Strokes are the third leading cause of death and the leading cause of long-term disability in the United States. Hoping to find evidence that improved brain activity was responsible for how to recover from a stroke the results, the investigators analyzed the brain scans and found markedly increased metabolic activity in brainstem areas associated with walking among all the treadmill exercisers.
68 In a prospective cohort study of 100 patients post-TIA or minor stroke, self-efficacy with respect to behaviour change, belief in effectiveness of behaviour change to confer stroke risk reduction (response efficacy) and fear of another stroke, measured by standardised questionnaires at baseline, were each independently associated with the intention to increase PA, the first of these most strongly.
Those patients with the most improvement in walking showed the strongest change in brain activity, though the researchers don't yet know whether these brain changes were caused by more walking or whether participants walked better because brain activity in these key areas increased.
Richard Sealy, director of The Rehab Practice , a private neuro-therapy rehabilitation program in the United Kingdom, regularly works with individuals, families, and caregivers to establish custom exercise routines to aid in recovery from from long-term neurological problems, like the damage caused by stroke.
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.
There are many cell phone apps and online websites that offer brain training, but these online exercises may not necessarily carry over into improvement in everyday functioning, so it is best to also include real life cognitive practice rather than only doing computer activities.
1 Consequently, stroke survivors are often deconditioned and predisposed to a sedentary lifestyle that limits performance of activities of daily living, increases the risk for falls, and may contribute to a heightened risk for recurrent stroke and cardiovascular disease.
The best results did come from a combination of cardiovascular and strength training, Oberlin said, as working up a sweat and building muscle together seem to provide optimal benefits for improving attention and processing speed, executive functioning and working memory.
Garrison, who completed the research while studying at USC and is currently a postdoctoral researcher at the Yale University School of Medicine, worked with Lisa Aziz-Zadeh of the USC Brain and Creativity Institute , based at the USC Dornsife College of Letters, Arts and Sciences, and the Division of Occupational Science and Occupational Therapy ; Carolee Winstein, director of the Motor Behavior and Neurorehabilitation Laboratory in the Division of Biokinesiology and Physical Therapy ; and former USC doctoral student Sook-Lei Liew and postdoctoral researcher Savio Wong.
Taub, who is a behavioral neuroscientist and professor of psychology at the University of Alabama at Birmingham, says his research team has developed a highly intensive form of physical therapy that, in a relatively short period of time, delivers results so impressive that not only the body, but also the brain itself shows significant improvement.
And so, an illustrated guide using a simple description, based on the newest science evidence based indications, showing clear directions of exercise execution and the suppose level of difficulty, might be a useful tool between physiotherapist and patient, to compensate or optimize the lack of weekly sessions, objectifying higher gains and facilitating stroke recovery 5.