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What does stroke rehabilitation mean?

This post discusses the concept of stroke rehabilitation. This is where stroke carers have a big role to play. Here, we discuss when the stroke rehabilitation begins, what aspects it includes, and the current expert recommendations. What is stroke rehabilitation? It has three goals: Re-learning the lost skills Managing existing problems Preventing new problems When and how the stroke 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…

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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. While the new cases per 100,000 have declined by half in high-income countries during the past decade, alarmingly, it has 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…

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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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Workplace wellness programs

Workplace wellness programs not only detect those at risk of getting a stroke and coronary heart disease but prevent occurrence also. Overall, these interventions promote general well-being. As a general measure, the strategy is one of the cost-effective interventions of health promotion. How? Employees spend most of their time in the workplace throughout the most productive period of their lives. Carrying out wellness programs yield many dividends not only to themselves but employers and society at large also. The program managers too can save their valuable time, money, and limited resources because the workplaces gather apparently healthier individuals into one…

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Blend cardio with muscle strengthening exercises

In your post-stroke recovery journey, experts say to blend cardio exercises with muscle strength exercises

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World Stroke Organization on Stroke and Dementia

In June 2020, The Lancet Neurology published a very important Declaration proclaimed by the World Stroke Organization (WSO) on stroke and dementia. The WSO predicts that by 2050, about 200 million stroke survivors will be in the world. And because of the close link between stroke and dementia, we could expect about 106 million living with dementia; and, thereafter, each year, we may encounter over 30 million new stroke patients. The most notable statement, to me, in their declaration, is this: The current strategies to address risk factors for heart diseases and stroke are not sufficiently effective. World Stroke Organization,…

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Research – practice gap on walking promotion

The 2015 published Cochrane review (1) found only five studies that evaluated community walking sessions for people living a stroke. And, they concluded that the quality of evidence of these studies was very low. Furthermore, only 266 individuals had been involved in all five studies and two of the programs “mimicked” community programs. Walking certainly improves walking ability and speed after a stroke event; the activity itself brings a multitude of benefits not only economically but socially also. I could not find any reviews published after 2015. Citations Barclay RE, Stevenson TJ, Poluha W, Ripat J, Nett C, Srikesavan CS….

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Loved ones may delay emergency care for stroke patients

seek emergency care within the first hour of symptom onset

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