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.

Saturday, April 6, 2024

How Interconnectedness Affects Elderly Resilience

 Post stroke EXACTLY HOW is your competent? doctor ensuring you have this interconnectedness/reserve capacity? You need vast amounts of resilience because your doctor has completely failed to get you 100% recovered, and you need that resilience to find out how you can recover/compensate on your own!

How Interconnectedness Affects Elderly Resilience

Summary: A new study illuminated the consequences of a tighter interconnection between different domains of functional capacity in the elderly, pointing towards a reduced resilience in the system. This study reveals that in older populations and those in poorer health, the domains of functional capacity—mobility, sensory, cognitive, and mental functions—are more closely linked, making the system vulnerable to cascading failures.

By examining the interconnectedness through network analysis, the research suggests that maintaining a balance between interconnectedness and independence within these domains is crucial for preserving functional capacity and overall well-being in old age.

Key Facts:

  1. Tight interconnections between functional capacity domains in the elderly may signal reduced system resilience, leading to cascading failures.
  2. The study utilized network analysis to reveal closer links among functional capacity domains in older adults and those with poorer health.
  3. Maintaining enough reserve capacity allows for adaptation and compensation, which is essential for aging populations to maintain quality of life.

Source: University of Jyväskylä

In old age, a tighter interlinkage between different domains of functional capacity may indicate a loss of system resilience.

This was observed in a study conducted at the Faculty of Sport and Health Sciences at the University of Jyväskylä, Finland. When functional capacity domains are tightly interconnected, a disruption in one domain can affect others and lead to a collapse in functioning.

It is therefore important to look at functioning as a whole and to take care of the different aspects of physical and mental well-being.

This shows an elderly couple holding hands.
Different resources also allow for modifying behavior so that important things can still be done. Credit: Neuroscience News

Human functional capacity can be thought of as an ecosystem consisting of different components such as mobility, sensory, cognitive, and mental functions. As a person ages, the resilience of the functional capacity system enables it to maintain and recover when faced with setbacks or challenges. 

The population-based study used network analysis to investigate the interconnectedness of different domains of functional capacity.

The results showed that the functional capacity domains were more closely linked in older people and those with poorer health. The resilience of the functional capacity system may have similar features to resilience in other systems, such as natural systems or the economy. 

“For example, a highly networked economy across national borders has been seen to increase the vulnerability of supply chains. The same idea can apply to health and functioning,” says postdoctoral researcher Kaisa Koivunen. 

“Although the body and mind are interconnected, they must also be sufficiently independent of each other. A tightly interconnected system can lead to a domino effect: a disruption in one area of functioning may spill over to the rest of the system, eventually collapsing it.” 

A resilient functional capacity system has, for example, sufficient muscle strength reserves, so that its deterioration, for example during bed rest, does not lead to a loss of walking ability, which in turn could lead to depressive symptoms. Different resources also allow for modifying behavior so that important things can still be done. 

“People are generally able to adapt if they have enough reserve capacity. They can compensate for one impaired capacity with other capacities,” says the Principal Investigator of the AGNES study, Professor Taina Rantanen.   

“For example, it is possible to move around despite reduced mobility if you can drive a car. This is possible if other aspects of functional capacity, such as good levels of information processing and sensory function, allow it. As compensatory mechanisms are depleted, resilience of functional capacity is reduced.”  

The conducted research provides a basis for applying approaches to systems resilience from other disciplines to the study of health and functional capacity. 

“As we age, sudden shifts, that is, critical transitions, in health and functioning can occur if a disturbance, such as an illness, exceeds the body systems’ capacity to cope,” Koivunen says.  

“Such tipping points and critical transition phenomena have long been studied, for example in natural systems in the context of global warming, but less in the context of human health and functioning.”  

Koivunen speculates that in the future it may be possible to determine whether the tipping point between “functional ability” and “impaired functioning” is approaching, for example, by examining the density of the body systems network. 

“In aging societies, preserving people’s functional capacity for as long as possible is important for maintaining a good quality of life,” Koivunen says.  

The study is part of the AGNES project funded by the European Research Council and the Research Council of Finland, which involved over a thousand people from Jyväskylä, Finland, at the ages of 75, 80, and 85. The study was conducted at the Faculty of Sport and Health Sciences and the Gerontology Research Center (GEREC).

Funding: The study has also been funded by JYU.Well – an interdisciplinary community of wellbeing researchers from the University of Jyväskylä and Juho Vainio Foundation.  

About this aging research news

Author: Katri Lehtovaara
Source: University of Jyväskylä
Contact: Katri Lehtovaara – University of Jyväskylä
Source: The image is credited to Neuroscience News

Original Research: Closed access.
Investigating resilience through intrinsic capacity networks in older adults” by Kaisa Koivunen et al. The Journals of Gerontology Series A

No comments:

Post a Comment