New Definitions:
PhysiatristA medical doctor specializing in physical medicine and rehabilitation to help recover movement and function.
ADL (Activities of Daily Living)Basic tasks such as eating, bathing, dressing, and toileting that are essential for independent living.
Restorative TherapyTherapies aimed at regaining strength, movement, and independence, including physical, occupational, and speech therapy.
Hemorrhagic StrokeA stroke caused by bleeding in or around the brain due to a burst blood vessel.
Motivational InterviewingA counseling method that encourages motivation and commitment to goals by resolving feelings about change.
PruningA brain process that removes unused synapses to strengthen active connections and improve efficiency.
Transcranial Magnetic Stimulation (TMS)A non-invasive treatment using magnetic fields to stimulate brain areas, aiding recovery of movement, mood, or other functions.
University-Affiliated Medical CentersHospitals or clinics connected to a university, offering advanced research, technology, and specialized stroke rehabilitation.
Neurophysiological EventsChanges or activities in the brain and nervous system, such as those occurring during stroke recovery.
Neurological IncidentsEvents affecting the nervous system, like strokes or brain injuries, with recovery often being gradual.
Top Quotes:
“The person who has had the stroke really needs to take control.”
“Our brains are never static; they are always changing depending on the input we provide.”
“Movement is huge.”
“The more steps you take, and the higher level of intensity you work at, the better your outcome will be.”
“Get your heart rate up.”
“The research shows that if someone participates at a 60% exertion level compared to a 75% exertion level, there’s a difference in their brain. Sixty percent is not quite enough to produce neurotrophic factors that promote new growth, but 75% to 85% is enough.”
“If someone is constantly failing, the brain will actually inhibit change.”
“Improvement is always gradual.”
Best Practices:
Sleep and rest.
Movement helps.
Avoid engaging too much in social activities.
Allow for breaks and pacing.
Use a treadmill for steps and repetitions to drive repetition.
Games or gamification can release dopamine, supporting new nerve connections and synapse connectivity.
Failure can hurt the brain’s malleability.
Introducing autonomy helps.
Visual imagery is effective and activates the brain in the same way as physical activity.
Avoid constantly putting the brain in overload.
Be aware of the effects of inactivity.
Track where you are now and where you’ve been to help you continue progressing.
Online resources:
American Stroke Association
Youtube videos for exercise