Engaging stroke rehabilitation exercise through smart games. Johns Hopkins' Kata Project, a collaboration between neuroscientists, engineers, animal experts, artists and entertainment industry experts, has designed an immersive experience for post-stroke patients who will try to swim” as a virtual dolphin named Bandit.
Importantly, from the point of view of the stroke patients, and their healthcare providers, implementation of exercise after a stroke can improve CV fitness, walking home exercises for stroke patients ability, upper extremity muscle strength, symptoms of depression, some aspects of executive functioning and memory, and health-related quality of life.
Whether at health resorts or at home, patients should always be under careful physician care to determine an appropriate and safe program for stroke recovery and exercise,” points out Ivan Ferran Director of Clinical Exercise at the Pritikin Longevity Center.
39 A recent systematic review of exercise in healthy adults 40 showed that cardiorespiratory training reduces BP, particularly among hypertensive participants (systolic BP, −8.3 mm Hg; 95% CI, −10.7 to −6.0; diastolic BP, −5.2 mm Hg; 95% CI, −6.8 to −3.4). Dynamic resistance training also has similar effects on BP but the most surprising finding is a greater effect of isometric (static) resistance training (systolic BP, −10.9 mm Hg; 95% CI, −14.5 to −7.4; diastolic BP, −6.2 mm Hg; 95% CI, −10.3 to −2.0).
The EfS Instructor can chose to print specific exercises from each component, enabling you to tailor the STARTER exercises, based on decisions made from assessment acknowledge that these sheets will not be suitable for all stroke survivors with regard to content and format.
Figure 1. Components of a Rehabilitation-Internet-of-Things: wireless chargers for sensors (1), ankle accelerometers with gyroscopes (2) and Android phone (3) to monitor walking and cycling, and a force sensor (4) in line with a stretch band (5) to monitor resistance exercises.
Watching patients do the exercises: I like to see them at home, because you can get them doing an exercise for you, get them to walk to the kitchen bench and do that exercise and you do it beside them, so they've got that in their minds—hey, I'm doing it right and I'm doing it here, and I can remember when you were standing beside me doing it there, so I must be doing it right” (participant 15).
The third set of goals after stroke rehabilitation is to facilitate the stroke survivor to develop and maintain an active lifestyle that meets recommended stroke physical activity and exercise guidelines for prevention of recurrent stroke and cardiac events, and to maintain or improve physical function.
When performing passive range of motion on a stroke patient with limited range of motion, the exercises would only be done in a pain-free range, performed more slowly, and the helper should be aware of the patient's available movement or range of motion.
We work holistically with you, addressing areas such as posture, shoulder stability, overall strength, functional mobility, balance (standing and sitting), trunk stability (i.e. being able to sit on edge of a bed or chair), relearning how to move effectively and efficiently (motor relearning), cardiovascular health (exercise), and coordination.
Understand that it is important to treat spasticity before doing recovery exercises. Direct weight bearing to the upper and lower extremities also has been shown to increase motor neuron activity in both the upper and lower extremity.16 This phenomenon is unique to patients with stroke.