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 standing. Show all posts
Showing posts with label standing. Show all posts

Wednesday, October 29, 2025

If You’re Over 70 And Can Still Do These 7 Things, You’re Doing Great

 I'll be 70 in a couple of months, and these are still quite doable.

If You’re Over 70 And Can Still Do These 7 Things, You’re Doing Great

1. Standing up from a chair without using your hands

Standing up from a chair without using your hands shows your legs and core are still strong. It’s a great way to check your muscle strength and balance. If this feels tough, don’t stress. Practicing this move can help you get stronger and make daily life easier.Try it out by sitting and standing without pushing off. If you can do it, your body is working well and you’re less likely to lose your balance.Even small improvements with this skill can make a real difference in your independence.
(I can do this from kitchen chairs, but couches and Adirondack chairs require scooting to the edge to get my feet under me and then still use my right arm to push me up. I consider my efforts in this excellent.)

2. Getting up from the floor without help


Getting up from the floor on your own is a real test of strength and coordination. It means your muscles and balance are working together.

This ability can boost your confidence and help you feel safer at home. If it’s challenging, simple exercises or working with a physical therapist can help you get better.

Practice slowly and safely. Each time you do it, you’re building strength that helps you stay independent.

(Yeah, I've practiced this in my walks in the woods a lot. I can only get up from my right side, so if I end up on my left side I have to roll over to that side.  None of this was worked on with my therapists, I had to figure it all out myself.)

3. Walking a mile comfortably

Walking a mile without stopping is a solid sign your body is in good shape. It shows your heart, lungs, and joints are all working well.

You don’t need to walk fast—just moving at your own pace is enough. Regular walks can lift your mood and help manage stress.

If walking a mile still feels easy, you’re doing a great job staying active. Keep it up and your body will thank you.

(Not a problem and I do this in natural area trails, taking my saws with me to clear branches and trees. The 24 in diameter tree across one of the trails will not be removed since my battery chainsaw is only 14 inches and previous large trees removed bound up the saw causing lots of swearing and implementing plans B, C, and D to get the saw freed. I don't trust myself safely handling my 18-inch gas chainsaw. Used to do 10,000 daily steps very regularly- about 5 miles.)

4. Carrying groceries without strain

When you can carry groceries without feeling wiped out, your muscles and balance are working for you. It may seem like a small thing, but it keeps you independent.

Carrying bags uses your shoulders, core, and grip. If it’s getting harder, try lighter loads or split up your groceries.

Taking care with how you carry things can help you stay active and avoid injury.

(Not a problem, as long as they have carrying handles.)

5. Climbing a flight of stairs without pause

Climbing stairs without stopping is a good sign your heart, muscles, and joints are in sync. It’s a quick way to check your physical health.

Take stairs one step at a time and focus on your breathing. If it’s tough, moving slowly and using the handrail can help.

Even a flight or two each day can support your fitness and confidence.

(Easy. And because I just bought a 4-level condo with 7 steps to each floor I'll have enough practice doing steps, I'll still be doing them at age 100(currently 69). One level living means you didn't plan early enough to keep doing steps. Which means you can't travel to Europe since most bar/restaurant bathrooms are in the basement with no railings.)

6. Balancing on one foot for 30 seconds

Standing on one foot for 30 seconds might seem simple, but it says a lot about your balance. If you can do it, your muscles and nerves are working well together.

For anyone over 70, good balance lowers your risk of falling. If you struggle, start with short tries and practice every day.

No special equipment needed—just stand on one foot and add time as you get better. It’s a quick way to keep your balance sharp.

(I have always failed this on my bad leg in the Berg Balance Scale test. 

My therapists failed me by never providing any rehab exercise to fix this when I failed this component in the Berg Balance Scale.

I don't see it ever getting better. I walk unimproved trails with standing water, rocks and roots which is challenging my balance constantly, so I'm not concerned at all about this bogus test.)

7. Cooking a full meal from scratch

There’s something special about preparing a meal from fresh ingredients, especially as we get older. If you’re over 70 and still whipping up dinners from scratch, that’s no small feat.

It takes energy, coordination, and a good memory to follow recipes. Choosing your own ingredients lets you adjust meals to your taste and health needs.Sometimes, simple recipes with just a few fresh items can be surprisingly quick to put together. Batch cooking can also make life easier.

Making several meals at once saves time and effort during the week. Labeling leftovers with dates helps you keep track of what to eat next.

Cooking isn’t just about the food. It’s a creative outlet and a way to stay active.

Trying out new recipes or inviting friends over for dinner brings a sense of connection. Sharing a meal you made yourself is something to feel good about.

(Nope, not occurring. Since my medical team completely failed at recovering my left hand, cutting anything is a recipe for danger. I am currently getting meals from Home Chef with very limited cutting needed. That will allow me to live independently for decades to come.)

Tuesday, January 16, 2018

Upright activity and higher motor function may preserve bone mineral density within 6 months of stroke: a longitudinal study

You do realize that standing is one of the causes of falling and that falling after 65 results in death lots of time? Will your patients sign a waiver absolving you of killing them?
Upright activity and higher motor function may preserve bone mineral density within 6 months of stroke: a longitudinal study


Karen Borschmann
1,2
&
Sandra Iuliano
3,4
&
Ali Ghasem-Zadeh
3,4
&
Leonid Churilov
2
&
Marco Y. C. Pang
5
&
Julie Bernhardt
1,2
Received: 24 May 2017 /Accepted: 18 December 2017
#
The Author(s) 2018. This article is an open access publication
Abstract
Purpose: Bone fragility contributes to increased fracture risk, but little is known about the emergence of post-stroke bone loss. We investigated skeletal changes and relationships with physical activity, stroke severity, motor control and lean mass within 6 months of stroke.
Methods
This is a prospective observational study. Participants were non-diabetic but unable to walk within 2 weeks of first stroke. Distal tibial volumetric bone mineral density (vBMD, primary outcome), bone geometry and microstructure (high-resolution peripheral quantitative computed tomography) were assessed at baseline and 6 months, as were secondary outcomes total body bone mineral content and lean mass (dual energy X-ray absorptiometry), bone metabolism (serum osteocalcin, N-terminal propeptide of type 1 procollagen (P1NP), C-terminal telopeptide of type 1 collagen (CTX)), physical activity (PAL2 accelerometer) and motor control (Chedoke McMaster) which were also measured at 1 and 3 months.
Results
Thirty-seven participants (69.7 years (SD 11.6), 37.8% females, NIHSS 12.6 (SD 4.7)) were included. The magnitude of difference in vBMD between paretic and non-paretic legs increased within 6 months, with a greater reduction observed in paretic legs (mean difference = 1.5% (95% CI 0.5, 2.6), p= 0.007). At 6 months, better motor control was associated with less bone loss
since stroke (r=0.46, p= 0.02). A trend towards less bone loss was observed in people who regained independent walking compared to those who did not (p= 0.053). Higher baseline daily count of standing up was associated with less change in bone turnover over 6 months: osteocalcin (r=−0.51,
p=0.01),P1NP(r=−0.47, p = 0.01), CTX (r=−0.53, p = 0.01).
Conclusion
Better motor control and walking recovery were associated with reduced bone loss. Interventions targeting these impairments from early post-stroke are warranted.
Clinical trial registration
URL:
http://www.anzctr.org.au
. Unique identifier: ACTRN12612000123842.

Sunday, January 15, 2017

Standing practice in rehabilitation early after stroke

A research study on standing in the UK. Join if you can.
http://www.isrctn.com/ISRCTN15412695?q=&filters=&sort=&offset=78&totalResults=15353&page=1&pageSize=100&searchType=basic-search
Condition category
Circulatory System
Date applied
04/07/2016
Date assigned
19/12/2016
Last edited
19/12/2016
Prospective/Retrospective
Prospectively registered
Overall trial status
Ongoing
Recruitment status
Recruiting

Plain English Summary

Background and study aims
A stroke is a serious condition where the blood supply to a part of the brain is cut off, usually by a blood clot blocking an artery (ischaemic stroke) or a bleed (haemorrhagic stroke). A large proportion of stroke victims suffer from long-term complications depending on the area of the brain that is affected, affecting their ability to speak, think and move. People with severe stroke experience significant muscle weakness which means that they spend much of their time in bed or sitting. This inactivity can cause their muscles to become even weaker and stiffer and may lead them to experience sudden drops in blood pressure when they move from lying to standing (orthostatic hypotension (OH). This further interferes with their ability to participate in intensive stroke rehabilitation, overall recovery and quality of life. Currently physiotherapy for people with severe stroke concentrates on practicing tasks such as getting in and out of bed into a chair that are important for independence and achieving safe discharge home. Standing up early after a stroke may help strengthen muscles, reduce OH and minimise or prevent muscles becoming stiff and weaker. A standing frame has the ability to assist people with severe stroke safely into a supported standing posture, however there are not given to patients when discharged and are not often used in stroke rehabilitation units. This study aims to assess whether it is possible for people with severe stroke to use a standing frame to practice functional movements such as standing and moving between sitting and standing during their hospital-based rehabilitation.

Who can participate?
Adults with severe stroke who are patients in participating Stroke Rehabilitation Units in Cornwall and Devon.

What does the study involve?
Participants are randomly allocated to one of two groups. Those in the first group take part in the functional standing frame programme. This involves a maximum of 30 minutes using the standing frame plus an additional 15 minutes to provide time for usual physiotherapy where participants may practise transfers, arm activities or activities chosen by participants or guided by physiotherapists. Participants will undertake the functional standing frame programme for ideally up to five days per week for a total of three weeks. Those in the second group practice routine physiotherapy stroke rehabilitation for 45 minutes per day (or as long as a tolerated) ideally up to five days per week for three weeks. Participants in both groups complete a range of assessments and questionnaires at the start of the study and then again after three, six and twelve months to assess their function and ability to undertake activities of daily living.

What are the possible benefits and risks of participating?
Participants who use the standing frame may benefit from improvements to their symptoms and enhanced recovery. There are no notable risks involved with participating.

Where is the study run from?
1. Camborne Redruth Community Hospital (UK)
2. Bodmin Community Hospital (UK)
3. Skylark Ward, Stroke Rehabilitation Unit (UK)
4. Elizabeth Ward, Stroke Rehabilitation Unit (UK)

When is the study starting and how long is it expected to run for?
April 2016 to March 2019

Who is funding the study?
National Institute for Health Research (UK)

Who is the main contact?
Miss Angie Logan
angie.logan@plymouth.ac.uk

Trial website

Monday, April 20, 2015

Wednesday, March 12, 2014

Standing up in an airplane

You'll need to ask your therapist to demonstrate it. Especially with the seat in front of you leaned back.  I basically stumble into the aisle and catch myself there. I have to do massive gyrations in order to get my feet under me and be able to push myself upright with my right arm. Or I grab the seat in front of me and basically pull it almost to the breaking point. It looks totally pathetic.

Tuesday, April 23, 2013

Incentives for your rehab

That resveratrol is really helping her. Just the thought of consuming it allows her to stand. Your therapist and doctor will not approve.  Don't do it! 
2011/1/Miracles-Do-Happen.jpg