Deans' stroke musings: A 2-year longitudinal study of physical activity and cardiovascular risk in survivors of stroke

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, May 18, 2021

A 2-year longitudinal study of physical activity and cardiovascular risk in survivors of stroke

What this means and what they totally missed is that to achieve this physical activity you need to be 100% recovered mentally and physically.

A 2-year longitudinal study of physical activity and cardiovascular risk in survivors of stroke

Physical Therapy , Volume 101(2)

NARIC Accession Number: J86085. What's this?
ISSN: 0031-9023.
Author(s): Fini , Natalie A. ; Bernhardt, Julie ; Churilov, Leonid ; Clark, Rebecca ; Holland, Anne E..
Publication Year: 2021.
Number of Pages: 9.

Abstract:

Study explored associations between physical activity, cardiovascular risk factors, mobility, mood, fatigue, and cognition over 2 years following discharge from stroke rehabilitation. Survivors of first-ever stroke were evaluated at rehabilitation discharge and 6, 12, and 24 months later. The primary outcome was moderate-to-vigorous physical activity (MVPA) duration, assessed with an electronic monitor. Secondary outcomes included step count; the number and duration of MVPA and sedentary bouts; cardiovascular risk factors (e.g., blood pressure, fasting lipid profile, body mass index [BMI]); gait speed and endurance; mood; fatigue; and cognition. Associations between physical activity and cardiovascular risk factors over time were assessed with random-effects regression modeling. Associations between baseline characteristics and physical activity at 2 years were explored using regression modeling. Seventy-nine participants (68.4 percent men) with a mean age of 65 years and a median gait speed of 1.2 meters per second were included at baseline. Associations were found between higher physical activity (MVPA duration, number and duration of MVPA bouts) and lower BMI. Better gait speed, endurance, and cognition at baseline were associated with higher MVPA and step count at 2 years. Duration and bouts of MVPA are associated with BMI. Increasing MVPA and bouts of MVPA may be a valuable treatment goal to reduce cardiovascular risk in survivors of stroke. This study found that MVPA is associated with important cardiovascular risk factors in people who have survived stroke. Understanding these associations could be useful for developing effective treatments to prevent recurrent stroke.
Descriptor Terms: AMBULATION, CARDIOVASCULAR FUNCTION, EXERCISE, LONGITUDINAL STUDIES, MENTAL HEALTH, MOBILITY, PHYSICAL THERAPY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Fini , Natalie A. , Bernhardt, Julie , Churilov, Leonid , Clark, Rebecca , Holland, Anne E.. (2021). A 2-year longitudinal study of physical activity and cardiovascular risk in survivors of stroke. Physical Therapy , 101(2) Retrieved 5/18/2021, from REHABDATA database.