sheehy, Hubert Wong, Jennifer Yao, Sue Peters
Published: July 28, 2025
Abstract
Objective
Rehabilitation is important for regaining mobility poststroke. Clinical practice guidelines suggest a high number of repetitive stepping activities to optimize subacute recovery especially when undertaken at intensities that challenge cardiovascular fitness. However, adherence to these guidelines is unclear. The objective of this study was to quantify aerobic minutes and step number in usual care inpatient stroke rehabilitation unit physical therapy sessions across Canada and identify characteristics of participants who met guideline aerobic intensity minutes at a session midpoint in their rehabilitation.
Methods
To gain insight into usual care, we analyzed cross-sectional data from the usual care arm of the Walk ‘n Watch implementation trial; trial sites included Canadian rehabilitation units that were not typically involved in research studies. To be included, medically stable patients were admitted for inpatient stroke rehabilitation, and able to take > 5 steps with a maximum of one person assisting. We assessed a midpoint physical therapy session with a wrist-based heart monitor (aerobic minutes) and ankle-based step counter (step number). Means, histograms, and correlations between aerobic minutes (> 40% heart rate reserve) and steps were calculated.
Results
There were 166 participants (69 females, age 69 standard deviation (SD)12 years) with stroke (138 Ischemic/ 27 Hemorrhagic) included. Participants had a mean of 10(SD11) aerobic minutes and 985(SD579) steps. The relationship between step number and aerobic minutes was negligible (R2 = 0.003). More participants with ≥20 aerobic minutes in a session were male, with lower 6 Minute Walk Test distance, and have a subcortical stroke location.
Conclusion
The number of steps has increased, but aerobic minutes has not changed and remains extremely low compared to published reports in the past several years. Given that increasing activity levels are critical for stroke recovery, further investigation into the potential barriers to achieving targets set by guidelines is recommended.
Trial registration
ClinicalTrials.gov NCT04238260
Abstract
Objective
Rehabilitation is important for regaining mobility poststroke. Clinical practice guidelines suggest a high number of repetitive stepping activities to optimize subacute recovery especially when undertaken at intensities that challenge cardiovascular fitness. However, adherence to these guidelines is unclear. The objective of this study was to quantify aerobic minutes and step number in usual care inpatient stroke rehabilitation unit physical therapy sessions across Canada and identify characteristics of participants who met guideline aerobic intensity minutes at a session midpoint in their rehabilitation.
Methods
To gain insight into usual care, we analyzed cross-sectional data from the usual care arm of the Walk ‘n Watch implementation trial; trial sites included Canadian rehabilitation units that were not typically involved in research studies. To be included, medically stable patients were admitted for inpatient stroke rehabilitation, and able to take > 5 steps with a maximum of one person assisting. We assessed a midpoint physical therapy session with a wrist-based heart monitor (aerobic minutes) and ankle-based step counter (step number). Means, histograms, and correlations between aerobic minutes (> 40% heart rate reserve) and steps were calculated.
Results
There were 166 participants (69 females, age 69 standard deviation (SD)12 years) with stroke (138 Ischemic/ 27 Hemorrhagic) included. Participants had a mean of 10(SD11) aerobic minutes and 985(SD579) steps. The relationship between step number and aerobic minutes was negligible (R2 = 0.003). More participants with ≥20 aerobic minutes in a session were male, with lower 6 Minute Walk Test distance, and have a subcortical stroke location.
Conclusion
The number of steps has increased, but aerobic minutes has not changed and remains extremely low compared to published reports in the past several years. Given that increasing activity levels are critical for stroke recovery, further investigation into the potential barriers to achieving targets set by guidelines is recommended.
Trial registration
ClinicalTrials.gov NCT04238260
Figures
Citation: Yan Y, Eng JJ, Hung SH, Bayley MT, Best KL, Connell LA, et al. (2025) Aerobic minutes and step number remain low in inpatient stroke rehabilitation. PLoS One 20(7): e0328930. https://doi.org/10.1371/journal.pone.0328930
Editor: Leica S. Claydon-Mueller, Anglia Ruskin University UK, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
Received: January 21, 2025; Accepted: July 8, 2025; Published: July 28, 2025
Data Availability: The data are now uploaded here: https://borealisdata.ca/dataverse/eng Eng, Janice, 2025, “Replication Data for: “Aerobic Minutes and Step Number Remain Low in Inpatient Stroke Rehabilitation””, https://doi.org/10.5683/SP3/LKMDHX, Borealis, V1, UNF:6:vqj6gdzUh2hj0esQ2f7OLQ== [fileUNF].
Funding: The authors gratefully acknowledge the support and collaboration of the CanStroke Recovery Trials Platform. Funding for the CanStroke Recovery Trials Platform has been made possible by the Canada Brain Research Fund (CBRF), an innovative arrangement between the Government of Canada (through Health Canada) and Brain Canada Foundation and the Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, University of Calgary and the Sunnybrook Research Institute. Further funding is from the Canadian Institutes of Health Research (Operating Grant FDN 143340 JJE; Fellowship SP); Canada Research Chair Program (JJE); Heart and Stroke Foundation Canadian Partnership for Stroke Recovery Operating Grant (JJE); Michael Smith Foundation for Health Research Fellowship (SP). Michael Smith Foundation for Health Research Scholar Award (BMS). No funders contributed to any aspect of the study.
None of these are specific enough and my stroke was only preventable if my dads' doctor had told him to have his children tested for carotid plaque after he was diagnosed with 80% blockage
In the United States, strokes are a top cause of death and a major cause of disability, according to the American Stroke Association. This is a scary reality, especially since many of the stroke risk factors are pretty silent (like high cholesterol and high blood pressure) ― until they’re not.
But just because some of the risk factors aren’t always obvious doesn’t mean strokes can’t be controlled. In fact, it’s estimated that 80% of strokes are preventable through lifestyle changes like exercise, diet and more, according to the Centers for Disease Control and Prevention.
No one knows that more than the experts who treat the issue. Stroke doctors say they think a lot about the key ways to lower their risk (and their patients’ risk) of stroke.
“I like to think of it more proactively — what I could do to prevent stroke,” said Dr. Anthony Kim, a vascular neurologist and medical director of the University of California at San Francisco Stroke Center.
Below, stroke doctors share the habits they personally avoid ― and why you should avoid them, too.
Have A Sedentary Lifestyle
According to Dr. Arthur Wang, director of endovascular neurosurgery at Tulane University School of Medicine, one of the modifiable risk factors for stroke is having a sedentary lifestyle.
While there isn’t one across-the-board definition of a sedentary lifestyle, overall, it means spending too much time sitting or lying down and not enough time exercising or moving around.
“It’s been shown that regular physical activity helps keep your blood vessels clog-free. It stops the buildup of plaque in the arteries,” Wang said. “And so we generally recommend that people get probably 30 minutes of moderate exercise maybe five times a week.”
This could mean going for walks, runs, biking, gardening or joining a group workout class — there is no wrong way to get moving.
(Mine was anything but sedentary; three years post stroke at age 53 I had a pulse of 54, meaning I had the cardiovascular fitness of an athlete. My doctor asked what I was doing to stay in shape; 'I've done nothing for the past three years!', she was amazed. Now 19 years later, I'm just average fitness for my age.)
Ignore High Blood Pressure
“It turns out that a lot of the same things that we would recommend for a healthy lifestyle also reduce the risk of both heart disease and stroke,” Kim said. “But if there’s one factor that is the most impactful it would be blood pressure, blood pressure, blood pressure.”
Elevated blood pressure, particularly over time, can lead to problems, he said: High blood pressure is the biggest modifiable stroke risk factor.
“If you took a magic wand and waved it and suddenly eliminated high blood pressure from the U.S. population, there would be 60% fewer strokes,” Kim said. “It’s by far the leading risk factor for stroke and we call it the silent killer because oftentimes, patients don’t feel it; you have to have it checked and monitored and treated.”
(My high blood pressure didn't occur until 10 years post stroke.)
“If you took a magic wand and waved it and suddenly eliminated high blood pressure from the U.S. population, there would be 60% fewer strokes.”
- Dr. Anthony Kim, University of California, San Francisco, Stroke Center
Skip Regular Check-Ups
“These risk factors oftentimes don’t have any real symptoms,” Wang said, which is a worrisome thing to think about. “A patient would never know that their blood pressure’s high, they wouldn’t know whether they have high cholesterol unless all of this is routinely tested or screened on a regular basis.”
This means it’s crucial that you visit your primary care doctor for the routine check-ups that they deem necessary. They’ll screen you for issues like high cholesterol and high blood pressure while checking other risk factors like your blood sugar and weight, too, he added.
“I think just being hyper-vigilant about those things, especially when these risk factors for stroke are very cryptic, meaning that they don’t manifest in any real symptoms, so it’s really important for patients to understand that so they take the actionable steps to see their doctor to get these routine screening tests,” Wang said.
Your doctor can also review any risk factors outside your control, like gender (strokes are more common in women, Wang said), race (they’re more common in Black people, he noted) and personal history.
“In terms of previous medical history, those who have had prior strokes in the past, or if one of their parents had a stroke in the past, are at a much higher risk of having a future stroke,” Wang said.
Smoke
According to both Kim and Wang, one of the habits that is high on a to-avoid list is smoking.
“That definitely increases the risk of stroke, and heart disease, for that matter,” Kim said.
“And one of the ways that it does that is by causing the blood vessels to become narrowed over time, and that can ultimately lead to blockages in blood flow to part of the brain, which is essentially what a stroke is,” he explained.
Never did.
T
Drink Too Much Alcohol
You’re probably aware that alcohol is not good for you. It’s linked to certain kinds of cancer, liver disease, and yes, stroke, too. Specifically, Kim said there is an “association between ... excessive alcohol use and heart disease and stroke risk.”
Alcohol recommendations vary by person, but, the CDC considers more than four drinks in one sitting for women or five drinks in one sitting for men to be excessive drinking. More than eight drinks per week for women and 15 drinks per week for men is also considered excessive drinking.
Generally, it’s accepted that women should not have more than one alcoholic drink a day and men should not have more than two, Kim said. These are also the recommendations put forth by the Dietary Guidelines for Americans.
(My alcohol use has expanded since my stroke because it lubricates my social connection which is going to prevent dementia. You doctors can shove your statements on alcohol.)
Ignore Your Diet
A proper diet is important for managing stroke risk, too. This means moderating foods that are full of saturated fats, sugar and salt, Wang said. (Additionally, Kim pointed out that there is a relationship between salt intake and high blood pressure, which, as we now know, is another stroke risk factor.)
When it comes to what you should eat, Kim points to the work of author and journalist Michael Pollan. This advice is “eat food, mostly plants, not too much,” Wang said. This means having a diet that’s rich in fruits and veggies with some meat added in.
Dismiss Necessary Treatment
Since strokes are so common in this country (and this world), it’s important that you’re aware of the signs and get treated as soon as possible. Available stroke treatments work better the sooner they’re done, Kim said.
“Because many strokes aren’t painful, and the symptoms of stroke vary so much, it’s important to recognize symptoms of stroke,” he said.
And, there’s a useful acronym to help people remember the signs — and that acronym is FAST, Kim said. FAST stands for “facial drooping, arm weakness, speech difficulty and time to call 9-1-1,” according to the American Stroke Association website.
“These are not the list of all potential stroke symptoms, but any one of those [factors] raises the suspicion that it could be a stroke, especially if it happens suddenly,” Kim noted.
And, once again, it’s important to remember that getting treatment as fast as possible is vital, he said.
