Deans' stroke musings
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 33,236 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.
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, May 31, 2026
Effortless Exercise Automatic Hand Trainer Gloves
The People Who Stay Active Into Their 70s and 80s Have One Thing in Common by SIM60(Still in Motion)
I'll never stop, it is part of my identity. My goal in life is to have fun and I'm successful at that. A woman friend said the goal in life is love. Since this was a text conversation I couldn't easily explain that love takes too long
The People Who Stay Active Into Their 70s and 80s Have One Thing in Common.
THIS WEEK'S STORY
I’ve been lucky enough to know a handful of people in their seventies and eighties who move the way most people in their fifties wish they could. One of them is a 79-year-old I met at a gym about four years ago. He was doing single-leg Romanian deadlifts with a kettlebell when I walked in. Barefoot.
I asked him, as respectfully as I could manage, what his secret was.
He thought about it for a few seconds. Not a humble pause — he was genuinely thinking.
“I never decided to stop,” he said. “Most people at some point decide. They don’t say it out loud, but they decide. I just never did.”
That stuck with me. Because he wasn’t describing a workout philosophy or a nutrition protocol or a particularly well-designed program. He was describing an identity.
He was a person who moves. Not a person who used to move. Not a person trying to get back to moving. A person who moves, in the present tense, as an expression of who he is. The training wasn’t something he scheduled around his life. It was woven into how he understood himself.
That difference — between training as behavior and training as identity — is the single biggest predictor of long-term adherence I’ve ever observed. And it’s trainable.
THE MAIN MESSAGE
Motivation is unreliable. Identity is durable. When “I work out” becomes “I am someone who moves,” the decision calculus changes. You’re not asking whether you feel like training today. You’re asking whether you want to act inconsistently with who you are. That’s a harder question to answer with a no.
Four things that shift training from behavior to identity:
-- Consistency over intensity. Showing up for a thirty-minute session when you’re tired does more for long-term identity reinforcement than a perfect two-hour session once a week. Every time you show up, you cast a vote for who you are.
-- Environment and social cues. People who train with others, even occasionally, maintain activity significantly longer than those who train alone. If the people around you move, moving becomes normal.
-- Reframing setbacks. Someone who misses a week due to illness and gets back on day eight is living the identity. The setback is the exception. The return is the confirmation.
-- Connecting training to values, not outcomes. “I train because I want to be capable and independent at 80” is more durable than “I train to lose fifteen pounds.” Capability and independence don’t have a finish line. (I bought a 4 level condo so I can do steps til the day I die and can travel in Europe where restaurant bathrooms are in the basement. So I am also outcome based)
You have already done the hard part. You’re reading a newsletter about movement at an age when most people have stopped asking these questions. The identity is already forming. The job now is to protect it, feed it, and treat every session — however imperfect — as a confirmation of who you are.
Sensorimotor function associated with mild cognitive impairment
Margaret Yekutiel wrote a whole book about this in 2001, 'Sensory Re-Education of the Hand After Stroke'.
Of course, your competent? doctor put together somatosensory protocols from this earlier research a long time ago to prevent cognitive impairment, right? Oh no, you DON'T have a functioning stroke doctor, do you? Too bad, it's your problem to solve since your stroke hospital board of directors is fucking incompetent in running their hospital! 25 years of incompetence! WOW, that's got to be a record for staying incompetent!
I bet your doctor isn't competent enough to get this research going in stroke subjects!
Sensorimotor function associated with mild cognitive impairment
Key takeaways:
- The links between sensory and motor impairments and mild cognitive impairment remain poorly understood.
- These associations persisted across two large cross-sectional cohorts.
Higher sensorimotor function was associated with reduced likelihood of mild cognitive impairment in two cohorts of older individuals, according to findings published in Alzheimer’s & Dementia.
“Identifying precursors to mild cognitive impairment (MCI) — the transitional stage between unimpaired cognition and dementia — is a public health priority,” Amal A. Wanigatunga, PhD, MPH, FACSM, assistant professor of epidemiology, Johns Hopkins Bloomberg School of Public Health, and colleagues, wrote.
Data derived from Wanigatunga AA, et al. Alz & Dem. 2026;doi:10.1002/alz.71332.
The potential links between sensory and motor impairments and MCI remain poorly understood, according to the researchers. “Their integrated contribution as a sensorimotor construct remains underexplored,” they wrote.
Wanigatunga and colleagues analyzed cross-sectional data from the Atherosclerosis Risk in Communities (ARIC; n = 880; 63,4% women) and Baltimore Longitudinal Study of Aging (BLSA; n = 681; 56.8% women). The mean age of participants in the ARIC cohort was 78.9 years, while the mean age of the BLSA cohort was 74.4 years, according to the findings.
Eligibility criteria stipulated that individuals with stroke, Parkinson’s disease or dementia were excluded from the study.The researchers compiled a composite score for sensorimotor function that included variables such as hearing, vision, olfaction, balance, gait speed, and grip strength.
Assessment of participants in the ARIC cohort showed that 59% had unimpaired balance, while 71% had unimpaired walking speed, 65% had unimpaired strength and performance, and 61% demonstrated unimpaired handgrip strength. Sensory function data showed that 42% had unimpaired hearing, 27% reported unimpaired vision, and 84% reported unimpaired olfaction.
The researchers added that participants in the ARIC cohort demonstrated more unimpaired motor and sensory function prevalence than the BLSA cohort, including parameters of balance, upper extremities motor strength and vision.
Results showed that higher sensorimotor function carried an inverse association with MCI in individuals from both the ARIC cohort (OR = 0.53; 95% CI, 0.4–0.71) and the BLSA cohort (OR = 0.59; 95% CI, 0.43–0.81).
This trend persisted across adjusted analyses for age, race, sex, education and BMI in both cohorts. Moreover, morbidity and depressive symptoms also failed to reduce the significance of the associations.
“Sensorimotor function appears robustly related with MCI in a large sample of older adults,” Wanigatunga and colleagues concluded. “These findings highlight the potential value of incorporating sensorimotor assessments in early detection for cognitive decline.”
A new brain study just blew up one of aging’s most popular myths
There is no way I'm going to decline as I age, my social connections are vast, my ability to handle adversity is great, never been depressed a day in my life.
I'd have to say my resilience is quite high!
Why my stroke was the best thing to ever happen to me
The latest here:
A new brain study just blew up one of aging’s most popular myths
A new scientific study challenges one of the most widely believed ideas about aging—and the findings could change how we think about cognitive decline. Here are some quick steps to take now.
A new study reveals that brain health can be measurably improved at virtually any age, challenging long-held beliefs about cognitive decline as we age. The biggest winners weren’t who you might expect.
Researchers at the Center for Brain Health at The University of Texas at Dallas tracked a group of nearly 4,000 participants — from ages 19 to 94 — over the course of 3 years. They found that targeted, brain-healthy habits were linked to gains in cognitive performance across age groups.
Findings suggest there’s no limit to improvement
The longitudinal study tracked participant performance using the BrainHealth Index, a holistic measure of brain fitness that captures upward potential across three key pillars: clarity (reasoning skills), emotional balance (ability to handle adversity), and connectedness (to people and purpose).
Perhaps the most surprising takeaway from the study? The participants who entered the study with the lowest brain health scores went on to show the steepest improvements, pushing back against the idea that poor brain health is fixed.
“For too long, we’ve operated under the outdated notion that we need to wait until something bad happens to our brain before we do anything for it,” said Sandra Bond Chapman, PhD, chief director of Center for BrainHealth and distinguished professor at UT Dallas:
“This study reminds us that our brain is not defined by age, it is defined by possibility. Humans have already expanded how long we live. Now, we are expanding how long the brain can continue to improve, disrupting the trajectory of decline that often begins in our early 30s. Because the true promise of longer life is a brain that allows us to thrive year by year.”
Younger participants improved at rates comparable to those in their 70s and 80s, upending the notion that proactive brain care is primarily a concern for older adults.
The gains witnessed across age groups and performance levels weren’t driven by intense training. Participants who spent just five to fifteen minutes a day on microtraining exercises and wove brain-healthy habits into their existing routines consistently outperformed those who engaged less — suggesting that frequency and consistency matter far more than the scale of effort.
The Rebound Effect
Researchers identified what they describe as a rebound effect, according to SciTechDaily. Individuals used cognitive strategies to recover, maintain, or even increase brain health during major life stressors, such as illness, job loss, or caregiving for loved ones. This further suggests that brain health is trainable with the right tools.
While the results of the study are optimistic, they come with some limitations, especially around demographic diversity.
The sample skewed heavily toward older, White, and highly educated adults, which limits how broadly the findings can be applied. Among participants aged 26 and older — who make up approximately 97 percent of the total sample — over 86 percent were White and over 86 percent held at least a bachelor’s degree.
“Future efforts should focus on improving demographic diversity and retention as well as integrating precision brain health into public health initiatives,” researchers noted in the study’s abstract.
This post originally appeared at inc.com.
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Saturday, May 30, 2026
Targeted ankle proprioceptive training improves balance, gait, and functional mobility in chronic stroke survivors: a multicenter randomized controlled trial with longitudinal follow-up
Did your competent? doctor give you ANYTHING TO RECOVER PROPRIOCEPTION? NO? So, fucking incompetent then!
You need to create EXACT PROTOCOLS FOR THIS! And completely failed at that! NO protocol and no delivery to all stroke hospitals!
Targeted ankle proprioceptive training improves balance, gait, and functional mobility in chronic stroke survivors: a multicenter randomized controlled trial with longitudinal follow-up
- Muslim Khan,
- Ayman Abdullah Alhammad,
- Mshari Alghadier,
- Saeed Mufleh Alnasser,
- Abdullah Basheer Alanazi,
- Hasan Ali Abdullah AlAidarous,
- Engy BadrEldin S Moustafa,
- Mohammad Ahmad Sharahily,
- Mohammed Ibrahim Amri &
- Edward Muteesasira
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.
Abstract
Background
One of the most common predictors of post-stroke balance and gait problems is ankle proprioceptive impairment. Previous cross-sectional studies have shown strong links, especially with inversion proprioception, but causality, progression over time, and effectiveness in severe cases has not been proven.
Objective
To determine the causal effects of ankle proprioceptive training on balance, gait, and mobility in moderate-to-severe and non-ambulatory chronic stroke survivors, and to examine the long-term impact of proprioception training across different stroke stages.
Methods
A total of 132 participants (mean age 58.4 ± 11.2 years; 18 to 72 months post stroke) completed the 12 weeks of intervention and immediate post-intervention assessments, (68 were randomly assigned to the intervention group(proprioceptive ankle training) while 64 to the control group(standard rehabilitation)).The primary outcome was weight-bearing ankle proprioception, assessed with the Active Movement Extent Discrimination Apparatus (AMEDA) while the secondary outcomes included the Berg Balance Scale (BBS), Timed Up and Go Test (TUG), 10-meter walk test (10-MWT), Fugl-Meyer Lower Extremity Test (FM-LE), and Functional Ambulation Category(FAC). An assessment from acute to chronic stages was conducted on a longitudinal subsample (n = 42).
Results
The intervention led to significant and clinically meaningful improvements in proprioception (inversion Δ = 0.21), balance(BBS + 12.4 points), gait speed (+ 0.32 m/s)(TUG), and mobility(10-MWT, FM-LE, FAC), which were sustained at 6-month follow-up (all p < 0.001). Benefits were evenly observed in severe/non-ambulatory individuals who experienced a stroke. This was supported by mediation analysis showing that 72% of the functional gains in severe/non-ambulatory chronic stroke participants were influenced by improved inversion proprioception. Longitudinal data indicated a progressive bilateral decline, with the earliest and steepest drop occurring in inversion.
Conclusion
Targeted proprioceptive exercises are causally efficacious in enhancing functional recovery across all levels of severity in post stroke populations and it therefore compliments routine clinical practice.
Trial registration This study was retrospectively registered at Clinical Trials.gov (Registration Number NCT07420608) on 18th February,2026.