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.

Wednesday, February 11, 2026

Cognitive speed training linked to lower dementia risk over 20 years

 Will your doctor GUARANTEE NOT GETTING DEMENTIA by doing this? You are at a high risk of dementia.

I bet your fuckingly incompetent stroke medical 'professionals' DID NOTHING WITH THIS: 9+ years of incompetence and still has a job. Boy, your board of directors is a shitworthy piece of world class incompetence!

Cognitive speed training linked to lower dementia risk over 20 years

In a 20-year follow-up linking the randomised Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) trial to Medicare claims, older adults who received speed-of-processing training with booster sessions had a 25% lower risk of being diagnosed with Alzheimer’s disease and related dementias (ADRD), while memory and reasoning training showed no protective effect.

The findings, published in Alzheimer’s & Dementia: Translational Research and Clinical Interventions, provide the first long-term evidence that targeted, speed-based cognitive training may delay dementia diagnosis, offering clinicians a scalable, nonpharmacologic strategy to reduce ADRD risk in aging populations.

“Seeing that boosted speed training was linked to lower dementia risk 2 decades later is remarkable because it suggests that a fairly modest nonpharmacological intervention can have long-term effects,” said Marilyn Albert, PhD, Johns Hopkins Medicine, Baltimore, Maryland. “Even small delays in the onset of dementia may have a large impact on public health and help reduce rising health care costs.”

The researchers analysed the very long-term impact of cognitive training by linking participants from the ACTIVE trial to Medicare claims data spanning 1999 to 2019. The original trial enrolled a large, diverse cohort of older adults and randomised them to 1 of 4 groups: speed-of-processing training, memory training, reasoning training, or a control condition.

For the current analysis, the researchers focused on 2,021 participants enrolled in traditional Medicare at baseline and identified diagnoses of Alzheimer’s disease and related dementias using the Chronic Conditions Warehouse algorithm. Importantly, the speed-training arm included optional booster sessions, allowing researchers to assess whether continued reinforcement influenced long-term outcomes.

Over a 20-year follow-up period, participants who received speed-of-processing training and completed ≥1 booster sessions had a significantly lower risk of being diagnosed with ADRD compared with controls. In contrast, speed-trained participants who did not receive booster sessions showed no reduction in dementia risk, and neither memory nor reasoning training was associated with long-term protection.

“Our findings provide support for the development and refinement of cognitive training interventions for older adults, particularly those that target visual processing and divided attention abilities,” said George Rebok, PhD, Johns Hopkins Bloomberg School of Public Health. “It is possible that adding this cognitive training to lifestyle change interventions may delay dementia onset, but that remains to be studied.” 

Reference: https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/trc2.70197

SOURCE: Johns Hopkins Medicine

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