Deans' stroke musings: Cardiovascular stress during a contemporary stroke rehabilitation program: Is the intensity adequate to induce a training effect?

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.

Friday, April 22, 2016

Cardiovascular stress during a contemporary stroke rehabilitation program: Is the intensity adequate to induce a training effect?

I bet that the intensity is not enough to produce neurogenesis either. Only 15 years old and I bet this is still not known and applied in stroke centers. My therapists never wanted me to get tired.

The sweet spot for neurogenesis and getting the brain and body to produce the brain friendly hormones (factors) is 45 minutes or more at 75% of maximum heart rate (65% for women).

Cardiovascular stress during a contemporary stroke rehabilitation program: Is the intensity adequate to induce a training effect?

Presented as an abstract at the 26th International Stroke Conference, February 15, 2001, Fort Lauderdale, FL.

Marilyn J. MacKay-Lyons, PhD

Lydia Makrides, PhD

School of Physiotherapy, Dalhousie University (MacKay-Lyons, Makrides); and Health and Wellness Institute (Makrides), Halifax, NS, Canada

DOI: http://dx.doi.org/10.1053/apmr.2002.35089

Abstract

MacKay-Lyons MJ, Makrides L. Cardiovascular stress during a contemporary stroke rehabilitation program: is the intensity adequate to induce a training effect? Arch Phys Med Rehabil 2002;83:1378-83.
Objectives: To investigate the level of cardiovascular stress of physical therapy (PT) and occupational therapy (OT) sessions of a contemporary stroke rehabilitation program and to identify therapeutic activities that elicit heart rate responses adequate to induce a training effect.
Design: A descriptive, longitudinal study with heart rate and activity monitoring of PT and OT sessions at biweekly intervals, 2 to 14 weeks poststroke.
Setting: An acute inpatient stroke unit and inpatient and outpatient stroke rehabilitation units. Participants: A consecutive sample of 20 patients with ischemic stroke who participated in inpatient and outpatient stroke rehabilitation.
Intervention: Observation of routine PT and OT sessions for patients poststroke without influencing the extent and content of the sessions.
Main Outcome Measure: Time per session in which heart rate was within the calculated target heart rate zone.
Results: Time per PT session spent in target heart rate zone was low (2.8±0.9min), and per OT session was negligible (0.7±0.2min) over the course of rehabilitation. Conclusions: The PT and OT sessions between 2 and 14 weeks poststroke did not elicit adequate cardiovascular stress to induce a training effect. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation