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, February 1, 2025

The effect of physical exercise and cognition- orientated interventions on post-stroke cognitive function: Protocol for an overview of reviews

Didn't this earlier research already answer the question? This just seems like a cheap way to get published but providing NOTHING NEW!

The latest here:

 The effect of physical exercise and cognition-orientated interventions on post-stroke
cognitive function: Protocol for an overview of reviews

STUDY PROTOCOL
The effect of physical exercise and cognition-
orientated interventions on post-stroke
cognitive function: Protocol for an overview of
reviews
James SmithID*, Philip Nagy, David Tod, Carol Holland, Hannah Jarvis
Faculty of Health and Medicine, Lancaster University, Lancaster, United Kingdom
* j.a.smith6@lancaster.ac.uk
Abstract
Background
Strokes are becoming more common, and with improving survival rates, the prevalence of
stroke survivors has increased. Almost half of chronic stroke survivors are cognitively
impaired, and healthcare services are struggling to manage these patients, leaving some
feeling “abandoned”. Several systematic reviews have investigated the effect of physical
exercise and cognition-orientated interventions on post-stroke cognitive impairment, and
have produced conflicting findings, making it difficult for clinicians and guideline producers
to make evidence-based decisions. This overview of reviews aims to provide a comprehen-
sive overview of systematic reviews investigating the effect of physical exercise and cogni-
tion-orientated interventions on post-stroke cognitive function, assess methodological
quality and certainty of evidence, and identify sources of discordance between these
reviews.
Methods
Eight databases–Embase, Medline, CINAHL, Psycinfo, SPORTDiscus, The Cochrane
Database of Systematic reviews, Epistemonikos, and Scopus–plus grey literature sources
will be searched. The eligibility criteria include systematic reviews of trials that included an
adult stroke population and investigated physical exercise and/or cognition-orientated inter-
ventions. Only reviews that assessed at least one of the DSM-5 neurocognitive domains will
be included. Screening, data extraction, and quality appraisal will be conducted by two inde-
pendent reviewers. Methodological quality, certainty of evidence, and primary study overlap
will be assessed using the AMSTAR-2, GRADE, and GROOVE tools, respectively. Inter-
ventions will be grouped into exercise, cognition-orientated, and combined interventions,
and findings will be synthesised narratively. Heterogeneity assessment will be conducted to
identify factors causing discordance between reviews.PLOS ONE
PLOS ONE | https://doi.org/10.1371/journal.pone.0318567 January 29, 2025 1 / 12

OPEN ACCESS
Citation: Smith J, Nagy P, Tod D, Holland C, Jarvis
H (2025) The effect of physical exercise and
cognition-orientated interventions on post-stroke
cognitive function: Protocol for an overview of
reviews. PLoS ONE 20(1): e0318567. https://doi.
org/10.1371/journal.pone.0318567
Editor: Sascha Ko¨pke, University Hospital Cologne:
Uniklinik Koln, GERMANY
Received: August 14, 2024
Accepted: January 17, 2025
Published: January 29, 2025
Copyright: © 2025 Smith et al. This is an open
access article distributed under the terms of the
Creative Commons Attribution License, which
permits unrestricted use, distribution, and
reproduction in any medium, provided the original
author and source are credited.
Data Availability Statement: A project has been
created on the Open Science Framework (osf.io/
8fr54), where all data related to this review will be
shared.
Funding: The author(s) received no specific
funding for this work.
Competing interests: The authors have declared
that no competing interests exist.
Abbreviations: AMSTAR 2, A measurement tool to
assess systematic reviews 2; CCA, Corrected
Discussion
The findings of this overview will allow decision makers to make evidence-based decisions,
stratified by methodological quality and certainty of evidence. Heterogeneity assessment
may identify factors causing discordance between systematic reviews, which could inform
the design of future studies.
Trial registration
Registration: PROSPERO CRD42024534179.
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