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, April 26, 2022

Nutritional Supplementation in Stroke Rehabilitation: A Narrative Review

So use in recovery for regular persons is not warranted.

Nutritional Supplementation in Stroke Rehabilitation: A Narrative Review

Sung-Hwa Ko,1,2 and Yong-Il Shin1,2
1Department of Rehabilitation Medicine, Rehabilitation Hospital and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
2Department of Rehabilitation Medicine, Pusan National University School of Medicine, Yangsan, Korea.

Correspondence to Yong-Il Shin. Department of Rehabilitation Medicine, Rehabilitation Hospital and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital and Department of Rehabilitation Medicine, Pusan National University School of Medicine, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Korea. Email: rmshin01@gmail.com ,Email: rmshin@pusan.ac.kr

Received March 14, 2022; Revised March 16, 2022; Accepted March 17, 2022.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



Abstract

Malnutrition is associated with increased mortality and poor functional recovery after stroke. Most guidelines for stroke rehabilitation strongly recommend nutritional screening for malnutrition. Nutritional status after stroke is related to long-term outcomes, and nutritional supplementation is recommended for stroke patients with malnutrition and those at risk of malnutrition. However, routine nutritional supplementation in stroke patients, regardless of nutritional status, is not correlated with improved functional outcomes, and nutritional supplementation is not recommended if the nutritional status is adequate. Nutritional supplementation with protein, amino acids, vitamins, and minerals positively affects recovery after stroke, with improvements seen in motor function, cognition, activities of living, and mood. However, the evidence is insufficient due to the small number of studies and the lack of well-designed randomized controlled studies. Therefore, nutritional supplementation for stroke patients in rehabilitation should not be uniform, and individual nutritional interventions based on an assessment of the patient’s nutritional status should be provided.

Highlights

  • • In stroke rehabilitation, nutritional supplementation for malnutrition is required.

  • • Nutritional supplementation may affect positive outcomes after stroke.


Keywords:
Dietary Supplements; Malnutrition; Nutritional Status; Stroke; Rehabilitation
INTRODUCTION

Stroke, which is one of the most common and severe neurological diseases, is among the leading causes of death and disability worldwide. Stroke patients are at risk for dehydration and malnutrition due to dysphagia, cognitive impairment, and decreased consciousness.

Nutritional status may deteriorate during the acute phase after stroke for various reasons, including surgery and energy consumption, and malnutrition is associated with increased mortality and poor functional recovery in stroke patients [1, 2, 3, 4]. Malnutrition can also persist after stroke if it is not managed effectively. The key components of nutritional management include nutritional screening, assessment, and supplementation. Many guidelines for stroke rehabilitation recommend screening for malnutrition and providing nutritional supplementation [5, 6, 7, 8, 9]. Herein, we review nutritional supplementation in stroke rehabilitation for functional recovery, with a focus on general nutritional supplementation with protein/amino acids, vitamins, and minerals.

Brain Neurorehabil. 2022 Mar;15(1):e3. English.
Published online Mar 25, 2022.  https://doi.org/10.12786/bn.2022.15.e3
Copyright © 2022. Korean Society for Neurorehabilitation
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