Betsy's recovery hopes rise amid looming police probe

 

This is precisely why you never listen to any pronouncements on recovery from your doctor; THEY KNOW NOTHING!

Like Scott Carpenter;

Mercury astronaut Scott Carpenter suffers stroke; full recovery expected

Oops! 

 Scott Carpenter - Obituary

Betsy's recovery hopes rise amid looming police probe

Betsy’s recovery hopes rise as police investigation intensifies

In the latest episode, Betsy learns from doctors that her youth gives her a strong chance of a full recovery after suffering two strokes. The strokes were caused by damage to an artery in her neck during consensual strangulation with Dylan. While this brings relief, Lisa’s decision to report Dylan to the police marks a sharp escalation in the storyline, intertwining health recovery with looming legal consequences.

Stroke patients split into three sedentary profiles during inpatient rehab, study finds

 Sedentary time wouldn't exist if you had EXACT 100% RECOVERY PROTOCOLS! Your patients would be practicing the millions of reps needed because they are looking forward to 100% recovery! If you can't see that; you're a fucking blithering idiot! If sedentary time exists everything in your hospital is incompetent!

Oops, I'm not playing by the polite rules of Dale Carnegie,  'How to Win Friends and Influence People'. 

Telling your supposedly smart stroke medical 'professionals' they know nothing about stroke is a no-no even if it is true. 

Politeness will never solve anything in stroke. Yes, I'm a bomb thrower and proud of it. Someday a stroke 'leader' will try to ream me out for making them look bad by being truthful, I look forward to that day.

Stroke patients split into three sedentary profiles during inpatient rehab, study finds

Researchers at Kanazawa University and the Japanese Stroke & Physical Activity Multiple Center Research Team have identified distinct sedentary behavior patterns among patients with stroke undergoing inpatient rehabilitation.

Sedentary behavior refers to time spent sitting, reclining or lying down while awake. It is highly prevalent during stroke rehabilitation. Although reducing sedentary time and promoting physical activity are important goals, patients with stroke may differ not only in how much time they spend sedentary but also in how that sedentary time is accumulated and interrupted.

(My sedentary time was spent sleeping since I was totally exhausted all the time; my doctor DID NOTHING FOR THAT! I was cardiovascularly extremely fit, so don't blame me for the problem!)

In this multicenter prospective study, the research team analyzed data from 420 patients with stroke admitted to 14 rehabilitation hospitals in Japan. Sedentary behavior was objectively assessed using triaxial accelerometers at admission and again one month later. The researchers applied cluster analysis using five sedentary behavior indicators: short (less than 30 minutes), medium (30–59 minutes) and long (60 minutes or more) sedentary bout ratios, total sedentary time, and break frequency.

The analysis identified three subgroups: a low sedentary behavior group, a moderate sedentary behavior group, and a high sedentary behavior group. The study also found that changes in sedentary behavior patterns from admission to one month differed among these groups.

These findings, published in the Journal of Neurologic Physical Therapy, suggest that support for reducing sedentary behavior after stroke should not take a one-size-fits-all approach. Early behavioral profiling using sedentary behavior indicators may help guide the development of individualized strategies to reduce sedentary time during rehabilitation.

"We hope that this study will serve as a starting point for considering more individualized support for patients after stroke," said Masashi Kanai of Kanazawa University.

"Rather than simply trying to reduce sedentary time in the same way for all patients, it may be important to understand each patient's sedentary behavior pattern and how it changes during rehabilitation. We will continue working to promote the assessment of physical activity and sedentary behavior in clinical practice."

More information

Masashi Kanai et al, Clustering of Sedentary Behavior and Longitudinal Changes in Patients With Stroke Undergoing Rehabilitation, Journal of Neurologic Physical Therapy (2026). DOI: 10.1097/npt.0000000000000559

A practical solution for preventing falls after stroke

 My opinion about this opinion is that you are totally missing the best prevention out there! 100% RECOVERY! Are you really that blitheringly stupid you can't see that? Oops, I just dissed some professors, not sorry. Want to discuss; oc1dean@gmail.com 

I know you'll ignore me because stroke patients know nothing. I've only got 20 years of experience, care to beat that?

You're supposed to completely solve problems, NOT just reduce the fall rate. In business not solving the problem completely would get you fired immediately! Hoping comeuppance hits you really hard when you are the 1 in 4 per WHO that has a stroke! 

A practical solution for preventing falls after stroke

New evidence from the Falls After Stroke Trial shows that falls after stroke can be reduced with a tailored, home-based intervention.

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Falls are one of Australia’s most serious and costly public health problems, and the leading cause of injury related hospitalisation and death among people aged 65 years and over. Each day, around 16 older Australians die following a fall and 400 are hospitalised. Fall‑related injuries in older Australians cost the health system more than $2 billion annually, with additional impacts on rehabilitation, aged care and informal caregiving.

For the 440 000 Australians living with stroke‑related disability, the risk and costs of falls are even greater: after stroke, people fall at up to twice the rate of the general older population, often resulting in serious injury, reduced confidence, social isolation and premature loss of independence.

The challenge of reducing falls after stroke is compounded by a lack of access to ongoing support (including allied health). Stroke survivors feel abandoned in the months and years following the stroke. If they choose to re-engage, they must navigate Australia’s complex and disjointed health and disability systems.

Falls prevention has remained a major gap in post stroke care. No previous intervention had been shown to prevent falls after stroke, and falls have often been viewed as an inevitable consequence.

FAST addressed previous limitations by reframing exercise as a habit rather than homework  (PeopleImages/Shutterstock).

The Falls After Stroke Trial

The Falls After Stroke Trial (FAST), recently published in the BMJ, is set to change all that: it’s the first effectiveness trial worldwide to demonstrate that falls after stroke can be prevented.

Beginning in 2019, FAST recruited 370 community-dwelling stroke survivors aged over 50 and within five years of their first stroke across New South Wales, Victoria and the ACT and randomised them to usual care or a six-month, home-based intervention.

The intervention was delivered by occupational therapist–physiotherapist dyads and combined three components: habit‑forming functional exercise using the Lifestyle‑integrated Functional Exercise (LiFE) program; targeted home hazard reduction; and goal‑directed community mobility coaching. Importantly, the program was tailored to the participant’s level of stroke‑related disability, with the components prioritised according to mobility.

The fall rate was reduced by 33%(NOT GOOD ENOUGH!) in participants randomised to the FAST intervention compared with the group receiving usual care, and these changes were accompanied by clinically meaningful improvements in balance, walking speed, confidence and community participation.

Previous trials aimed at preventing falls after stroke have largely relied on conventional exercise programs or home modification alone, resulting in poor adherence and no significant reduction in falls. A systematic review and meta‑analysis of exercise-based programs showed a trend toward lower post-stroke fall rates compared with no or sham intervention, but estimates were imprecise, and effects varied. FAST showed the most robust reduction in falls, highlighting the trial’s importance and its capacity to transform the falls prevention landscape.

FAST addressed previous limitations by embedding balance challenging exercise into everyday activities, reframing exercise as a habit rather than homework; adherence was high, with more than 85% of participants completing all sessions.

The intervention was also pragmatic and relatively low cost, delivered through seven initial home visits, three booster visits and two phone calls over six months, using simple equipment and home modifications.

FAST Forward: from evidence to access

Health professionals need to be alert to the risk of falls when assessing and treating stroke survivors and ensure referrals are made to ongoing allied health support, prioritising evidence-based falls reduction programs like FAST.

Current Australian and New Zealand stroke guidelines do not yet include clear evidence for preventing falls after stroke, but this is likely to change given the strength of the FAST evidence. Guideline inclusion is essential to reposition falls prevention as a core component of long-term recovery rather than an optional add‑on.

However, providing access to effective falls prevention will require more than guideline endorsement. A Phase 4 implementation study is needed to facilitate widespread adoption into real world settings. Workforce upskilling for physiotherapists and occupational therapists in the FAST model of care will be a critical part. Training in the LiFE program and home hazard identification components are currently available. Further, the FAST study adaptations for stroke, collaborative approach, goal setting and resources will enable progression to implementation.

Conclusion

Falls after stroke are not an unavoidable consequence. High‑quality evidence now shows that a practical, home‑based intervention embedded in daily life can reduce falls and improve outcomes.

The question is no longer whether falls after stroke can be prevented, but whether we will act on the evidence to ensure stroke survivors have access to care that reduces avoidable harm and supports long‑term independence.

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Associate Professor Katharine Scrivener is a physiotherapy clinician-researcher specialising in stroke rehabilitation at Macquarie and Monash Universities.

Dr Sally Day is an early career researcher and occupational therapy academic at the University of Sydney.

Professor Catherine Dean is a physiotherapist and leading stroke researcher and educator she is currently and Deputy Dean Education and Employability in the Faculty of Medicine Health and Human Sciences at Macquarie University.

Emeritus Professor Lindy Clemson is an occupational therapist from the University of Sydney and international research leader in falls prevention and public health research in ageing.

Professor Natasha A. Lannin is an occupational therapist clinician-researcher with a joint appointment at Bayside Health and Monash University, where she is the Head of the Brain Recovery and Rehabilitation Research group in the School of Translational Medicine.

Funding: The FAST trial was funded by the National Health and Medical Research Council, Australia (Project Grant #1157739). NL is supported by the Heart Foundation (Australia, grant #106762).

A stroke survivor was told she’d never walk again. 7 years later, she’s proving doctors wrong

 Once again proving that stroke doctors KNOW ABSOLUTELY NOTHING about getting you recovered!

This is precisely why you never listen to any pronouncements on recovery from your doctor; THEY KNOW NOTHING!

Like Scott Carpenter;

Mercury astronaut Scott Carpenter suffers stroke; full recovery expected

Oops! 

 Scott Carpenter - Obituary

You're missing your doctors' 10 dimension chess genius on nocebo; Your response will be. I'll prove this idiot doctor/therapist wrong and recover! 

A stroke survivor was told she’d never walk again. 7 years later, she’s proving doctors wrong

NASHVILLE, Tenn. (WSMV) - Tina Wittman was told her recovery would only go so far after a devastating stroke. Seven years later, she’s still proving doctors wrong.

Wittman says she was healthy in 2019. Then all of a sudden, she said she “woke up in the middle of the night, collapsed on the floor.”

What followed were 10 days in the ICU, 30 days in rehab and months of learning how to talk and even swallow again. Doctors warned her she would most likely never walk again.

“My life flipped upside down,” she said.After the first year of recovery, many believe progress slows or even stops. Some doctors told her this would be her new normal.

“I don’t like this phrase,” Wittman said. “I was a go-getter. This drives me crazy.”

Tina Wittman still fighting for her recovery after suffering stroke(Brad Wittman)

 

Refusing to accept limits

 Wittman refused to accept her recovery was over and eventually found a new chapter at her 10th clinic, Neuro Therapy Nashville.“Neuro Nashville believes in recovery… I’m waking up muscles I’ve never used before — tricep, elbow, wrist, fingers,” she said.

“I push myself every day,” Wittman said.

Today, Wittman is still regaining strength. But some of her most meaningful work is happening outside of therapy.

 

She started a monthly cooking club for stroke survivors. She’s been working toward cutting vegetables, stirring food in pans and baking cakes and sourdough. She even learned how to make a one-handed pie crust.

For Wittman, cooking is about more than food. It’s about independence, community and keeping joy in her life.

“I’m focusing on the moments I’m here,” she said

She’s also spending her time giving back, tutoring kids in her neighborhood. Those students wanted to show their support for Wittman and other stroke survivors.

Saturday, she’s walking to support other stroke survivors while helping them find purpose, community and confidence again. Her students are helping too.

“They made 130 cards for the survivors in the walk, sweet messages,” Wittman said.

It’s moments like that that keep her going despite the stroke fatigue and the frustration she says can be just as hard.But through community, she’s found something stronger than the setbacks: Purpose, joy and people who understand the journey.

“Don’t believe you’re done. Keep going,” Wittman said. “I’m not done. I believe recovery is possible.”

The Seriously Awesome Stroke Survivors (SASS) Strut to raise awareness and funds for stroke recovery is Saturday, May 16 at Long Hunter State Park. Registration starts at 8 a.m. Opening ceremonies start at 9 a.m.

Once Daily, 10 Minute Rehab Maybe Be Enough in Mild Stroke

 You are truly going to have to scream at anyone who suggests this! In no way will this guarantee 100% recovery! This is absolutely appalling! And Julie Bernhardt is a rock star stroke researcher, which shows you that even rock stars can be completely wrong!

Oops, I'm not playing by the polite rules of Dale Carnegie,  'How to Win Friends and Influence People'. 

Telling your supposedly smart stroke medical 'professionals' they know nothing about stroke is a no-no even if it is true. 

Politeness will never solve anything in stroke. Yes, I'm a bomb thrower and proud of it. Someday a stroke 'leader' will try to ream me out for making them look bad by being truthful, I look forward to that day.

Once Daily, 10 Minute Rehab Maybe Be Enough in Mild Stroke

A new clinical trial has produced the most reliable information to date on the optimum level of early rehabilitation appropriate for patients with acute stroke.

The AVERT DOSE trial has suggested that in the initial days after an acute stroke, just 10 minutes of active training per day is sufficient for patients with mild stroke, while patients with moderate stroke could benefit from slightly higher levels of exercise training split into two separate sessions.

“The AVERT DOSE trial, while underpowered, provides current best available evidence to guide early training after an acute stroke,” said lead investigator, professor Julie Bernhardt, PhD, The Florey Institute, Melbourne, Australia.

“Our trial shows that the protocolized training tested can feasibly be delivered in multiple settings and is safe(And you blithering idiots think that 'safe is what survivors want? THEY WANT 100% RECOVERY and 10 minutes won't do that!),” she added.

Article Key Points

The AVERT DOSE trial suggests that 10 minutes of daily active training may suffice for mild stroke patients, while moderate stroke patients benefit from two 10-minute sessions. The interventions are safe and adaptable across various settings.

The findings suggest that for patients with mild stroke (National Institutes of Health Stroke Scale [NIHSS] 0-7), a single 10-minute session of active, task-specific training supported by nurses during upright daily activities may be sufficient for most patients, with no clear evidence that higher-intensity training provides additional benefit, Bernhardt said.(You're totally ignoring survivor requirements of 100% recovery!)

For patients with moderate stroke severity (NIHSS, 8-16), the findings suggest that two separate 10-minute sessions of active, task-specific training supported by nurses during upright daily activities provided clinically meaningful benefits compared with a single session.

In both cases the 10 minutes of active training refers to only the active practice time and does not include preparation or rest periods in between activity, so the session itself would take significantly longer than 10 minutes.

The trial results were presented on May 6 at the European Stroke Organization Conference (ESOC) 2026.

A Vital Early Poststroke Goal

Bernhardt explained that regaining movement is a vital early goal after stroke, but important questions remain about how soon rehabilitation should begin and how much training is beneficial. Those uncertainties have persisted since the first AVERT trial, reported in 2015, showed that very early intensive mobilization — initiated within 24 hours of stroke onset — worsened outcomes(You absolute fucking idiots ignored the neuronal cascade of death 

 in the first week killing off hundreds of millions to billions of neurons. Of course, you are going to worsen, neurons are dying by the score early on!) compared with lower-dose usual care, with the greatest adverse effects seen in patients with intracerebral hemorrhage (ICH) and severe stroke.

“This very early intensive therapy appeared to be too much, too soon and but there has remained a lack of clear evidence on the optimal timing and intensity for rehabilitation training,” Bernhardt noted 

To address this issue the researchers conducted the AVERT DOSE trial.

For the study, the researchers analyzed data from the original AVERT trial to identify intervention doses with the most favorable safety and efficacy profiles, then evaluated those dosing strategies in the new trial that excluded patients with ICH and severe stroke.

The study enrolled 1000 patients across 50 hospitals in seven countries, including Australia, Brazil, India, Ireland, Malaysia, Singapore, and the UK.

Participants were stratified by stroke severity, with 631 patients in the mild stroke group and 366 in the moderate stroke group and randomly assigned to one of four mobility training regimens.

All interventions were initiated within 48 hours of stroke onset (mean, 38 hours) and continued for 14 days or until hospital discharge. The interventions focused on functional, task-specific upright movement tailored to each patient and delivered by trained physiotherapists.

Participants were stratified by stroke severity, with 631 patients in the mild stroke group and 366 in the moderate stroke group and randomized to one of four mobility training regimens. All interventions were initiated within 48 hours of stroke onset (mean, 38 hours) and continued for 14 days or until hospital discharge.