| New Definitions: | |
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| Physiatrist | A 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 Therapy | Therapies aimed at regaining strength, movement, and independence, including physical, occupational, and speech therapy. |
| Hemorrhagic Stroke | A stroke caused by bleeding in or around the brain due to a burst blood vessel. |
| Motivational Interviewing | A counseling method that encourages motivation and commitment to goals by resolving feelings about change. |
| Pruning | A 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 Centers | Hospitals or clinics connected to a university, offering advanced research, technology, and specialized stroke rehabilitation. |
| Neurophysiological Events | Changes or activities in the brain and nervous system, such as those occurring during stroke recovery. |
| Neurological Incidents | Events affecting the nervous system, like strokes or brain injuries, with recovery often being gradual. |
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| Top Quotes: | |
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| “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.” | |
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| Best Practices: | |
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| 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. | |
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| Online resources: | |
| American Stroke Association | |
| Youtube videos for exercise | |