How much rest should you have after a stroke? Doctors and researchers keep pushing ASAP. Is that correct or not? We'll never know because we have NO fucking leadership or strategy in stroke. The boards of directors of our stroke associations are completely failing at giving requirements to their presidents. 'Solve all the problems in stroke, We don't care how BHAGs they are'. Based on these articles which way does your doctor fall? If we had stroke protocols we could put in pros/cons and add new information as needed. But we don't. Your children and grandchildren will be screwed also if we don't replace all the existing stroke leadership with competent survivors.
WASHINGTON — Doctors who order several days of rest
after a person suffers a concussion are giving sound advice, say
researchers, and new data from animal models explains why.
Georgetown University Medical Center neuroscientists say rest — for
more than a day — is critical for allowing the brain to reset neural
networks and repair any short-term injury. The new study in mice also
shows that repeated mild concussions with only a day to recover between
injuries leads to mounting damage and brain inflammation that remains
evident a year after injury.
“It is good news that the brain can recover from a hit if given
enough time to rest and recover. But on the flip side, we find that the
brain does not undertake this rebalancing when impacts come too close
together,” says the study’s lead researcher, Mark P. Burns, PhD,
assistant professor of neuroscience at GUMC and director of the
Laboratory for Brain Injury and Dementia.
This first-of-its-kind study, published in the March 2016 issue of
American Journal of Pathology, modeled repeated mild head trauma as a
means to investigate brain damage that occurs after a sports, military
or domestic abuse injury.
Investigators developed a mouse model of repetitive, extremely mild
concussive impacts conducted while the mouse is anesthetized. They
compared the brain’s response to a single concussion with an injury
received daily for 30 days and one received weekly over 30 weeks.
Mice with a single insult temporarily lose 10-15 percent of the
neuronal connections in their brains, but no inflammation or cell death
resulted, Burns says. With three days rest, all neuronal connections
were restored. This neuronal response is not seen in mice with daily
concussions, but the pattern is restored when a week of rest is given
between each insult, Burns says.
When a mild concussion occurred each day for a month, inflammation
and damage to the brain’s white matter resulted. “This damage became
progressively worse for two months and remained apparent one year after
the last impact,” Burns says.
“The findings mirror what has been observed about such damage in
humans years after a brain injury, especially among athletes,” Burns
says. “Studies have shown that almost all people with single concussions
spontaneously recover, but athletes who play contact sports are much
more susceptible to lasting brain damage. These findings help fill in
the picture of how and when concussions and mild head trauma can lead to
sustained brain damage.”
Georgetown co-authors are first author Charisse N. Winston, PhD, Maia
Parsadanian, David N. Zapple, Sonia Villapol, PhD, and undergraduate
students David Barton, Tiffany E. Wilkins, Aidan Neustadtl, Deepa
Chellappa, and Andrew D. Alikhani. Contributors also include Emmanuel
Planel, PhD, and Anastasia Noel, PhD, from the Centre Hospitalier de
l'Université Laval, Neurosciences, Québec, Canada.
The study was supported by Georgetown University’s Neural Injury and
Plasticity Training Program, the National Institute for Neurological
Disorders and Stroke (R01 NS067417), a supplement to Promote Diversity
in Health-Related Research, a donation from KPB Corporation, the
Canadian Institute of Health Research, Fonds de Recherche en Santé du
Québec and the Natural Sciences and Engineering Research Council of
Canada.