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.

Showing posts with label canoeing. Show all posts
Showing posts with label canoeing. Show all posts

Monday, August 10, 2026

How Outdoor Therapy Improves Rehabilitation Recovery

 I bet your competent? doctor has NO PROTOCOLS to get you outside in nature at all.  Which means your doctor has never heard of forest bathing! Only once did I walk outside on the grass outside the hospital, no nature there at all. My recreational therapist never even asked what my outdoor pursuits were so protocols could be introduced to get there; whitewater canoeing, biking, fishing, hunting!



The trophies are from the Buttercup series of whitewater slalom races(6 races in Wisconsin and Minnesota).

Left is 1rst place OC1(Open Canoe 1 person) 2004

Middle is 2nd place OC1(Open Canoe 1 person) 2003

Right is 3rd place OC1(Open Canoe 1 person) 2005, stroke was in May 2006

Missing are the two first place finishes in OC2(Open Canoe 2 person) in consecutive years with different paddling partners, they have the trophies. 












How Outdoor Therapy Improves Rehabilitation Recovery

Following a serious injury, surgery, or illness, physical therapy, occupational therapy, and speech therapy are crucial for recovery. Recreational therapy, especially when it takes place outdoors, can also play an important role in helping patients heal.

Research shows that spending time outdoors during rehabilitation can improve the well-being of people as they recover.

“When a patient is in the hospital for an extended period of time, a lot of their autonomy is taken away because they endure many procedures and complex medical care throughout their hospital stay,” says Katy Mayer, TRS, CTRS, a recreational therapist at Craig H. Neilsen Rehabilitation Hospital. “As recreational therapists, part of our theory of practice is to return some of that autonomy to them and give our patients the freedom of choice just for the sake of trying something new and having fun.”

Why Nature Is Good for Recovery

Whether you’re performing physical therapy exercises or simply enjoying some fresh air on a bench, being in nature does more than offer a change of scenery.

Spending time outdoors boosts your mental health by:

Studies suggest that just 10 minutes outdoors can positively impact a person’s mental health. This can be a game changer for those going through recovery treatment in a hospital setting.

“Many of our patients already have a connection to the outdoors,” Mayer says. “We’ve had patients who are avid bikers, hikers, fishers, and skiers. When they haven’t had access to outdoor activity for so long, that deprivation really weighs on them mentally.”

Taking Rehabilitation Outside

Patients at Neilsen Rehabilitation Hospital have access to outdoor spaces designed to support their ongoing therapies and treatments.

  • Depending on their recovery goals, patients may:
  • Practice walking or navigating different outdoor surfaces.
  • Build strength and endurance during therapy sessions outside.
  • Garden in raised beds by planting, watering, or caring for flowers and vegetables.
  • Improve standing tolerance while working with plants and soil.
  • Experience sensory activities using fragrant plants such as lavender and rosemary, which can be helpful for patients recovering from brain injuries.
  • Take a break outdoors to reduce stress and recharge between therapy sessions.
  • “Our therapists are trained to manage ventilators and other medical devices in the transition to going outside,” Mayer says, “and there are protocols in place to ensure patients who have received an organ transplant are safe and can get the most out of being outside for therapy.”

Therapists can also take patients on supervised outings to local parks, gardens, and other community destinations. These trips give patients the chance to practice mobility devices, navigate public spaces, strengthen cognitive function through navigation, and prepare for everyday life after rehabilitation.

Finding Joy During Rehabilitation

Rehabilitation is hard work, but it should also include moments of enjoyment. Recreational therapy helps patients work toward physical, cognitive, social, and emotional goals through meaningful activities.

Programs at Neilsen Rehabilitation Hospital include:

  • “Therapeutic Art Group” led by a recreational therapist and an artist-in-residence
  • Music therapy
  • Relaxation and mindfulness exercises
  • Puzzles and games
  • Pet therapy
  • Socialization and therapeutic conversation
A service dog is visiting patients and Neilsen Rehab Hospital
 A rehab patient and therapy staff enjoy a visit from a therapy dog on the Craig H. Neilsen Rehabilitation Hospital patio

Family members are encouraged to participate in many of these activities, creating opportunities to connect and take a break from the stress of caring.

“Having little pockets of joy throughout the day can really make a difference for patients,” Mayer says. “Family members also need that sense of community and normalcy.”

While rehabilitation focuses on helping patients regain strength and independence, recovery is about more than meeting therapy goals. Spending time outdoors, reconnecting with favorite activities, and sharing meaningful moments with loved ones can help patients build the confidence they need for life after the hospital.

Tuesday, August 5, 2025

Stroke symptoms(really they meant warning signs) can appear a decade before

 None of these applied to me at all. Had my stroke at age 50 from something on a whitewater canoe trip down the Dog River in Ontario dropping 1150 feet in 23 miles. Some hairy whitewater in fully loaded solo canoes. Swam a few of the rapids. Tore the plaque lining my right carotid artery, clotted and let go when I got home. My doctors did nothing to reduce my future risk of more plaque tearing. I don't consider the warfarin use an effective enough prevention since that doesn't address plaque tearing at all.

Stroke symptoms can appear a decade before

Early warning signs may show up long before a stroke strikes, offering a crucial window for prevention. New research suggests cognitive changes and daily task struggles can signal risk years in advance.

Rapid mental decline predicts stroke

A long-term cohort of 5 810 middle-aged adults in the Whitehall II study had reasoning, memory, vocabulary and verbal fluency assessed three times over 10 years¹. Researchers found that those in the highest midlife stroke-risk quartile experienced accelerated decline in global cognition up to ten years before their first stroke.

Daily tasks become challenging

Up to three years before a stroke, participants began reporting greater difficulty with routine activities—dressing, showering and meal preparation all became markedly harder². Such early functional impairments may be overlooked, but they offer a clear snapshot of rising stroke risk.

Women at higher risk

Globally, women account for approximately 56 % of all stroke cases³, highlighting a gender disparity in stroke vulnerability. Carriers of the APOE ε4 allele—best known for its association with Alzheimer’s disease—may also face elevated stroke risk⁴.

Did you know? Women’s lifetime risk of stroke is roughly 1 in 5, compared with about 1 in 6 for men³.

Prevention through lifestyle changes

Public health bodies emphasise that around 90 % of strokes are attributable to modifiable risk factors⁵. Experts recommend key lifestyle changes:

  • Engage in at least 150 minutes of moderate exercise per week (e.g. brisk walking)

  • Follow a diet rich in fruits, vegetables and whole grains, limiting salt intake

  • Monitor and manage blood pressure, cholesterol and blood sugar with regular checks and medical advice

By spotting subtle warning signs and adopting these habits early, individuals can significantly reduce their stroke risk and protect long-term brain health.

Monday, July 28, 2025

The yin and yang of safety and risk: a content analysis and critical narrative synthesis exploring the conceptualisation of risk in the stroke rehabilitation literature

My risk taking started my first day release from the hospital; went to watch a whitewater slalom race with a quarter mile rough path to get to the banks. Nurses found out about it and I got a stern visit from one of my doctors highly recommending against it. I totally ignored her since she obviously knew nothing about my risk taking. I was damn good at OC1 and OC2 slaloms and wasn't going to miss it.

The trophies are from the Buttercup series of whitewater slalom races(6 races in Wisconsin and Minnesota).

Left is 1rst place OC1(Open Canoe 1 person) 2004

Middle is 2nd place OC1(Open Canoe 1 person) 2003

Right is 3rd place OC1(Open Canoe 1 person) 2005, stroke was in May 2006

Missing are the two first place finishes in OC2(Open Canoe 2 person) in consecutive years with different paddling partners, they have the trophies.











One of my main reasons for my excellent balance is this: Don't follow me, I'm not medically trained, is your doctor?

  • bar stool rehab (3 posts to January 2014)




  •  The yin and yang of safety and risk: a content analysis and critical narrative synthesis exploring the conceptualisation of risk in the stroke rehabilitation literature


    (open in a new window)

    Abstract

    Many people feel unprepared for life following discharge from stroke services. Rehabilitation occurs within a harm-reduction framework, but evidence suggests risk-taking is crucial for recovery. The aims of this review study were to explore how risk is conceptualised in the stroke rehabilitation literature and to develop a critical narrative synthesis of articles exploring and challenging dominant conceptualisations of risk, in the context of post-stroke identity and engagement in valued activities. We undertook a literature search (including Embase, PubMed, CINHAL and PsycINFO), including qualitative, quantitative and mixed-methods studies in post-stroke adults > 18 years. Phase 1 involved a content analysis, with 1420 articles screened and 246 included. Most (n = 233) were described by the theme ‘Safety first’, divided into sub-themes: i) Physical safety; ii) Societal and organisational protection; and iii) Cognitive, affective and communication risks. Remaining articles were described by Theme 2: ‘Taking risks as necessary and subjective’. Critical narrative synthesis in Phase 2 included fifteen articles, demonstrating the imposition of ‘rules’ for safety, despite risk-taking being important. The predominant narrative prioritised safety and harm-reduction during stroke rehabilitation, overlooking unintended consequences for post-stroke identity and engagement in valued activities. The voice of people post-stroke was largely absent(So, not listening to the experts in the field.) in decision-making around risk prioritisation and management, which often failed to acknowledge the inherent uncertainties and sociocultural factors influencing beliefs and behaviours in relation to risk. Further qualitative research is needed to understand the experiences of people post-stroke and to inform service co-design and shared decision-making in relation to risk in stroke rehabilitation.

    Monday, September 16, 2024

    Almost half of patients report the same symptoms one week before a stroke

     Didn't occur to me. I was in the middle of a six day whitewater canoe trip down the Dog River in Ontario, dropping 1150 feet in 23 miles. Some hairy whitewater in fully loaded solo canoes. Swam a few of the rapids.

    Almost half of patients report the same symptoms one week before a stroke

    Strokes are very scary. Sometimes it can seem like you're fine one minute, and the next things just stop working right. If you know the symptoms of stroke, however, you can actually often see signs before things get really bad. Researchers say that stroke patients report having a mini-stroke one week before. In fact, a study of stroke patients found that 43% of them suffered the same symptoms – a mini-stroke – one week before their stroke. (1)

    A Mini Stroke vs. A Stroke

    Stroke and mini-stroke are very similar, but there are some differences between the two. A mini-stroke is a small, temporary episode of neurological dysfunction caused by an interruption in blood flow to part of the brain. It is also called a transient ischemic attack, or TIA. A mini-stroke differs from a stroke in two ways: The damage to your brain is not as severe, and it does not last as long. A mini-stroke also has a different cause than a full-blown stroke. A mini-stroke is caused by a temporary blockage in the blood vessels that supply oxygen to your brain. (2)

    A regular stroke is a major neurological impairment caused by permanent damage to part of the brain. There are two main types of mini-stroke: An ischemic stroke and a hemorrhagic stroke. In an ischemic stroke, blood flow to part of your brain is interrupted due to a clot in the blood vessels supplying oxygen-rich blood to that area. This type of mini-stroke causes symptoms similar to those of a regular stroke. In a hemorrhagic stroke, a blood vessel in your brain leaks or ruptures and causes bleeding into the surrounding tissues. Stroke is the third leading cause of death in the United States, behind cancer and heart disease. It's also a leading cause of disability among adults ages 65 and older.

    Study Shows 43% Of People Have A Mini Stroke Before A Full-Blown stroke

    One study showed that 43% of people have a mini-stroke before they experience a full, regular stroke. Many of these people are experiencing the symptoms of this for days or even weeks before they finally go and see a doctor. The risk of having a full stroke is particularly high within the 48-hour window after a mini-stroke. The researchers say, however, that diagnosing mini strokes properly can be difficult, which is why it is important to see a doctor as soon as you can if you think you are having one.

    "Confidently diagnosing a TIA is difficult since most patients are back to normal function by the time they arrive at the emergency room," said Hardik P. Amin, M.D., chair of the scientific statement writing committee and associate professor of neurology and medical stroke director at Yale New Haven Hospital, St. Raphael Campus in New Haven, Connecticut. "There also is variability across the country in the workup that TIA patients may receive. This may be due to geographic factors, limited resources at health care centers or varying levels of comfort and experience among medical professionals."

    The Symptoms of Mini Stroke

    Mini strokes are much more treatable than a full-blown stroke, which can actually cause permanent brain damage. This is why it is critically important that you are aware of the early symptoms of stroke so you can see a doctor before it's too late. The symptoms of both types of stroke include:

    • Numbness or tingling on one side of your body
    • Weakness on one side of your body
    • Slurred speech or difficulty talking
    • Difficulty seeing out of one eye or both eyes

    To remember the symptoms of a full stroke, you can use the acronym FAST:

    • Face drooping
    • Arm weakness
    • Speech difficulty
    • Time to call 911

    Risk Factors For A Stroke

    There are several factors that increase your risk of having a stroke. Thankfully, most of them are lifestyle behavior related and can therefore be controlled by you. These factors include:

    • Age
    • Family history of stroke
    • High blood pressure
    • Diabetes or other chronic health problems like kidney disease and heart disease
    • Smoking
    • Obesity (BMI over 30)

    The Bottom Line

    Strokes are highly dangerous and all too common in the United States. Thankfully, by making healthy lifestyle choices, you can significantly reduce your risk of having one. Knowing the signs and symptoms of both mini-strokes and strokes will also ensure you get the help you need before permanent damage is done. If you think you or someone you know is experiencing the symptoms of a stroke, seek medical attention immediately. It could save a life.

    Keep Reading: The Weird and Concerning Reason Human Bones Are Getting More Brittle

    Sources

    1. "Stroke symptoms, even if they disappear within an hour, need emergency assessment." Science Daily. American Heart Association. January 19, 2023.
    2. "Ministroke vs. regular stroke: What's the difference?" Mayo Clinic. Jonathan Graff-Radford, M.D.
    3. "43% of stroke patients report the same symptoms 1 week before the event, finds study" Express

    The post Almost half of patients report the same symptoms one week before a stroke appeared first on The Hearty Soul.