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Research advances on exercise after stroke

Motor recovery is possible even after 12 months The accepted “critical window of motor recovery” from a stroke refers to the first 3-6 months. A group of researchers has followed 219 individuals with mild-moderate severity of upper limb hemiparesis from the stroke; they have found the critical window can extend beyond 12 months after the event. This is great news. The exercising interventions need to carry out without stopping at the end of six months or so. The study is published in the Journal of Neurophysiology in 2019. Free access through this link: https://journals.physiology.org/doi/full/10.1152/jn.00762.2018. The nature of the study individuals:…

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What does rehabilitation after stroke mean?

This post discusses the concept of post-stroke rehabilitation. This is where stroke carers have a big role to play. Here, we discuss when the post-stroke rehabilitation begins, what aspects it includes, and the current expert recommendations. What is post-stroke rehabilitation? It has three goals: Re-learning the lost skills Managing existing problems Preventing new problems When and how the rehabilitation begins? The experts say it begins at the hospital as soon as the affected is medically stable. It could be as early as 48 hours of the event. The earliest rehab activity could be turning and moving arms and legs while…

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How to recognize a stroke: Stroke symptoms

Stroke symptoms refer to the sudden changes someone tells you with or without your prompting. On the other hand, stroke signs refer to the changes you observe. Remember and use F.A.S.T. and B.E.F.A.S.T. acronyms to detect a stroke. This post discusses stroke symptoms and signs, the F.A.S.T. campaign, the concept of the “golden hour”, and delays in seeking hospital care. The F.A.S.T. campaign F.A.S.T. is an acronym. Its four letters refer to common stroke symptoms and signs. The F.A.S.T. has now become a popular stroke awareness campaign in the world. F.A.S.T. refers to; F: face, A: arms, S: speech, T:…

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Detrimental effects of prolonged bed rest

Have you thought about this? About the detrimental effects of prolonged bed rest? This post is about that. A little bit of history about bed rest research Researchers say that bed rest was considered as a treatment strategy in the 19th century. This view was beginning to change at the turning to the 20th century. In 1947, Dr. R.A.J. Asher wrote an article to the British Medical Journal about “Dangers of going to bed”. His article was meant for physicians: ” we should think twice before ordering our patients to bed and realize that beneath the comfort of blanket there…

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Urgent appeal to improve global stroke care

Global stroke care begs urgent attention, particularly in low-middle income countries. Every year, about 15 million face a stroke event in the world. Of them, about 5 million die while another 5 million become disable permanently. Almost 70 percent of stroke events occur in low-middle income countries. Alarmingly, while the new cases per 100,000 declined by half in high-income countries during the past decade, it doubled in low-middle income countries (Johnson et al., 2016). Globally, 70 percent of stroke events and deaths occur in low-middle income countries The Lancet, 2014 More importantly, stroke occurs mostly at peak of one’s life….

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Glossary of Terms: Physical fitness and related terms

This glossary covers the terms used in the promotion of physical fitness. it includes the terms, physical activity, exercise, and types of exercises. The proper understanding of these terms and concepts are critically important in improving care for those living with a stroke. Medical clearance All guidelines recommend for anyone living with a stroke should consult a physician and undergo medical screening to decide the suitability of exercises and range of motions. Physical fitness: Physical fitness refers to a situation in which someone can do their expected physical activities – activities of daily living, leisure – without undue fatigue (Saunders…

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Photovoice project

I am inviting all stroke carers to join with this project. The “stroke carers’ photovoice project” requests you to submit your photos using this link: https://www.instagram.com/photovoiceforstrokecarers/. You can use your camera phone – with regard to your carers’ life. It can include photos that depict your emotions, challenges, methods of caring as well as your innovative best practices created by yourselves. So, your contribution is fairly simple: take a quick photo, write something according to the SHOWeD technique (you will find in this post later), and post it. Research has shown that this photovoice technique brings immense value and meaning…

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Exercise and rehab guidelines/ manuals

Resources Ontario Stroke Network: Post-stroke community-based exercise guidelines Fitness and mobility exercise (FAME) program for stroke:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266302/ FAME program for chronic stroke:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226792/ Manual for basic exercises for stroke: https://www.oatext.com/manual-of-basic-physiotherapeutic-exercises-for-family-and-caregivers-of-stroke-patients.php#gsc.tab=0 Physical activity and exercises recommendations for stroke:https://www.ahajournals.org/doi/pdf/10.1161/STR.0000000000000022 At-home exercises for stroke survivors:https://strokeconnection.strokeassociation.org/Spring-2019/At-home-Exercises-for-Stroke-Survivors/ Canadian best practices guidelines Management of upper extremity following stroke: https://www.strokebestpractices.ca/recommendations/stroke-rehabilitation/management-of-the-upper-extremity-following-stroke Range of motion exercises for shoulder, arm, and hand: https://www.strokebestpractices.ca/recommendations/stroke-rehabilitation/range-of-motion-and-spasticity-in-the-shoulder-arm-and-hand If you have more guidelines, manuals, and other resources related to exercises for stroke, please send us. Clinicians’ handbook Clinical consequences of stroke: http://www.ebrsr.com/sites/default/files/Chapter%201_Clinical%20Consequences_0.pdf Recovery and organized care: http://www.ebrsr.com/sites/default/files/EBRSR%20Handbook%20Chapter%202_Brain%20Reorganization%2C%20Recovery%20and%20Organized%20Care_2020.pdf Mobility rehabilitation: http://www.ebrsr.com/sites/default/files/Chapter%203_Lower%20Extremity_2020_ML.pdf upper extremity rehabilitation: http://www.ebrsr.com/sites/default/files/EBRSR%20Handbook%20Chapter%204_Upper%20Extremity%20Post%20Stroke_ML.pdf Cognitive rehabilitation: http://www.ebrsr.com/sites/default/files/EBRSR%20Handbook%20Chapter%205_Rehab%20of%20Cognitive%20Impairment.pdf…

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Measuring blood pressure by yourself matters

The American Heart Association and the American Medical Association promotes measuring our blood pressure at home.

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Learning resources for stroke carers

Hyperbrain This resource contains an excellent collection of learning materials from the University of Utah and the products are licensed under creative commons. Stroke prevention This European website provides a comprehensive list of resources to prevent stroke re-occurrence and promote a healthier lifestyle. I will be adding more resources with time to this post. If you, the readers of this post wish to add more useful resources, I am inviting you all to write back. Stroke This journal is a publication of the American Heart Association; some of its articles are in open access. In other words, we can read…

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