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While anybody can be at risk of having a stroke, the elderly are more vulnerable. Other research is showing that this kind of repeated "forced use" of the hand and fingers can actually cause the brain to reorganize to help move the hand - the first demonstration of the brain's plasticity in response to intensive therapy after a stroke.
Exercise and acute cardiovascular events placing the risks into perspective - A scientific statement from the American Heart Association stroke recovery exercises Council on Nutrition, Physical Activity, and Metabolism - In collaboration with the American College of Sports Medicine.

Depending on the stroke patient's ability and recovery stage, appropriate advanced rehabilitation therapy combined with conventional rehabilitation therapy consisting of sensorimotor exercises can provide multiple types of sensory input to assist in recovery after stroke ( 8 ). As Smania et al. described ( 16 ), with a specific training program based on weight transfer and balance exercise performed under different conditions of manipulation of sensory inputs, chronic stroke patients achieved significant improvement in their ability to maintain balance control.
The American Stroke Association ( Gordon et al., 2004 ) published exercise guidelines for stroke survivors recommending 20-60 minutes of aerobic exercise three to seven days per week, with additional recommendations for adding resistance training, balance and stretching exercises.
1.8.5 Speech and language therapy for people with stroke should be led and supervised by a specialist speech and language therapist working collaboratively with other appropriately trained people - for example, speech and language therapy assistants, carers and friends, and members of the voluntary sector.

Hawthorn contains cardiotonic amines, polyphenols, and is a source of Vitamins C, B, and many other nutrients that help in relaxing and dilating arteries, increasing the flow of blood and oxygen to and from the heart and maintaining healthy blood pressure resulting in lowered risk of stroke.
In a new study by Columbia University and the University of Miami, older adults who regularly participated in moderate to heavy exercise, such as jogging, cycling, and swimming, were 40 percent less likely to have suffered a silent stroke than their sedentary counterparts.

31 From meta-analysis, self-efficacy with respect to each of balance (r2 =0.14) and falls (r2 =0.16) was reported to have significant positive correlations with poststroke PA. 29 Risk factors associated with falling include impaired mobility, reduced balance, use of sedative or psychotropic medications, impaired self-care, depression, cognitive impairment and previous falling.
The activation of these trunk muscles suggested that all-direction vibration stimulates improved balance ability ( 28 ). Additionally, previous studies reported that using vibration with the eyes closed improved the balance ability of healthy elderly participants because their balance ability had decreased more than that of healthy non-elderly subjects ( 4 ).
Consequently, rehabilitation programs designed to optimize functional motor performance in stroke survivors increasingly have incorporated aerobic exercise training, with and without partial body weight-supported walking, to improve strength and timing of muscle activations and cardiorespiratory fitness.

HIT stimulates physiological remodeling comparable with moderate-intensity continuous training in healthy people despite a substantially lower time commitment (67% lower after HIT than continuous training) and reduced total exercise volume (90% lower after HIT than continuous training) 8 , 45 - 49 For example, the HIT programs increased VO2peak, compliance in peripheral arteries and improved endothelial function in the trained legs to the same extent as continuous endurance training despite a markedly reduced time commitment per session and total training volume 45 , 49 , 50 Consequently, HIT may improve effectively the cardiorespiratory fitness of stroke patients in a shorter period of time.
Previous studies have shown that the acute risk of myocardial infarction following vigorous physical activity is higher among sedentary persons than among those who regularly engage in vigorous physical activity ( 9 , 10 , 14 , 15 ). Our results indicate that habitual activity also protects against ischemic stroke.

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