• For stroke survivors, modified cardiac r

    From ScienceDaily@1:317/3 to All on Tue May 3 22:30:40 2022
    For stroke survivors, modified cardiac rehabilitation can reduce the
    chances of death by 76%

    Date:
    May 3, 2022
    Source:
    Elsevier
    Summary:
    Survivors of serious stroke can reduce their chances of dying within
    the year by 76% if they complete a modified cardiac rehabilitation
    program that includes medically supervised exercise, prescribed
    therapy, and physician follow-up, according to new research. The
    findings have the potential to change the future of stroke care.



    FULL STORY ========================================================================== Survivors of serious stroke can reduce their chances of dying within the
    year by 76% if they complete a modified cardiac rehabilitation program
    that includes medically supervised exercise, prescribed therapy, and
    physician follow-up, according to new research published in the Journal
    of Stroke & Cerebrovascular Diseases, published by Elsevier. The findings
    have the potential to change the future of stroke care.


    ==========================================================================
    The study is the latest research from the ongoing Stroke-HEARTTM Trials
    at Hackensack Meridian JFK Johnson Rehabilitation Institute, located in
    Edison, NJ, USA. The study shows that participants in the JFK Johnson
    Stroke Recovery Program also significantly improved exercise capacity, mobility, self-care, and cognition.

    "After a stroke, sometimes family members are cautious. 'Don't get
    up, you might fall.' Many caregivers of stroke survivors discourage
    stroke patients from being active and mobile," said Sara J. Cuccurullo,
    MD, Chairman and Medical Director of JFK Johnson and a Co-Principal Investigator of the study.

    "But we are showing that even survivors of serious stroke can exercise
    safely in a supervised program -- and they can benefit enormously."
    The JFK Johnson Stroke Recovery Program (SRP) provides 36 sessions
    of medically monitored interval cardiovascular training -- as well as
    follow-up visits with a Physical Medicine and Rehabilitation physician
    along with psychological, nutritional, and educational support and risk
    factor (such as smoking, diet, and exercise) management. The research
    found that stroke patients, even those who may experience hemiplegia,
    can exercise safely with some modifications, such as the use of recumbent bicycles.

    The research follows survivors with strokes serious enough to require
    inpatient hospital rehabilitation at JFK Johnson. The study so far
    has included more than 1,600 stroke survivors. Because stroke can vary
    greatly from one survivor to the next, the study created a subgroup of
    patients closely matched for gender, race, type of stroke, age, medical complexity, and functional scores at hospital discharge.

    Of 449 patients in this subgroup, 246 completed the program. Among the
    patients who completed the program, four died within a year of their
    stroke. Among the non-participants, 14 patients died. This translates
    into a four-fold reduction in one-year all-cause mortality.

    The researchers hope the ongoing research will persuade the Centers
    for Medicare & Medicaid Services (CMS) to cover comprehensive stroke rehabilitation the same way cardiac rehabilitation is covered in people
    who have cardiac events; both stroke and cardiac events involve the
    vascular system.

    "Stroke survivors deserve the same benefits that patients with cardiac
    disease receive. As a nation, we need to do more to help patients
    with stroke improve their lives -- to improve both their longevity
    and quality of life," commented Talya Fleming, MD, Medical Director of
    the JFK Johnson Stroke Recovery and Aftercare Programs and Co-Principal Investigator of the study. "We should enable stroke survivors to function
    in the community at the highest level possible." The study also found the Stroke Recovery Program participants improved in other ways. Participants
    saw a 78% increase in their cardiovascular capacity. (Many people with
    stroke also have cardiovascular disease.) The Stroke Recovery Program participants showed steady improvement in scores related to mobility, self-care, and communication/cognition. Research results show the matched
    pairs function similarly at the beginning of the study; over time, the
    study SRP participants perform better compared to the non-participants
    as they move forward with the Stroke Recovery Program.

    "You see a real divergence," Dr. Cuccurullo added. "What this means to
    patients is that instead of just walking around the house, maybe you can
    walk around the block. It means you can feed and take care of yourself at
    a much higher level of independence. We also see speech and cognition
    improve. Exercise has significant and multiple benefits associated
    with it, including promoting overall improvement in circulation,
    especially promoting enhanced circulation to the brain." The research continues. Future phases of Stroke-HEARTTM Trials will include other rehabilitation institutes as the research expands nationally.


    ========================================================================== Story Source: Materials provided by Elsevier. Note: Content may be edited
    for style and length.


    ========================================================================== Journal Reference:
    1. Sara J. Cuccurullo, Talya K. Fleming, Stavros Zinonos, Nora
    M. Cosgrove,
    Javier Cabrera, John B. Kostis, Christine Greiss, Arlen Razon
    Ray, Anne Eckert, Rosann Scarpati, Mooyeon Oh Park, Martin Gizzi,
    William J.

    Kostis. Stroke Recovery Program with Modified Cardiac Rehabilitation
    Improves Mortality, Functional & Cardiovascular Performance. Journal
    of Stroke and Cerebrovascular Diseases, 2022; 31 (5): 106322 DOI:
    10.1016/ j.jstrokecerebrovasdis.2022.106322 ==========================================================================

    Link to news story: https://www.sciencedaily.com/releases/2022/05/220503141326.htm

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