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 23, 2021

Implementation of high-intensity stepping training during inpatient stroke rehabilitation improves functional outcomes

Your doctor needs to reconcile the HIT(High intensity training) that Andrew Marr blames for causing his stroke and your cardiac health. YOUR DOCTOR'S RESPONSIBILITY! 

And your doctor will 100% guarantee that HIT will not cause a stroke? By verifying that your aneurysms will not blow out?

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?

A couple of videos I found, can't do either of these with any speed because of my spasticity and the arm swinging is impossible.

HIGH INTENSITY Step Cardio Class

HIIT Step Cardio CRUSH // 30 minute, at home workout

 

 

The latest here:

 Implementation of high-intensity stepping training during inpatient stroke rehabilitation improves functional outcomes

Stroke , Volume 51(2) , Pgs. 563-570.

NARIC Accession Number: J85927.  What's this?
ISSN: 0039-2499.
Author(s): Moore, Jennifer L. ; Nordvik, Jan E. ; Erichsen, Anne ; Rosseland, Ingvild ; Bø, Elisabeth ; Hornby, T. George.
Project Number: H133B031127.
Publication Year: 2020.
Number of Pages: 19.
Abstract: Study investigated the comparative effectiveness of providing high-intensity training on locomotor capacity early post-stroke as compared to usual care. A quasi-experimental design was used to compare changes in stepping activity (StepWatch®), walking, and balance outcomes for 56 usual care versus 54 high-intensity stepping intervention inpatient stroke patients. Primary outcomes assessed weekly included self-selected and fastest gait speed, the 6-Minute Walk Test (6MWT) and the Berg Balance Scale (BBS). Secondary outcomes were the Swedish Postural Assessment Scale for Stroke-Norwegian version, the Functional Ambulation Category (FAC), 30-second sit-to-stand, strength (average manual muscle testing), and the Barthel Index. Regression analyses identified relationships between demographics, baseline function, and training activities (steps/day, duration achieved 70–85 percent of maximum heart rates) and primary outcomes at discharge. Following implementation of high-intensity stepping, average steps/day (5,777) was significantly greater than during usual care (3,917). Statistically different and clinically meaningful changes in self-selected and fastest gait speeds were observed following high-intensity interventions vs usual care, and at every assessment throughout the length of stay. Changes in BBS and 6MWT were also statistically and clinically different between groups, while secondary measures of FAC and strength were also different at discharge. Primary predictors of improved walking capacity were steps/day, baseline impairments, and age. Provision of high-intensity stepping training applied during inpatient rehabilitation resulted in significantly greater walking balance outcomes. This training paradigm should be further tested in other contexts to determine the generalizability to real world and community settings.
Descriptor Terms: AMBULATION, EQUILIBRIUM, EXERCISE, MOBILITY TRAINING, POSTURE, REHABILITATION, STROKE.


Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034641/.

Citation: Moore, Jennifer L. , Nordvik, Jan E. , Erichsen, Anne , Rosseland, Ingvild , Bø, Elisabeth , Hornby, T. George. (2020). Implementation of high-intensity stepping training during inpatient stroke rehabilitation improves functional outcomes.  Stroke , 51(2), Pgs. 563-570. Retrieved 4/23/2021, from REHABDATA database.

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