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.

Friday, February 13, 2026

Impact of cognitive training on claims-based diagnosed dementia over 20 years: evidence from the ACTIVE study

 

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!

Impact of cognitive training on claims-based diagnosed dementia over 20 years: evidence from the ACTIVE study


Abstract

INTRODUCTION

The very long-term effect of cognitive training on the risk of Alzheimer's disease and related dementias (ADRD) is unknown.

METHODS

This study links data from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study (a four-arm randomized controlled trial of cognitive training in a large, diverse sample) to Medicare claims (1999 to 2019). Inclusion in the analyses required being enrolled in traditional Medicare at baseline (n = 2021). ADRD was measured with the Chronic Conditions Warehouse algorithm.

RESULTS

Participants randomized to the speed-training arm who completed one or more booster sessions had a significantly lower risk of diagnosed ADRD (hazard ratio [HR]: 0.75, 95% confidence interval [CI]: 0.59, 0.95), while speed-trained participants with no booster training did not have a lower risk of diagnosed ADRD (HR: 1.01, 95% CI: 0.81, 1.27). There was no main effect of memory or reasoning training on risk of ADRD.

CONCLUSIONS

Cognitive training involving speed of cognitive processing has the potential to delay the diagnosis of ADRD.

Highlights

  • The ACTIVE study (a four-arm randomized controlled trial of cognitive training in a large, representative sample) reports that the speed intervention arm of the study showed a reduced likelihood of being diagnosed with ADRD over a 20-year follow-up period.
  • No prior cognitive training intervention has been shown to reduce risk of ADRD over a 20-year period.
  • Cognitive training involving speeded, dual attention, adaptive tasks has the potential to delay the diagnosis of ADRD.

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