High Repetition Activity in Stroke Rehabilitation

 You really do know ABSOLUTELY NOTHING ABOUT STROKE RECOVERY, DO YOU? Nothing about motivation or why you don't want to do high intensity training!

My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION/ENGAGEMENT, DO YOU? You create EXACT 100% recovery protocols and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. GET THERE!

Your competent? doctor WILL 100% GUARANTEE that HIT(High intensity training) will not cause a stroke? By verifying that your aneurysms will not blow out? Not just pooh poohing your question?

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?

The latest here:

High Repetition Activity in Stroke Rehabilitation

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https://doi.org/10.1016/j.apmr.2025.01.230

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Objectives

To investigate the effect of a high-repetition active motion home program in stroke rehabilitation.

Design

Institutional review board–approved case series with ten stroke survivor participants, at least 3 months poststroke. The in-clinic visits included pre and postintervention tests, training of device use, and a 2-week home-based intervention.

Setting

Outpatient therapy services clinic for testing and training and home setting for intervention.

Participants

All participants provided written informed consent per the institutional review board. Inclusion and exclusion criteria was used for selection of ten observational stroke survivor participants, at least 3 months poststroke. Referral was from Johns Hopkins physicians and outpatient therapy clinicians.

Interventions

Pre and postintervention arm function were measured in-clinic using the Action Research Arm Test (ARAT) and spasticity using the Modified Ashworth Scale (MAS). Participants completed a preintervention and postintervention survey on the ease of use of the device. Participants were trained in the use of the device and given a structured home-based 6 x week program including a recommended 600 reps. per day of active arm motion using the device, self-stretches, and functional use of the affected arm.

Main Outcome Measures

Arm function test using ARAT, spasticity using MAS, a preintervention and postintervention ease of device use survey, 3 postintervention open-ended questions about challenges in use of the device, adherence to the prescribed program, and motivation to use the affected arm in daily activities.

Results

The average number of repetitions achieved by each participant per day was 899.5±423. The ARAT score for arm function increased by (mean±SD) 7.1±3.9 and the MAS score for spasticity reduced by 1.0±0.6. Subjectively, there was increased reported actual the ease of use of the device postintervention compared with that anticipated preintervention; 90% of the participants reported little difficulty completing the program despite stroke- and device-related challenges and expressed increased motivation to use the arm.

Conclusions

A structured home program using high-repetition gaming devices may mitigate barriers to motivation, adherence, accessibility, and participation for stroke survivors. This study demonstrates the effect of a high-repetition active motion program at home in moderately impaired stroke survivors(So you are willing to let other survivors languish because you INCOMPETENTLY did not plan on getting them recovered?) with measurable clinically important differences in arm function and spasticity scores in a short time frame. Key ingredients include a gaming device designed for moderately impaired stroke survivors, detailed instructions on using the device, stretching, and arm use for daily activities provided by an occupational therapist.

Disclosures

none.

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