Benefits of adding more active activity to stroke recovery – Harvard Health Blog


After a stroke, the main purpose is to get home as independent as possible. To achieve this goal, most stroke rehabilitation centers focus on helping people recover from lost work, such as the ability to use a hand, talk, swallow, or walk. Many efforts are put into active recovery so that the patient can go home safely and adequately perform daily life activities (ADLs). There is little effort put into physical exercise and conditioning for most stroke rehabilitation programs.

A systematic review and summary analysis is published Journal of the American Heart Association (JAHA) has found that stroke survivors benefit from & # 39; s aerobic exercise programs similar to those found in cardiovascular rehabilitation programs. These findings may draw a closer look at how brain rejuvenation programs are structured.

Aerobic exercise can help you achieve your stroke recovery goals

Exercise has a number of popular promotions for body and mind. These include lowering blood pressure and resting the heart rate; raising HDL cholesterol levels (good); reducing triglycerides; increasing the body's ability to break packages; improve insulin sensitivity, which helps in the prevention and control of diabetes; increased muscle mass; increased metabolism; improving mood; and reducing anxiety. Many of these benefits can also help prevent another stroke.

Another important factor for most stroke survivors is the ability to walk or walk. However, research has shown that stroke survivors make up about 80% of their days sitting or lying down. In doing so, they accumulate less than 50% of steps compared to what their health counterparts accumulate.

Rapid behavior leads to stabilization, reduced air capacity, and low energy levels. It also contributes to elevated triglyceride levels, a risk factor for stroke. Empowering stroke survivors to stay positive and moving during the day can help prevent another stroke.

Stroke recovery programs can get a picture of the heart

Stroke survivors are usually transported from a hospital or rehabilitation center with an exercise program to continue at home. The program typically focuses on functional exercises that help them perform their ADLs independently. Sometimes home-based physical therapy and exercise regimens are offered for several weeks, but there is little focus on, if any, increasing the aerobic capacity of the walking program.

Patients who have had a heart attack are usually enrolled in a cardiac rehabilitation program, which focuses on increasing aerobic capacity. There is no equivalent, a workout program based on stroke survivors. The JAHA systematic reviews and meta-analyzes suggest there may be.

The researchers were investigating 19 studies that looked at how to use exercise training programs for stroke survivors. Physical exercise programs often socodsiinayeen (47%), some stationary bike (21%), some combination of the structure (21%), and a few steps gradually (11%). The amount of exercise equivalent to the amount and intensity of the heart centers provided most affected heart for survivors of heart attack survivors. Investigators found that programs that offer two to three exercises a week, lasting 30 to 90 minutes in an eight-to-18 week session, resulted in a significant improvement in the ability of the survivor to walk for six minutes (six minutes). flow flow).

More research is needed, but in the near future it may be that survivors are joining survivors of cardiac rehabilitation centers.

Include active physical activity recovery from stroke, with or without a formal program

Until exercise training becomes part of the ongoing withdrawal plan for stroke survivors, they can talk to their doctors about starting a walking program. The goal would be to work your way two to three sessions for 30 minutes or more per session.

Local YMCA programs may have a treadmyam, as well as personal trainers, if needed, for supervision. If stroke survivors are released on physical therapy at home, they can talk to the therapist about running the program. Having an exercise buddy – a family member, a friend, or a survivor of a stroke – helps to encourage and sustain. Survivors who do not walk independently, exercise or pool exercise may have an advantage.

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