Even Light Exercise Can Speed Stroke Recovery

What the fuck bullshit crapola is this? We want 100% recovery not this pablum, as if this is supposed to mollify us about YOUR FUCKING FAILURES TO GET US RECOVERED? And your mentors and senior researchers approved this shitshow? God, we need to fire a lot of people. 

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

Politeness will never solve anything in stroke. Yes, I'm a bomb thrower and proud of it.

Even Light Exercise Can Speed Stroke Recovery

MONDAY, April 13, 2020 (HealthDay News) -- Even light exercise can counter the damage of stroke in survivors, a new study suggests.
"Stroke is a major cause of disability in older adults," said research leader Neha Gothe, a professor of kinesiology and community health at the University of Illinois at Urbana-Champaign.
"We know that physical activity can improve how well people survive a stroke and recover after the fact," Gothe said. "But almost no research has looked at how physical activity of different intensities affects physical function among stroke survivors."

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For the study, Gothe and her colleagues assessed daily physical activity in 30 stroke survivors for a week, looking at how much they moved and how well they could do routine daily physical tasks such as getting in and out of a car or pouring water from a heavy pitcher.
On average, the study participants did only about seven minutes of moderate-to-vigorous activity a day, the findings showed.
"In contrast, they averaged more than three hours of light physical activity each day," Gothe said. "This includes things like walking at a leisurely pace, housekeeping, light gardening or other activities that do not cause a person to break a sweat."
The amount of moderate-to-vigorous physical activity was the best predictor of the stroke survivors' levels of physical function, but their ability to perform daily tasks was much more closely associated with the amount of time they did light physical activity, such as leisurely walks or non-strenuous household chores.
The study was published online recently in the American Journal of Physical Medicine and Rehabilitation.
"Our findings are preliminary but suggest that -- in addition to moderate-to-vigorous physical activity -- those daily routines that keep us on our feet and physically engaged in lighter tasks also contribute to better physical functioning in stroke survivors," Gothe said in a university news release.
"Engaging in light physical activity can be healthy and beneficial, especially for those with chronic health conditions such as stroke," Gothe concluded.
More information
The American Stroke Association has more on life after a stroke.

SOURCE: University of Illinois at Urbana-Champaign, news release, April 2, 2020

-- Robert Preidt

Last Updated: Apr 13, 2020

Copyright © 2020 HealthDay. All rights reserved.

Non-invasive brain stimulation in neurorehabilitation: local and distant effects for motor recovery

Generalities, so useless. Damn it all, THE WHOLE FUCKING POINT OF STROKE RESEARCH IS PROTOCOLS LEADING TO 100% RECOVERY, not this pablum. 

Non-invasive brain stimulation in neurorehabilitation: local and distant effects for motor recovery

MARCO SANDRINI1,2 AND LEONARDO G. COHEN1* 1Human Cortical Physiology and Stroke Neurorehabilitation Section, National Institutes of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA 2Center for Neuroscience and Regenerative Medicine at the Uniformed Services University of Health Science, Bethesda, MD, USA
INTRODUCTION
Stroke is the major cause of long-term disability worldwide (Kolominsky-Rabas et al., 2001) and recovery of motor function is often incomplete (Roger et al., 2011). Six months after the ictal event, two-thirds of stroke survivors are unable to carry out independently activities of daily living with their paretic hand to the extent they could before (Kolominsky-Rabas et al., 2001), and only a few are able to return to their previous job (Lai et al., 2002). Patients with motor deficits resulting from stroke must confront the need to generate compensatory strategies or to relearn the motor programs utilized to accomplish a particular goal before the lesion (Frey et al., 2011; Pomeroy et al., 2011; Sathian et al., 2011). From a behavioral point of view, there are different ways to accomplish the same goal in neurorehabilitation (e.g., grasp a glass of water). One possibility is to implement a motor strategy different from that utilized before the stroke (i.e., compensation) (Levin et al., 2009). An alternative way is to relearn to perform the task in the same way it was done before the lesion. Clearly, both processes are likely to involve fundamentally different pathophysiological mechanisms, even when the goals and outcomes are the same. Different motor training strategies have been tested in neurorehabilitation of motor function. Examples include constraint-induced movement therapy, bilateral arm training, mirror therapy, randomized training schedules, robotic-based approaches, virtual reality, electromyogram-triggered stimulation, action observation, motor imagery, and brain–computer interfaces between others (Cauraugh and Kim, 2003; Wittenberg
et al., 2003; Bolton et al., 2004; Deutsch et al., 2004; Luft et al., 2004; Krakauer, 2006; Sharma et al., 2006; Birbaumer and Cohen, 2007; Ertelt et al., 2007; Page et al., 2007; Buch et al., 2008, 2012; Celnik et al., 2008; Cramer, 2008b; Cheeran et al., 2009a; Lo et al., 2009; Dimyan and Cohen, 2011). Noninvasive somatosensory (Conforto et al., 2007, 2010), transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) (Hallett, 2000; Kaelin-Lang et al., 2002; Nitsche et al., 2008; Wassermann et al., 2008; Sandrini et al., 2011; Tanaka et al., 2011; Brunoni et al., 2012) have been proposed as adjuvant ways to improve the beneficial effects of training protocols on functional recovery. In this chapter, we discuss the use of noninvasive brain stimulation (NIBS) in the setting of stroke rehabilitation. Interest in NIBS developed after the observation of long-term effects on cortical excitability that occur after repeated stimulation (Huang et al., 2005; Fitzgerald et al., 2006; Nitsche et al., 2008). Depending on the stimulation parameters, motor cortical excitability can be reduced (inhibition) by means of low-frequency repetitive TMS (rTMS), continuous theta-burst stimulation(cTBS),andcathodaltDCS,orenhanced(facilitation) by means of high-frequency rTMS, intermittent thetaburst stimulation (iTBS), and anodal stimulation. There isevidencethatlinkstheeffectsoftheseNIBStechniques to long-term potentiation (LTP)-like and long-term depression (LTD)-like mechanisms (Cooke and Bliss, 2006; Thickbroom, 2007; Wagner et al., 2007; Ziemann et al., 2008; Fritsch et al., 2010). After stroke, NIBS has been studied as a tool to modulate cortical excitability in the affected and intact hemispheres, predominantly
*Correspondenceto:LeonardoG.Cohen,HumanCorticalPhysiologyandStrokeNeurorehabilitationSection,NationalInstitute of Neurological Disorders and Stroke, National Institutes of Health, 10 Center Drive Bethesda, Maryland 20892-1430, USA. E-mail: cohenl@ninds.nih.gov
Handbook of Clinical Neurology, Vol. 116 (3rd series) Brain Stimulation A.M. Lozano and M. Hallett, Editors 2013 Published by Elsevier B.V.
with the goal of correcting hypothesized imbalances in interhemispheric interactions (Kinsbourne, 1974; Hummel and Cohen, 2006).

Six keys to the best possible stroke recovery

Useless pablum and crapola shit. But it is what you can expect from the American Stroke Association.  This is why I call them fucking failures of stroke associations

No one in power at the ASA has ever contacted me or disputed my characterization.  Which means they are clueless when they don't follow social media.  If you as a leader don't know your greatest critic or your weak points you are NO LEADER. 

Six keys to the best possible stroke recovery 

Strokes change more than 795,000 lives in the United States each year.
In fact, according to the American Stroke Association, brain blockages or bleeds are one of the most common causes of disability and the fifth-leading cause of death. Starting the right rehabilitation program as soon as possible may help survivors recover better. One patient’s rehab journey might include balance, strength or mobility, while another might need speech or other therapies.
“The residual impact of a stroke can vary widely between patients in terms of deficits and severity,” said Pamela Duncan, Ph.D., F.A.H.A., American Stroke Association volunteer and professor of neurology at Wake Forest Baptist Health. “A rehabilitation program designed for you, where you need it, whether at a hospital or at home, is critical.”
For example, Jessica Alfonso was just 33 when she suffered a stroke. She credits her husband, Pablo, with saving her life — not just through the quick thinking that ensured her prompt medical care, but for being her voice as she worked to regain her ability to speak, read, walk and eat independently.
“He was with me for six weeks of inpatient rehabilitation,” Alfonso said. “Encouraging me and helping me communicate with my team while I re-learned everything. Without him, I may not have survived my stroke and I definitely wouldn’t be where I am today.”
The American Stroke Association’s Together to End Stroke(tm) initiative, nationally sponsored by Kindred Hospital Rehabilitation Services, provides recovery tips and resources for stroke survivors and their caregivers such as:
•   Ask your doctor for an assessment of physical and cognitive challenges you face after a stroke and a specific plan to address each challenge.
•   Work with your doctor to create a plan to manage risk factors to prevent another stroke. This may include being physically active, not smoking and managing your blood pressure.
•   While recovery can occur years after a stroke, the most rapid recovery typically occurs during the first three months. As soon as your medical team gives the “all clear,” start your personalized rehabilitation program right away.
•   It is recommended by American Heart Association guidelines that patients who can tolerate and are eligible for rehab at an inpatient rehabilitation facility receive it. However, rehabilitation can happen anywhere from a formal rehabilitation facility to the comfort of your home. Ask your medical team for recommendations on the best local rehab options to maximize recovery.
•   Talk with your health care provider about any financial constraints, such as ability to pay for medications, so a plan can be developed to identify alternative community resources.
•   Communicate and follow up regularly with a team of health care providers as some challenges — such as remembering medications — may not be immediately clear.
“For many survivors, your functional state prior to the stroke plays a big role in how you recover,” Duncan said. “Working with your team of loved ones and health care providers to find and stick with the best rehabilitation program for you is key.”
For more information about recovery and how to make informed decisions after a stroke, visit stroke.org/recovery.

Towards Effective Neurorehabilitation for Stroke Patients

You can read this all you want but just generalized crapola.  I would fire the mentors and senior researchers that allowed this pablum.  

If your doctor isn't already using citicoline you have a doctor 8 years out of date. Or is your doctor WAITING FOR SOMEONE ELSE TO SOLVE THE PROBLEM?   And write a protocol on this? And what are you paying your doctor for?  Doing nothing?

• citicoline (17 posts to October 2011)

Towards Effective Neurorehabilitation for Stroke Patients

Jerzy Krupinski1,2, Julio J Secades3* and Rena K Shiraliyeva41Hospital Universitari Mutua Terrassa, Neurology Department, Barcelona, SpainManchester Metropolitan University, Healthcare Sciences, Manchester, UK 3Grupo Ferrer, Barcelona, Spain4 Department of Neurology, Republican Clinical *Corresponding author: Julio J. Secades, Scientific Department, Grupo Ferrer, 08029, Barcelona, Spain, Tel: +34936003837; Fax: +34934907078; E-mail:  jsecades@ferrergrupo.comRec date: 03 Feb 2014;
Acc date: 20 March 2014; Pub date: 23 March 2014 © 2014 Krupinski J, et al.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract 

Despite global and regional health crises, global life expectancy has increased continuously and substantially over the past 40 years. This is associated with an increase in incidence of age-related diseases, such as ischemicstroke and has an important socio-economic impact. There is a growing demand to have more effective treatments(Where are these located? Survivors need to know) to reduce disability and improve the outcome of stroke patients. We reviewed the latest advances on neurorehabilitation and the new trends in this field. We provide practicing neurology and rehabilitation clinicians with a review of concepts(We don't need concepts, we need protocols you fucking lazy bums.) of neuroplasticity, engagement, enriched environments, smart robotics, neuroelectronic devices and explain how they could be linked and applied in daily practise. Also, we review pharmacological interventions with a direct effect in neurorehabilitation. We conclude that there is some degree of evidence suggesting a possible positive co-adjuvant effect of citicoline in the rehabilitation phase of patients after stroke.Keywords: Stroke; Rehabilitation; Neuroplasticity; Robotics;Pharmacological therapy; Citicoline
Introduction Each year during the world stroke awareness day we recall that 1 in 6(Wrong, now 1 in 4 per WHO) people worldwide will have a stroke in their lifetime. This makes stroke the first cause of disability worldwide with 30% survivors having long-term sequelae and in 50% residual disability requires assistance for basic activities of daily living (ADL) [1]. It has an important socio-economic impact with estimated costs of 27.314 euro per person/year [2,3], exceeds any pharmacological interventions and call for better, and more effective recovery approaches. XXI century neurorehabilitation is a very young field with an evolving concepts and important literature supporting its impact on outcomes. This article provides an overview of the field and summarises the most recent and continuosly evolving paradigms of current and modern neurorehabilitation. We examine concept of teacher, or neurotherapist crucial for successfull neurorehabilitation [4]. We provide practicing neurology and rehabilitation clinicians with a review of concepts of neuroplasticity, engagement, enriched environments, smart robotics and neuroelectronic devices and explain how they could be linked and applied in daily practise. For the purpose of the following review, we selected literature based on the most recent publications in the fieldand international guidelines.
More at link.

Spasticity Awareness Week from the National Stroke Association

More pablum from the NSA. Until they are run by stroke survivors will we get spasticity cure week.
Leaders solve problems, they don't hide behind awareness crapola. 

http://www.stroke.org/we-can-help/survivors/stroke-recovery/post-stroke-conditions/physical/spasticity

Spasticity Awareness Week is June 17 – 24, 2018. Please join us in raising awareness about this condition that affects over 12 million people worldwide. 

The National Stroke Association has partnered with a growing number of leading organizations to form the Spasticity Alliance. To commemorate Spasticity Awareness Week in 2018, the Spasticity Alliance has launched a Spanish version of its website. Both English and Spanish websites contain resources for individuals living with spasticity, family members, and caregivers who want to learn more about spasticity. The English website can be found at spasticityalliance.org; the Spanish website can be found at spanish.spasticityalliance.org.

The resources below contain information about the symptoms of spasticity, management techniques and treatments that help to ease the symptoms of spasticity. While there is no cure for this condition, there are many tactics that can help individuals living with spasticity resume their normal daily activities.

St. Mary Medical Center to Host Stroke Symposium during National Stroke Awareness Month - Hobart, Indiana

I could bet you $100,000 that these so-called experts will not tell you how f*cked up stroke rehab and recovery is. They will not mention all the problems in stroke, or how screwed current stroke survivors are. You will just get pablum. Nothing on the appalling 10% full recovery rate, nothing on the 12% full restoration of function from using tPA. In fact all I bet you get is happy talk. So ask them how confident they would be after having a stroke and fully recovering being treated at their hospital. If it is not 100% confident, ask why the hell you should be treated for stroke there.(Keep asking them this same question over and over again until they answer truthfully) This is going to be damned uncomfortable but if they aren't uncomfortable about how poorly they treat stroke patients they shouldn't be in the business. But I bet they lie by omission anyway.
And yes, I can be a complete f*cking bastard, brain cells are worth saving and these people are failing at their job. Don't coddle them, they need to be told they are failing.
http://www.laportecountylife.com/health/education/52829-st-mary-medical-center-to-host-stroke-symposium-during-national-stroke-awareness-month
Every 40 seconds, someone in the United States has a stroke, according to the American Stroke Association, and one out of six Americans will suffer a stroke at some point in their lifetime. To raise awareness and help the community evaluate their risk for stroke, St. Mary Medical Center will host its annual Stroke Symposium from 8:30 a.m. to 1 p.m., Thursday, May 7 at the hospital, 1500 S. Lake Park Ave. in Hobart.
Healthcare specialists and leaders in the areas of stroke prevention, detection and treatment will present on a variety of stroke-related topics:
9 a.m. – Stroke is an Emergency
Hansa Sawlani, M.D.
St. Mary Medical Center Emergency Department
9:30 a.m. – Cardiology Related to Stroke
Zlatan Stepanovic, M.D.
Medical Director ICU, Director Heart Failure Clinic
10:30 a.m. – Stroke 101
Mark Simaga, M.D.
Neurologist, Medical Director of the Stroke Center
11:30 a.m. – Hemorrhagic Stroke
Ankit Mehta, M.D.
Neurosurgery, St. Mary Medical Center
12:15 p.m. – Rehabilitation after Stroke
Acute Rehabilitation Team
St. Mary Medical Center
12:45 p.m. – Get Your Plate in Shape
Chef Ryan C. Smith
Production Supervisor/Chef
The event will also feature a vendor fair providing stroke education and resources, and free health screenings, including lipid profile screening, A1C glucose screening, body composition and blood pressure. 12 hour fasting is recommended for the lipid profile and glucose screening.
Advanced registration for this free event is necessary. To register, call 219-836-3477 or toll free at 1-866-836-3477. Attendees are encouraged use the free valet parking at the West Entrance of the hospital.

National Stroke Awareness Month - May

Big f*cking whoopee.
The only way this should be celebrated is by pointing out all the f*cking failures and problems in stroke.
What you need to tell the world;
If you just had a stroke, You are F*cking screwed
 
First you have to at least acknowledge that stroke is hopelessly lost and needs to be on the 'Sky is falling' press releases.

OR you can read the pablum from the National Stroke Association;

Spread the Word About Stroke 

Be aware and share this May for National Stroke Awareness Month. Download Facebook cover photos, e-cards, a stroke symptoms poster, and more. Share with family and friends. It’s all available at our Stroke Awareness Resource Center.

Get Started