Showing posts with label ▷ 2014 Nov 15. Show all posts
Showing posts with label ▷ 2014 Nov 15. Show all posts

Saturday, November 15, 2014

Saturday News


Contents of This Week:

Definition: Physical Exercise

Physical Exercise from Wikipedia, the free encyclopedia

 
A U.S. Marine participates in a triathlon
at Catoctin Mountain in 2005
Physical exercise is any bodily activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons, including strengthening muscles and the cardiovascular system, honing athletic skills, weight loss or maintenance, and merely enjoyment. Frequent and regular physical exercise boosts the immune system and helps prevent the "diseases of affluence" such as heart disease, stroke, cardiovascular disease, Type 2 diabetes, and obesity. It may also help prevent depression, help to promote or maintain positive self-esteem, improve mental health generally, and even can augment an individual's sex appeal or body image, which has been found to be linked with higher levels of self-esteem. Childhood obesity is a growing global concern, and physical exercise may help decrease some of the effects of childhood and adult obesity. Health care providers often call exercise the "miracle" or "wonder" drug—alluding to the wide variety of proven benefits that it can provide.

Classification


Physical exercises are generally grouped into three types, depending on the overall effect they have on the human body:
  • Aerobic exercise is any physical activity that uses large muscle groups and causes your body to use more oxygen than it would while resting. The goal of aerobic exercise is to increase cardiovascular endurance. Examples of aerobic exercise include cycling, swimming, brisk walking, skipping rope, rowing, hiking, playing tennis, continuous training, and long slow distance training.
  • Anaerobic exercise is also called strength or Resistance training and can firm, strengthen, and tone your muscles, as well as improve bone strength, Balance, and Coordination. Examples of strength moves are pushups, lunges, and bicep curls using dumbbells. Anaerobic exercise also include weight training, functional training, eccentric training, Interval training, sprinting and high-intensity interval training increase short-term muscle strength.
  • Flexibility exercises stretch and lengthen your muscles. Activities such as stretching help to improve joint joint flexibility and keep muscles limber. The goal is to improve the range of motion which can reduce the chance of injury.
Physical exercise can also include training that focuses on accuracy, agility, power, and speed.

Video: Physical Exercise

Contents - Physical Exercise:

1.  Simple Exercise At Your Home..., 
2.  Or Maybe You Like Yoga..., 
3.  But I Prefer Swimming..., 
4.  Many People Like Walking..., 
5.  And, of course, Running or Biking or Snowshoes, ..., etc!



1. Simple Exercise At Your Home..., 

Let's Get Moving: A Home-Based Exercise Program for Individuals Recovering from Stroke 

Published on Apr 12, 2013

This exercise program was developed by a Doctor of Physical Therapy student from the University of North Carolina at Chapel Hill. The video is meant to encourage stroke survivors to stay active after stroke and to provide a foundation for doing so. The video is most appropriate for ambulatory individuals with mild to moderate functional deficits. The video focuses on strengthening and range of motion and can be used alone or in addition to physical therapy intervention.

Music: "Unaccompanied Cello Suite No. 6 in D Major, BWV 1012: Gigue" by Yo-Yo Ma


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Eclectic Stuff

Definition: Eclectic(noun) a person who derives ideas, style, or taste from a broad and diverse range of sources.

Sunday Stroke Survival ~ Let's Get Physical, Physical

Jo Murphey
The Murphey Saga
Sunday, November 9, 2014

LimeGreenSquid
Yep you guessed it. The blog today is on physical exercise after a stroke. Yeah, right! Sure it is. I hear you. "A couple of weeks ago ago, you said you don't exercise."

I might have given up my gym membership back in the dark ages when dinosaurs roamed the earth, (er, um, 1984) but that doesn't mean I don't do physical exercises.

I do own a stationary air cycle and one of those ritzy NordicTrack, all-in-one, FreeStride Trainer. It was an impulse buy before my stroke. Now this equipment is getting a good dusting before I use them again. After all, with the decubitus on my foot this past twelve months, it's been kind of hard to stand let alone exercise with them. I'll be using them again soon now that they aren't an issue anymore. (Yahhh! Whoppie!) I've kind of been looking forward to it. I may not be able to work out as long as I once did, but with time, I should be.

Nautilus

Barb Polan
Barb’s Recovery
31st December 2010

Pat and I went to the Y today to see what equipment I might be able to use in addition to exercises in the pool. As a former personal trainer, Pat is interested in both herself and me getting in better physical condition. She walks miles and miles around Gloucester, while I row miles and miles on my machine, so she is not worried about our cardiovascular health, but our strength, especially my left side.

At the Y, we ventured upstairs to the fitness room, which we had not visited on our first tour, as focused as we were to see whether I could make my way to the locker room and get into the pool. Today we went up to the third floor, where there's a gymnasium on the left and fitness room to the right, women's locker room with sauna in between.

The fitness room contained a bank of cardio equipment on the left and a Nautilus circuit on the right. I eyed the leg curl machine as we entered, but we tried out a recumbent bike instead, to see how that went. Fortunately, there was a foot strap to hold my left foot in place, and I could even pedal with my right foot on the floor because Pat wanted to see if my left leg was just "going along for the ride" or whether it could actually pedal. I didn't do it long, but it was tiring. All of the Stairmasters, which Pat wanted me to try, were occupied, so that was out.

We looked around for something else I could try. She relented and said I could try the three leg machines by the door we'd entered: they were labeled leg curl, leg extension, and abductor/adductor. I think that's to strengthen hamstring (back of thigh), quad (front of thigh), abductors(outside of thigh) and adductors (inside of thigh), respectively, although I might have the abductor/adductor locations reversed. I'll have to check.

Neuromuscular Re-Education -- or "It's all about your butt!"

Diane
The Pink House On The Corner
Saturday, November 8, 2014

So, two weeks ago, Bob had his four week "re-certification" at Outpatient Rehab. He passed speech with flying colors, not so much PT...

Once again, he's caught in that "plateau" trap, the "no progress" or "slow progress" and "no functional improvement" crap and he's about to be booted out of the insurance-paid-for-therapy door....

This time, however, because Bob has a trust fund and we can afford to private pay for therapy, Bob's PT did some legwork and a found a highly recommended personal trainer at a local fitness studio who specializes in stroke and brain injury rehab.

Friday, we went to the fitness studio for a "free consultation" and "evaluation" with the personal trainer.

And I tell you, it was very different from the usual insurance-paid-for-therapy evaluation. In fact, the "therapy" is very different from anything we've run into at all the different rehab centers we have frequented in these past four years. This place practices the "BEST method" (stands for "Better Educated Strength Training") and the stroke rehab program concentrates on "neuromuscular re-education" and this therapist/personal trainer actually talked about things like "neuroplasticity" and "brain-to-muscle connectivity" and things I've really only read about -- up to now.

So, this sounds like pretty exciting stuff....

Can Exercise Reduce Stroke Damage?

Bill (William) Yates
Brain Posts
6th December 2012

This is the fourth and final post is a series focusing on exercise and the brain.  In the first post, I reviewed research documenting the brain's role in exercise fatigue.  The second post examined the hypothesis that aerobic physical activity had a key evolutionary role in the growth of brain size in humans.  The third post focused on animal study research supporting a role for exercise in reducing vulnerability to anxiety by changes in the 5-HT2C serotonin receptor.

In this post, I will review a provocative study suggesting that physical fitness and it's effect on brain vascular health, may limit the brain damage produced by stroke.

Dunn and colleagues at the University of Calgary in Canada conducted an experiment in rats that has recently been published in the journal PLOS ONE.  They noted that in the mammalian brain a chemical called hypoxia inducible factor, or HIF-1alpha, exists that improves "the capacity of tissue to survive low oxygen conditions".   They hypothesized that manipulation of environmental factors that increase HIF-1alpha may serve as a potential mechanism to reduce the brain damage associated with hypoxic events.

New Year's Resolutions

Pamela Hsieh
Rehab Revolution
19 January 2011

SSTattler: A little old resolutions but a good article. 
                  Thanks Pamela!

Roughly this time of year (fine, perhaps a trio of weeks ago, but I say “this time” because I sadly am already lagging behind), people are resolving for the New Year. “Lose weight” turns into a new gym membership or some fad diet.

And then (really) comes about now, the later-January crash, when most people have already either pushed these resolutions to the backburner, or worse yet, completely forgotten about them.

I could go on for days about my frustration over the general man’s seeming inability to change for the better — but that’s not what today’s post is about.

Ever since I decided to put my healing into the forefront of my priorities, regular rehabilitation has been on my New Year’s resolutions. Finally, in early 2008 or so, I managed to pull an about-face and learned to get myself on track. The trick was to always schedule mandatory trips to the gym with regimented exercises. There was no “I don’t feel like it” or “I’ll go tomorrow” (of course, that usually was the case anyway). I was going to university full-time, as well, and treated attendance at the gym nearly as a class. I was in the gym five days a week, guaranteed. (And this was from not going at all, or only once or twice.)

Resistance Training After Stroke

Peter G. Levine
Stronger After Stroke
Tuesday, November 4, 2014

Got a good question the other day about resistance training the other day. Please see the Q&A, below...

Q
     I am a 43 year old stroke survivor(2010).  I walk ok(not too pretty), can do light manual work, and can't run.  My left affected side is considerqbly weaker than my dominnant, nonaffected right side.

    I want to return to higher impact activities one day, but I just don't think I have the physical strength to do so.

  I have read several articles by Sroke survivors who benefitted greatly from barbell-base systematic weight training as a  means to advance recovery.

    One writer mentioned (book) as a good place to begin.  It emphasizes combination weight exercises that employ multiple muscle groups and run through a full range of motion.

    Do you have any opinions or clinical experiences on the subject  of Strength Training following Stroke or could direct me towards some materials to get started?

A

     I did a quick review of the literature (example) and found that there's a general consensus that resistance training is a good thing post stroke. A really good thing. But there seems to be no consensus on what type of resistance training it should be.

Stimulate Stroke Recovery Through Exercise

Ramon Florendo
Life after a Stroke
Sunday, March 27, 2011

Stimulate stroke recovery through exercise: by increasing Brain Derived Neurotrophic Factor.

BDNF , of Brain Derive Neurotrophic Factor, is a neurotrophic factor (or protein) in the brain that is instrumental in the growth of new neurons and new neural synapses. Moderate exercise has been shown to stimulate increased production of this chemical in the brain, which would in turn create a more optimal environment for neuroplasticity to work it’s magic!

How much exercise is “moderate exercise?” great question! It’s very difficult to judge how intensely a person is exercising (even for a physical therapist, who does that for a living!)…but one fairly easy way is to monitor your heart rate and keep it within a certain training range. A commonly used range for moderate intensity exercise is about 70-80% of your maximum heart rate. So first you calculate your maximum heart rate by subtracting your age from the number 220. (for example, if you are 50 years old, your maximum heart rate would be 170) Then you calculated 70-80% of this maximum heart rate (if you are still 50, then your 70-80% of max heart rate range would be 119 to 136). Keep in mind that after a stroke, EVERYTHING takes more energy! So any from of activity or exercise could elevate your heart rate more than it would elevate the heart rate of somebody who hasn’t had a stroke.

Abs

Amy Shissler
My Cerebellar Stroke Recovery
July 19, 2013

Everyone wants 6-pack abs.  Having keg abs is much more common though, unfortunately.  Because of all of the breath work  that I do and focus on the diaphragm and getting it stronger – oh my God it’s a good workout for the abs.  The abdomen is in constant use.  It whittles away fat from your waistline.  As a physical therapist, I would have told you 3 years ago that you can’t spot reduce.  And I still think that’s true for all other areas of the body except for the waistline.  I’ve done it.  I’ve spot reduced in an area that almost everyone wants smaller.  Not you Vicki, I think you want your waist to get bigger right now.  :)  You learn a hell of a lot when you get sick and you have no other choice.  As for sit-ups and crunches – protect the spine.  To do this, don’t do regular sit-ups, ever.  That’s really bad for your back.  You know that machine at the gym that’s for your abs where you sit and bend forward against resistance?  This.  DON’T DO THAT THING!!!!!  Do crunches and these stabilization exercises. These exercises are weird and require a blood pressure cuff but I love them and used to use them all the time. And do these things.  If you have an exercise ball, try these, some of this page is in a different language and it made me laugh.  Try to keep the back straight.



See the original article:
in

Men: Walk To Reduce Your Stroke Risk

Jeff Porter
Stroke of Faith
Tuesday, November 19, 2013

You've seen references to exercise before, but here's more info that to reduce stroke risk, take a hike:
Men who walked eight to 14 hours each week had about a one-third lower risk of stroke compared to men who walked no more than three hours a week or did not walk at all, and the risk was about two-thirds lower for men who walked more than 22 hours a week. 
"Compared to walking at a slow pace, the men who walked faster had about a one-third reduction in stroke risk, but this was entirely explained by the fact that they walked further than men who walked slower," Jefferis told MedPage Today. "On balance it seemed that time spent walking, rather than walking pace, was more important in our study." 
Photo from U.S.
Department of Health
and Human Services
Walking is the predominant form of physical activity in older adults, and it is important to understand its impact on stroke risk in this population, the researchers wrote.
Walking is cheap exercise and cheap "medication" for stroke prevention. Most people can start at their own pace and time, and slowly improve as ability increases. Of course, it's always advisable to check with a health professional before starting an exercise program.

Not long ago, this blog highlighted a study focusing on women and walking. Now, it's time for men to "take a hike!"




See the original article:
in

Recovering from a Stroke: The Role of Exercise

Dean Reinke
Deans’ Stroke Musing
Tuesday, June 10, 2014

So rather than preventing neuron death and damage by stopping the neuronal cascade of death this 'expert' focuses on maybe making your recovery a little better. That way only you have to do something, your doctor needs to do nothing.  These people need to be slapped upside the head. I need some stroke expert to tell me exactly why I am wrong about this, because I don't understand how everyone in the stroke world can be so stupid. Recovering from a Stroke: The Role of Exercise.

Disclosure: Dr. Chantler has a significant research grant funded by the American Heart Association.
Pub Date: Wednesday, May 20, 2014
Authors: Paul D. Chantler, PhD
Affiliation: West Virginia University School of Medicine, Division of Exercise Physiology

Citation:
      Billinger SA, Arena R, Bernhardt J, Eng JJ, Franklin BA, Johnson CM, MacKay-Lyons M, Macko RF, Mead GE, Roth EJ, Shaughnessy M, Tang A; on behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Lifestyle and Cardiometabolic Health, Council on Epidemiology and Prevention, and Council on Clinical Cardiology. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association [published online ahead of print May 20, 2014]. Stroke. doi: 10.1161/STR.0000000000000022.

Article Text

An estimated 7 million American adults are living with a stroke.1 It is projected that an additional 4 million will have a stroke by 2030, which is almost a 25% increase in prevalence from 2010.2 Unfortunately, stroke remains a leading cause of long-term disability in the United States.1 Consequently, stroke survivors are often deconditioned and predisposed to a sedentary lifestyle that adversely impacts performance of activities of daily living, increases the risk for falls, and may contribute to a heightened risk for recurrent stroke and other cardiovascular (CV) diseases. These staggering statistics highlight the critical need to identify effective approaches to improve the quality of life of stroke patients. In particular, regular exercise (defined as physical activity that is planned, structured, and repetitive for the purpose of conditioning any part of the body) or physical activity (defined as any bodily movement produced by skeletal muscles that results in energy expenditure beyond resting expenditure) is one such approach, reflected by the inverse relationship between CV health and physical activity.3 Unfortunately, most healthcare professionals have limited experience and guidance in exercise programming for this diverse and escalating patient population.

Bee Here Now

Steven H. Cornelius
Music and Stroke
July 16, 2014

We have a beautiful garden, rich with flowers (and weeds) from early spring until late fall. Admittedly, it is more exuberant than neatly organized, but it is fragrant and lovely to behold. Although we have a compost pile, throughout of the spring and summer we often liquefy fruit and vegetable remains in a blender, then dig the stuff directly into the soil. We use neither pesticides nor fertilizers. Every year the soil is more friable and more productive.

We also maintain our garden for the insects, especially the bees and butterflies. This year there have been very few of either. It’s heartbreaking. In yesterday’s New York Times there was a thoughtful and troubling editorial by Mark Winston titled, “Our Bees, Ourselves: Bees and Colony Collapse.” Colony collapse is a very serious problem.

What does all this have to do with stroke and music? A lot. Winston writes, “Honeybee collapse has been particularly vexing because there is no one cause, but rather a thousand little cuts.” I am sure this is also true for conditions leading up to stroke. I am not currently concerned with prevention, however. I am focused on recovery.

Elliptical Timeline

Joyce Hoffman
The Tales of a Stroke Patient
Oct 25, 2012

There's an old joke: Call me anything, but please don't call me late for dinner. And please don't call me a hypocrite, either. Three days a week, I have done physical therapy at Rehab X, twelve times so far.

If you read my book, "The Tales of a Stroke Patient," though I said horrific things about my stay there for seven weeks, I didn't say one bad word about the physical therapists. So I was not being a hypocrite when I returned to Rehab X for physical therapy. That's a roundabout way to say the physical therapists were the best, at least according to the sign they have plastered in the therapy window for winning the local newspaper's award.

Anyway, there were three parts to the routine that lasted for about an hour and was the same every time. First, I got stretched on the mat with the physical therapist helping me lift, spread, and bend my legs. My hamstrings, quadriceps, and ankles were challenged, and though it hurt, it was a good hurt. Next, I went on the elliptical, a cardio training machine that mirrors walking up the stairs and running, working large muscle groups, in my legs and one functional arm in a continuous movement.Finally, I used the parallel bars, with exercises like side-stepping and lifting my leg on the affected side as high as it would go.  My therapist gave me all her time, but occasionally, when the therapy center was crazy busy, the therapist at most had two patients.

Mother's Little Helper

Marcelle Greene
Up Stroke
Wednesday, November 5, 2014

My mother has been my greatest cheerleader since my stroke, driving me to therapy, holding my hand during Botox injections, and encouraging me when I feel hopeless. Sometimes I feel she’s naively optimistic.

This same “can-do” attitude prompted her at age 71 to embark on writing a non-fiction book about a program she participated in during college. My mother admits that when she volunteered at an alumni meeting to document the program’s history, she had no idea what she was getting into.

She researched for a couple years, produced a 600-page draft, and showed it to fellow alumni who changed some commas. But she needed more help and nobody was better positioned than me – a professional editor – to provide it.

I hesitated: Would editing the book take too much time away from rehab? Could I sit at the computer for long hours given my physical restrictions?

Addendum - Walking in Snow with a Cane

Rebecca Dutton
Home After a Stroke
November 6, 2014

Bottom Line: I am not ready to go to an assisted living facility were the center's van will take me to Wal-Mart once a week.

The photo on the left shows the spikey cane thing that JoAnn mentioned in her comment about my previous post on snow boots.  It is a Briggs Ice Cane/Crutch Attachment.  I bought it at a medical supply store near my home.  The advantage of buying it in a store instead of on-line is the saleswoman got out a screwdriver and fastened the device to my cane.  It stays out of my way in the up position until I snap it in place (photo below). I place the cane in my hemiplegic (paralyzed) hand which holds the cane still while my sound hand pushes the device down until it snaps into position.  The device makes my cane slightly heavier which slows me down.  I use another cane during warm weather rather than take this device off and try to get it back in the same place each winter.

Warning #1: I do NOT poke my cane through the snow.  I wait until after a neighbor I pay shovels my walkway and digs out my car.  I must be able to see the ground to tell if there is an icy patch that could make the spikes slip.  Checking the ground as I walk with spikes on the end of my cane slows me down, but it gets me to my car safely so I can drive.
Warning # 2: People who plow store parking lots do not always do a good job of removing ice from handicapped parking spots.  Before I get out of my car I open the door and look at the ground to see if I want to leave the device down or push it up out of my way.



See the original article:
in

7 Kinds of Sex

Jackie Poff
Stroke Survivors Tattler
Research shows that there are 7 kinds of sex.

The 1st kind of sex is called: Smurf Sex. This kind of sex happens when you first meet someone, and you have sex until you are blue in the face.

The 2nd kind of sex is called: Kitchen Sex. This is when you have been with your partner for a short time, and you are so needy you will have sex anywhere, even in the kitchen.

The 3rd kind of sex is called: Bedroom Sex. This is when you have been with your partner for a long time. You still have sex – occasionally - and if you do, you only have it in your bedroom.

The 4th kind of sex is called: Hallway Sex. This is when you have been with your partner for too long.  When you pass each other in the hallway you both say 'F___ you.'

The 5th kind of sex is called: Religious Sex. Which means you get Nun in the morning, Nun in the afternoon and Nun at night. (Very Popular)

The 6th kind is called Courtroom Sex. This is when you cannot stand your wife/ husband any more. He/she takes you to court and screws you in front of everyone.

And last, but not least,

The 7th kind of sex is called Pension Sex. You get a little each month but not enough to enjoy yourself.