And your doctor and therapists 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?
For me to even attempt HIT on walking I would need my spasticity cured so my knee and hip won't deteriorate.
The latest here:
The association between inpatient rehabilitation intensity and outcomes after stroke in Ontario, Canada
Abstract
Background:
Several
studies have demonstrated improved outcomes poststroke when higher
intensity rehabilitation is provided. Canadian Stroke Best Practice
Recommendations advise patients receive 180 min of therapy time per day;
however, the exact amount required to reach benefit is unknown.
Aims:
The
primary aim of this study was to determine the association between
rehabilitation intensity (RI) and total Functional Independence Measure
(FIM) Instrument change. Secondary aims included determining the
association between RI and discharge location, 90-day home time,
rehabilitation effectiveness, and motor and cognitive FIM change.
Methods:
A
retrospective cohort study was conducted using available administrative
databases of acute stroke patients discharged to inpatient
rehabilitation facilities in Ontario, Canada, from January 2017 to
December 2021. RI was defined as number of minutes per day of direct
therapy by all providers divided by rehabilitation length of stay. The
association between RI and the outcomes of interest were analyzed using
regression models with restricted cubic splines.
Results:
A total of
12,770 individuals were included. Mean age of the sample was
72.6 years, 46.0% of individuals were female, and 87.6% had an ischemic
stroke. Mean RI was 74.7 min (range: 5–162 min) per day. Increased RI
was associated with an increase in mean FIM change. However, there was
diminishing incremental increase after reaching 95 min/day. Increased RI
was positively associated with motor and cognitive FIM change,
rehabilitation effectiveness, 90-day home time, and discharge to
preadmission setting. Higher RI was associated with a lower likelihood
of discharge to long-term care.
Conclusions:
None
of the patients met the recommended RI of 180 min/day based on the
Canadian Stroke Best Practice Recommendations. Despite this, higher
intensity was associated with better outcomes. Given that most positive
associations were observed with a RI ⩾95 min/day, this may be a more
feasible target.
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