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 muscle strength assessment. Show all posts
Showing posts with label muscle strength assessment. Show all posts

Saturday, April 18, 2026

Building muscle strength may help prevent depression, especially in women

 This method of preventing depression would require 100% recovery protocols from your competent? doctor! And since your doctor isn't competent enough to have created them, you're screwed!

My left hand grip is appalling and my occupational therapist had nothing to fix that. First I would have to pry all my fingers open before even trying to grip. My right hand is extremely strong. Curing spasticity is required first.

Building muscle strength may help prevent depression, especially in women

A recent study published in the Journal of Affective Disorders suggests that greater muscle strength, particularly in women, might play a direct role in reducing the risk of depression and its specific symptoms. Scientists at University College London found no evidence that aerobic fitness influences depression, but their findings indicate that building muscle strength could help prevent and treat the condition. This provides evidence that strength training could be an effective, targeted strategy for improving mental health.Physical activity is known to help protect against depression, but the exact biological reasons for this connection remain unclear. Scientists wanted to understand the specific ways exercise influences mental health so they can develop better treatment plans.

Two possible ways exercise might improve mood are through better cardiorespiratory fitness and increased muscle strength. Cardiorespiratory fitness refers to the ability of the heart and lungs to supply oxygen to the body during sustained physical activity. Previous studies have linked both of these fitness types to lower rates of depression.

Traditional observational studies, which simply watch people’s habits over time, struggle to prove cause and effect because other lifestyle choices might influence the results. It is also possible that being depressed causes people to exercise less, rather than a lack of fitness causing the depression.

“Although physical activity is known to help prevent and treat depression, the underlying mechanisms through which this occurs remain poorly understood. In this study, we examined the effects of two specific physiological aspects of physical activity (cardiorespiratory fitness and muscle strength) on depression,” said study authors Snehal M. Pinto Pereira, John Vincent, and Amy E. Taylor — a professor, research fellow, and senior research fellow, respectively — in a joint statement to PsyPost.“Depression is well documented as being a highly heterogeneous disorder, with symptoms varying widely across individuals. Therefore, we examined whether cardiorespiratory fitness and muscle strength might be causally linked to individual symptoms of depression as well as depression as a single disorder.”

The researchers examined data from up to 341,326 adults between the ages of 37 and 73. All participants were of European descent and were part of the UK Biobank, a large database of genetic and health information.To determine cause and effect, the scientists used a technique called Mendelian randomization. This method looks at tiny genetic variations that people are born with, which are known to be linked to specific physical traits. Because these genetic markers are assigned randomly at conception, they act like a natural experiment.The scientists looked at genetic variants associated with cardiorespiratory fitness and genetic variants associated with grip strength. Grip strength was adjusted for body weight and used as a practical substitute for overall muscle strength.

For the mental health outcomes, the researchers looked at general depression based on self-reported history and hospital records. They also evaluated nine specific symptoms of depression to get a more detailed picture of a person’s mental state.

These symptoms included depressed mood, appetite changes, concentration problems, and anhedonia, which is a core symptom of depression defined as the loss of pleasure or interest in previously enjoyable activities. They also looked at psychomotor changes, which involve either a noticeable slowing down of physical movements or extreme restlessness and fidgeting.

The individual symptoms were measured using a standard questionnaire given to a subset of 108,622 participants. People who reported experiencing a symptom for several days or more over the past two weeks were considered to have that symptom.

The researchers found no evidence that genetic markers for cardiorespiratory fitness were linked to overall depression or any of its individual symptoms. This was an unexpected outcome for the scientists, as aerobic exercise is often recommended to improve mental health.On the other hand, the data showed a clear link between greater grip strength and lower rates of depression. A 0.1 kilogram increase in grip strength per kilogram of body weight was associated with a 14 percent lower likelihood of experiencing general depression.

Higher grip strength was also linked to a lower likelihood of several specific symptoms. For example, it was associated with a 21 percent reduction in the likelihood of experiencing anhedonia. Stronger grip strength was also tied to a 44 percent lower chance of experiencing appetite changes. The scientists also found evidence that greater strength is associated with depressed mood, physical slowness, extreme fatigue, and concentration problems.

“Whilst muscle strength is clearly only one of many factors that influence depression, these findings suggest that improving muscle strength could make meaningful contribution to reducing depression as well as several of its symptoms,” the researchers said. “Importantly, the results were consistent across several analyses, which increases confidence in the robustness of the findings.”

When the scientists analyzed the data by sex, they found that these effects were generally stronger in women than in men. The protective effects against loss of pleasure, depressed mood, and concentration problems were observed in females but not in males.

The link between grip strength and appetite changes was present in both men and women. There was no clear evidence that grip strength affected sleep problems or suicidal thoughts in either sex.

“The key takeaway from our findings is that muscle strength (particularly in females) likely plays a causal role in depression and several of its symptoms in middle to older aged adults,” the researchers explained. “Our findings suggest that increasing muscle strength could help reduce depressed mood and the loss of pleasure or interest in previously pleasurable activities (anhedonia), which represent the core symptoms of depression, as well as secondary symptoms such as appetite change, concentration problems and low self-esteem. However, it is important that future research replicates these effects in other samples and populations to improve generalizability.”

There are several possible reasons why muscle strength might help protect against depression. Lower muscle strength can lead to a loss of independence and greater difficulty completing daily tasks. Struggling with everyday activities is known to increase the likelihood of experiencing depressive symptoms.

Another possibility involves biology at the cellular level. When muscles contract during exercise, they release specific proteins into the body. Some scientists suspect these proteins might help protect the brain against depression, though more research is needed to confirm this.

The scientists noted a few potential misinterpretations and limitations. The people in the UK Biobank tend to be healthier and more educated than the average population, which might skew the results. The study also only included individuals of white European ancestry.

The scientists also used hand grip strength as a substitute for total body muscle strength. This is a common scientific practice, but there is an ongoing debate about how accurately hand strength reflects overall muscle power.

“We remain very interested in pursuing this line of research,” the researchers told PsyPost. “Our next steps will include examining both environmental and genetic factors related to depression and anxiety, as well as how the interplay between these factors can influence mental health.

“One important way in which our study moves the field forward is by examining individual depressive symptoms (in addition to depression as a single disorder). This approach may help researchers better understand the different pathways that contribute to depression and inform more targeted prevention strategies.”

The study, “Cardiorespiratory fitness, grip strength and depression symptoms: A Mendelian Randomization study,” was authored by John Vincent, Snehal M. Pinto Pereira, Jane Maddock, Dylan M. Williams, Mark Hamer, Jonathan P. Roiser, and Amy E. Taylor.

Sunday, January 14, 2018

Reliability of muscle strength assessment in chronic post-stroke hemiparesis: A systematic review and meta-analysis

I see nothing useful for our 100% recovery coming out of this. 

Reliability of muscle strength assessment in chronic post-stroke hemiparesis: A systematic review and meta-analysis


Topics in Stroke Rehabilitation , Volume 23(1) , Pgs. 26-35.

NARIC Accession Number: J77342.  What's this?
ISSN: 1074-9357.
Author(s): Rabelo, Michelle; Nunes, Guilherme S.; Amante, Natalia M. C.; De Noronha, Marcos; Fachin-Martins, Emerson.
Publication Year: 2016.
Number of Pages: 10.
Abstract: Study systematically investigated and organized the evidence of the reliability of muscle strength evaluation measures in post-stroke survivors with chronic hemiparesis. Two assessors independently searched four electronic databases in January 2014 (Medline, Scielo, CINAHL, and Embase) for relevant studies. Data were extracted from included studies about reliability data, measured by intraclass correlation coefficient (ICC) and/or similar statistical analysis. The meta-analyses were conducted only with isokinetic data. Of 450 articles originally identified, eight articles were included for this review. After quality analysis, two studies were considered of high quality. Five different joints were analyzed within the included studies (knee, hip, ankle, shoulder, and elbow). Their reliability results varied from low to very high reliability (ICCs from 0.48 to 0.99). The results of this review suggest that there are good-to-excellent levels of reliability of muscle strength assessment in upper and lower limbs for both affected and non-affected side using static and isokinetic dynamometry. Findings also support the contention that muscle strength of the affected extremities of chronic post-stroke patients is quantifiable and its measurement is reliable even in the presence of spasticity.
Descriptor Terms: EVALUATION, HEMIPLEGIA, LIMBS, LITERATURE REVIEWS, MEASUREMENTS, MUSCULAR IMPAIRMENTS, OUTCOMES, PERFORMANCE STANDARDS, STROKE.


Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Rabelo, Michelle, Nunes, Guilherme S., Amante, Natalia M. C., De Noronha, Marcos, Fachin-Martins, Emerson. (2016). Reliability of muscle strength assessment in chronic post-stroke hemiparesis: A systematic review and meta-analysis.  Topics in Stroke Rehabilitation , 23(1), Pgs. 26-35. Retrieved 1/14/2018, from REHABDATA database.

Friday, March 10, 2017

Muscle strength and poststroke hemiplegia: A systematic review of muscle strength assessment and muscle strength impairment

I don't see how anything learned here can get stroke survivors a better recovery.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J75364&phrase=no&rec=132793&article_source=Rehab&international=0&international_language=&international_location=
 Archives of Physical Medicine and Rehabilitation , Volume 98(2) , Pgs. 368-380.

NARIC Accession Number: J75364.  What's this?
ISSN: 0003-9993.
Author(s): Kristensen, Otto H.; Stenager, Egon; Dalgas, Ulrik.
Publication Year: 2017.
Number of Pages: 13.
Abstract: Study systematically evaluated (1) the psychometric properties of criterion isokinetic dynamometry testing of muscle strength in people with poststroke hemiplegia and (2) the literature comparing muscle strength in patients poststroke with that in healthy controls assessed by criterion isokinetic dynamometry. From a systematic literature search of 7 databases, 20 studies covering 316 people with poststroke hemiplegia were included. The psychometric properties of isokinetic dynamometry were reviewed with respect to reliability, validity, and responsiveness. Furthermore, comparisons of strength between paretic, nonparetic, and comparable healthy muscles were reviewed. High intraclass correlation coefficient (ICC) inter- and intrasession reliability was reported for isokinetic dynamometry, which was independent of the tested muscle group, contraction mode, and contraction velocity. Slightly higher ICC values were found for the nonparetic extremity. Standard error of the mean (SEM) values showed that a change of 7 to 20 percent was required for a real group change to take place for most muscle groups, with the knee extensors showing the smallest SEM percentage values. The muscle strength of paretic muscles showed deficits when compared with both healthy and nonparetic muscles, independent of muscle group, contraction mode, and contraction velocity. Nonparetic muscles only showed minor strength impairments when compared with healthy muscles. Criterion isokinetic dynamometry is a reliable test in peoples with stroke, generally showing marked reductions in muscle strength of paretic and, to a lesser degree, nonparetic muscles when compared with healthy controls, independent of muscle group, contraction mode, and contraction velocity.
Descriptor Terms: HEMIPLEGIA, LITERATURE REVIEWS, MEASUREMENTS, MUSCULAR IMPAIRMENTS, PERFORMANCE STANDARDS, STROKE, TESTS.


Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Kristensen, Otto H., Stenager, Egon, Dalgas, Ulrik. (2017). Muscle strength and poststroke hemiplegia: A systematic review of muscle strength assessment and muscle strength impairment.  Archives of Physical Medicine and Rehabilitation , 98(2), Pgs. 368-380. Retrieved 3/10/2017, from REHABDATA database.