Thursday, March 8, 2012

Dementia, Stroke Risk Tied to Walking Speed, Grip Strength


Findings from an analysis of data from the Framingham Offspring Cohort revealed that walking speed and hand-grip strength in middle age correlated with the risk of stroke and dementia in later years. Participants in the Framingham study were the children of the subjects of long-range research regarding cardiovascular disease.
A baseline walking speed that was slower than average was associated with a 50% increase in the likelihood of developing dementia. Grip strength was not a factor in stroke risk, but a high baseline grip strength went along with a 42% reduction in stroke risk for people 65 and older. The study will be presented in New Orleans in April at the annual American Academy of Neurology meeting.
According to MedPage Today, lead author Erica C. Camargo, MD, PhD, of Boston Medical Center issued a statement saying, "These are basic office tests [that] can provide insight into the risk of dementia and stroke and can be easily performed by a neurologist or general practitioner. While frailty and lower physical performance in elderly people have been associated with an increased risk of dementia, we weren't sure until now how it impacted people of middle age."
Next.............................

Thursday, January 12, 2012

Stroke patients maintain benefits of robot therapy

NEW YORK (Reuters Health) - Stroke patients who have the most trouble walking may see lasting benefits from using machines that move their legs to simulate walking, say Italian researchers.

Their study, although small, is one of the first to observe a benefit lasting at least two years in a group of stroke patients who used the machines, which are sometimes employed in conjunction with traditional physical therapy.

The new findings should help doctors target which stroke patients will benefit the most from the machines according to lead author Dr. Giovanni Morone, of the Santa Lucia Foundation in Rome.

"Robotic and electromechanical devices might play an important role, not for all patients, but for a selected kind of patients," said Morone in an email.

The new findings, published in the journal Stroke, are based on the same group of 48 patients the researchers reported on in September, in the journal Neurorehabilitation and Neural Repair, where they suggested stroke patients who were most severely affected by a stroke also gained the most from the machines after three months of therapy.....Next

Monday, September 26, 2011

The Effect of Music and Audiobook Listening on People Recovering From Stroke The Patient’s Point of View

Abstract

Recent experimental evidence suggests that musical activities can enhance motoric, cognitive, and emotional recovery after a stroke. The authors' aim was to gain more insight about the emotional and psychological factors underlying the therapeutic effects of listening to music after a stroke, by combining both qualitative and quantitative methods. Thirty-nine patients who had suffered a stroke were interviewed about their subjective experiences when listening, on a daily basis, to either self-selected music (n = 20) or audiobooks (n = 19) during the first 2 months after the stroke. Results showed that music listening was specifically associated with better relaxation, increased motor activity, and improved mood, whereas both music and audiobook listening provided refreshing stimulation and evoked thoughts and memories about the past. These results highlight the clinical importance of providing stimulating and pleasant leisure activities after a stroke and further encourage the use of music in stroke rehabilitation.....

Sunday, September 25, 2011

Faith, family, friends aid White in stroke recovery effort

Faith, family, friends help White in stroke recovry effort
Credit: ELAINE BRACKIN/POGRESS
Occupational therapist Angela Newton, left, and physical therapist Cassidy Carter, assist Sam White, a stroke victim, in demonstrating one the strengthening techniques they use during therapy at HealthSouth Rehabilitation Hospital to help him regain the use of his right arm. White undergoes out-patient therapy twice a week at the Dothan facility.

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Thursday, May 31, started out as any other day for farmer Sam White. He had cattle and other chores to tend to keep his farm running smoothly. Shortly after he finished lunch, White headed to the mailbox in front of his house to retrieve his mail. On his trip back to his house, White received a phone call on his cell phone. He completed the call just before a funny feeling came over him. He only had a few steps to go to make it back into his house. He thought he could make it; he didn’t.
“I had to grab a five-foot chain-link fence to keep from falling,” White, 58, said as he recalled the events of that day in May. “I walked from the fence to the third doorstep and sat down. I started to go up to the next step, but I slipped down to the one below. That’s when I knew I really needed help.”....

Thursday, September 22, 2011

Stimulating brain with electricity aids learning speed

3D MRI image The brain can change its structure in response to experience and practice

Related Stories

Electrically stimulating the brain can help to speed up the process of learning, scientists have shown.
Applying a small current to specific parts of the brain can increase its activity, making learning easier.
Researchers from the University of Oxford have studied the changing structure of the brain in stroke patients and in healthy adults.
Prof Heidi Johansen-Berg presented their findings at the British Science Festival in Bradford.
The team at Oxford has been conducting research into how the structure of the brain changes in adulthood, and in particular what changes occur after a stroke.
They have used an approach called functional MRI to monitor activity in the brain as stroke patients re-learn motor skills that were lost as a result of their illness.
One of the major findings is that the brain is very flexible and can restructure itself, growing new connections and reassigning tasks to different areas, when damage occurs or a specific task is practised.
As part of this research, they investigated the possibility of using non-invasive electric brain stimulation to improve the recovery of these motor skills; the short-term improvement in stroke patients had already been noted.
But an unexpected result was found when the same brain stimulation was applied to healthy adults: their speed of learning was also significantly increased.
Increasing activity To observe this effect, the team devised an experiment whereby volunteers memorised a sequence of buttons to press "like playing a tune on a piano".
While they were doing this, they were fitted with a "trans-cranial current stimulation" device, in which two electrodes are placed in a specific position on the head.
A very small current was passed between the electrodes in an arc through the brain and, depending on the direction of that current, either increased or decreased the activity of that part of the brain.
Prof Johansen-Berg explained that "an increase in activity of the brain cells makes them more susceptible to the kinds of changes that occur during learning".
MRI scanner The studies employ a variant of the same MRI scan used in hospitals
The results of the button-pressing experiments showed the positive effects of just 10 minutes of the brain stimulation on learning, compared to a similar "placebo" setup in which the electrical stimulation was not used.
"While the stimulation didn't improve the participant's best performance, the speed at which they reached their best was significantly increased," said Prof Johansen-Berg.
Targeting the area of the brain that controls motor skills allows movement tasks to be learned more quickly, and the researchers envisage the technique could be used to help in the training of athletes.
The experiments have explicitly shown that stimulating the motor cortex of the brain can increase the speed of learning motor skills.
It is the hope of the researchers that the same method may be applied to other parts of the brain to improve educational learning, simply by positioning the electrodes in different locations so the current is focussed on the correct area.
The relative simplicity, low price (around £2,000 per unit), and portability of the technology may mean that, following further research, a device could be designed to be automated for use at home.
Looking to the future, Prof Johansen-Berg and her team plan to investigate the potential for increasing the effect, by stimulating daily over a period of weeks to months.
In the treatment of stroke patients, the technique could be used in parallel with current physiotherapy treatments to improve overall outcomes, which tend to vary widely.

Sunday, September 18, 2011

Electric shocks help stroke patients

Stroke patients with brain damage can recover more quickly with the help of small electric currents applied to the head from electrodes on the skull, a study has found.

The tiny electric currents are believed to stimulate the re-growth of nerve connections in the brain that have been lost as a result of oxygen starvation caused by stroke, scientists said. The research supports the idea that the brain can to some extent repair itself by rewiring and reconnecting itself to bypass damaged areas, according to Professor Heidi Johansen-Berg of Oxford University.

"After a stroke, there is widespread damage to connecting fibres, far beyond the stroke itself. But with repeated practice, patients can increase activity in brain areas that have been disconnected," she told the British Science Festival...... http://bit.ly/quvrTv

Sunday, April 17, 2011

Fighting back from stroke Exercising helps woman recover lost abilities

By Toya Graham, Fort Mill Times, S.C. April 07--FORT MILL TOWNSHIP -- Tonia Canzoneri wears three rubber bracelets on her wrist. A red bracelet that sits nearly perfectly atop an orange bracelet offers one word: Hope.
"She gives everyone hope," says Sandy Strang, the owner of Curves in Fort Mill.
That's because Canzoneri suffered a stroke eight years ago. The stroke impacted Canzoneri's right side, took away her ability to use her right hand and slurred her speech. Doctors offered the then six-week pregnant Canzoneri a grim report.
"They told her she wouldn't walk again," Strang said.
Canzoneri, whose Charlotte home is about four miles from Tega Cay, refuses to be a victim to her stroke.
"You've got to fight," Canzoneri, 39, said. "You don't fight, your body is done. You hurt yourself."
Canzoneri fights back by working out most weekdays. Most people work out to tone their muscles or lose weight. For Canzoneri, daily trips to Curves help continue rehabilitation and gain overall muscle strength.more read...

Video Games Help Stroke Victims Rehab Motor Functions

A new study has found promise in the use of gaming in stroke rehabilitation. With the assistance of motion gaming devices such as the Eye Toy and the Wii, motor function of stroke patients in rehab programs improved by an average of 20 percent. Arm strength increased by nearly 15 percent, with nearly five times the chance for improvement. For all the technical info on the study, head over to Bloomberg Businessweek.
"Stroke rehabilitation is rapidly evolving," said Lead Researcher Dr. Gustavo Saposnik, director of the Stroke Outcomes Research Unit at St. Michael's Hospital at the University of Toronto. "Novel approaches -- including the use of virtual reality [gaming] systems -- may help improve motor impairment, activities and social participation. Virtual reality may provide an affordable, enjoyable and effective alternative to intensify treatment and promote motor recovery after stroke."
Conventional therapy provides only "modest and sometimes delayed effects" in treating the weakness, paralysis, balance and coordination difficulties that most stroke victims experience, according to Saposnik.
Video gaming is custom-tailored to help remodel the brain through challenging, task-specific, motivating actions that are repeated enough to create the new neural connections needed to get back functionality after a brain injury.
"Our study confirms the potential benefit of virtual reality in stroke rehabilitation identified in small studies," Saposnik said. "Further larger randomized trials are needed before changing practice. However, we are [going] in the right direction."  more read...

Virtual Reality Tools May Aid Stroke Recovery

Virtual Reality Tools May Aid Stroke Recovery

Studies Show High-Tech Gadgets Help Stroke Patients Improve Their Motor Strength
By Brenda Goodman
WebMD Health News
Reviewed by Laura J. Martin, MD
senior man playing video game
April 7, 2011 -- Physical therapy that makes use of high-tech gadgets like 3-D goggles, robotic gloves, and motion-tracking video game systems can help people regain strength and function in their upper arm after a stroke, a new research review shows.
Pooling data from five studies, researchers found that people who participated in rehabilitation with virtual reality technologies after a stroke had a nearly fivefold greater chance of improving their motor strength compared to those who received conventional physical therapy.
In general, the virtual therapies are designed specifically to aid stroke recovery. They include activities like playing virtual piano keys while wearing a robotic glove or swatting at virtual bugs while wearing 3D goggles.
“This technology gets people to work more and harder and be more creative,” says study researcher Mindy Levin, PhD, a professor in the School of Physical and Occupational Therapy at McGill University in Montreal. “And all of that taps into the brain’s plasticity and helps the brain change -- and that’s what we’re trying to do.”  more read....

Advice On Stroke: Every Minute Courts

Advice On Stroke: Every Minute Courts

Intensive and massed exercise practice has been proven to improve patient movement ability and the ability to do everyday living tasks.
The HandTutor system employs virtual functional tasks.
These are computer generated tasks or games that have been formulated to allow the therapist to customize which joint or combination of joint and which movement parameter will be exercised during the practice.
In other words virtual functional tasks can be customized according to the patients movement ability.
Therefore patients with very limited or no active movement ability can, through active assisted exercises, undertake intensive and massed movement practice. Similarly if the patient has better movement ability but still needs to work on pushing this ability to its limit the virtual tasks can be customized so that the patient needs to employ for example his maximum range of moveme  MORE READ....

Saturday, March 5, 2011

Therapy online: Good as face to face?

(CNN) -- Your therapist's name is ELIZA, and she interacts with you through text on a computer screen. However embarrassing or difficult your problem may be, ELIZA will not hesitate to ask you a question about it, or respond graciously, "That is very interesting. Why do you say that?"
Internet-based therapy may help people who wouldn't otherwise seek the help of a psychologist.
Internet-based therapy may help people who wouldn't otherwise seek the help of a psychologist.
Computer-based therapy has come a long way since ELIZA, a 1960s computer program designed to emulate (and parody) a therapist. Today, with the Internet, people can use the instant message format to communicate with real therapists.
A new study in The Lancet suggests that real-time chat therapy with a psychotherapist is successful in helping people with depression.
Participants were randomly assigned to either receive online cognitive behavioral therapy in addition to usual physician care -- which may include antidepressant medication -- or to continue their usual care and be placed on a waiting list. The intervention consisted of up to 10 55-minute sessions, five of which were expected to be completed by the four-month follow-up.
Of the 113 people who did online therapy, 38 percent recovered from depression after four months, compared with 24 percent of people in the control group. The benefits were maintained at eight months, with 42 percent of the online therapy group and 26 percent of the control group having recovered.Read More...

Saturday, August 21, 2010

Wii console could help stroke victims, say scientists

Wii console could help stroke victims, say scientists -


Motion sensing technology, such as the Wii could be to help people with aphasia.


The condition is a language impairment, commonly caused by a stroke, that affects around 250,000 people in the UK. It is thought that technology such as the Wii will help people with this condition learn how to ‘gesture’ independently at home.


Gestures that can be readily interpreted by others are often advocated in aphasia treatment, but can be difficult for aphasic people to learn, because they have additional stroke-related disabilities, such as one sided paralysis. Gesturing can be improved through therapy, but one-to-one sessions can be costly and therapy resources are scarce.


Scientists at City University London are working with the Stroke Association and have been given £300k from the Engineering and Physical Sciences Research Council (EPSRC).They want to see if they can develop an affordable computer-based technology to help stroke survivors independently at home.


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The project will create a prototype system that enables users to practise gesturing, receive instant feedback, and master the movements through repetition. It will be run by a multi-disciplinary team from City's Centre for Human-Computer Interaction Design (HCID), and Department of Language and Communication Science.


Jane Marshall, Professor of Aphasiology at City University London, said: "Computer-based treatments have been shown to improve verbal language skills in previous studies, but this is the first time that gestures will be addressed. With 45,000 new cases in the UK each year, we hope that our work will help a wider range of aphasic people to regain communication skills."...next

Wednesday, August 18, 2010

So, what happens,than, when formal therapy ends? Does recovery of speech also end?

Recovering Speech After Stroke...How To Continue Practice When Therapy Ends..

Stroke remains a leading cause of death and disability in the United States and elsewhere. If there is speech and language loss (aphasia) due to the the stroke, speech therapy will often begin in the hospital, or within days of symptoms occurring. Speech therapy may be provided on a daily basis in the early weeks and months while an individual is participating in rehabilitation, with growing evidence that this early speech therapy treatment may take advantage of the brain's spontaneous healing process, helping with the recovery of injured areas.

Home-Like Aphasia House Offers Innovative Therapy

A new facility dedicated solely to innovative therapy for individuals with aphasia, or the loss of speech resulting from neurologic injury, has been established at the University of Central Florida with an anonymous $25,000 donation.
The Aphasia House provides speech-language therapy in a setting distinct from a typical medical office. Each room is outfitted to resemble a familiar space in a home, including a kitchen, garden patio and garage. The rooms are designed to encourage natural conversations. UCF graduate students studying communicaion sciences and disorders provide individualized and group therapy under the supervision of certified clinical faculty.
This is the only intensive program for persons with aphasia in the Central Florida area.....next

Monday, August 16, 2010

Communication Alternative Supporting Augmentative series

Communication in Our Lives I received a book that I didn’t even order. The one I ordered is yellow and white ( 3th edition). THis isn’t the one I ordered; therefore, I need a refund.I sent the book back and I know the …

Introduction to Communication Disorders Comprehensive yet compact and user-friendly, the fourth edition of Introduction to Communication Disorders takes a unique lifespan perspective that enables students to focus both on disorders and …
Introduction to Neurogenic Communication Once again I am thoroughly satisfied with my Amazon.com purchase. This book arrived in excellent condition just days after I placed my order. I even qualified for “free shipping”- it doesn’t get …
Real Communication An Introduction Was very pleased on their fast shipping. Book was in good shape as stated. Thanks it saved me from buying from our college bookstore! Real Communication presents human communication as lively, …
Augmentative Alternative Communication Supporting My copy of this book is filled with sticky notes, bookmarks, and highlighted paragraphs- I use it constantly for research, presentations, ideas, etc. It is a key resource for teachers, researchers, …
Human Communication in Society Was delivered very quickly, which was very much appreciated. Nice quality and a good price Not too bad. Need this for my college class and is exactly which book i needed. My school had ran out of …
Language Intervention Strategies in This a must read for anyone studying Adult Aphasia A comprehensive review on aphasia. Moreover, it could be called the “Aphasia Bible”. The book is very detailed with information about the diff …
Typographic Design Form and There is a lot to be taken in with the whole design world and especially with typography. I ordered this book for my one of my classes (working on BS in Graphic Design through AI). I love that it is …

The Life Interests and Values Cards

The Life Interests and Values Cards


"Supporting Self-Determination in People with Aphasia"






Authors: Katarina L. Haley, PhD, CCC-SLP, Jennifer L. Womack, MA, MS, OTR/L; Nancy Helm-Estabrooks, ScD, CCC-SLP; Denise Caignon MS, CCC-SLP; and Karen McCulloch PhD, PT
Illustrator: Stuart Helm


Estimated Availability September 3, 2010 Estimated Availability September 3, 2010




The LIV Cards:


* Allow direct communication with your client, family member, or friend with aphasia (or other language difficulties) about valued life activities..Next

Saturday, December 5, 2009

Welcome to the first issue of Elderly Care Matters


    Hi, I'm Robin Dynes and I am very pleased to welcome you to the first issue of Elderly Care Matters. Danny Walsh and I will be writing Robin Dynesalternative issues and in my future issues, I will be providing you with articles in order to share guidance, food for thought, ideas and exercises to stimulate your creativity. I have over 25 years' of experience working in numerous care settings and as a trainer, and have been a consultant to local authority partnerships which provide services in the community, for day centres and residential homes. I have also published a number of resources through Speechmark, which include:


Sunday, September 27, 2009

Speech Therapy Assessment Tips For smooth Disorders (2)

Card image

One tool that is used for therapy are picture cards. Picture a day-to-day life and everyday objects can be used to improve and develop the skills of word recall. Picture cards can act as a visual cue to enhance the learning process of Aphasic. This can also help improve the vocabulary of the patient.

With the image display card and repetitively saying aloud the names of objects in the picture, the patient will be able to weak muscles and practice vocalization....NEXT....

Saturday, September 26, 2009

E-mail Writing

Read the email carefully and check out any vocabulary you don't know.

Dear Mr Avis,

I'm writing to you again regarding the £5232 that your company owes to
my company.

You received delivery of our goods more than three months ago. You
were well aware that payment was due at thirty days. However, you have
made no attempt whatsoever to pay us.

When we spoke to you two weeks ago, you told us that a cheque was "in
the post". No such cheque has been received.

Unless we get full and final payment within five working days, we
shall have no alternative but to pursue this matter through the courts.

Yours sincerely,


H. Segal

Friday, September 25, 2009

Innovative Speech Therapy



Innovative Speech Therapy is dedicated toward offering unique effective speech therapy for children and adults and online coaching and training for professionals and caregivers.




Be Proactive! Learn about state-of-the-art tools of technology to help maximize speech therapy outcomes.


Communication, learning and thinking can be challenging due to a stroke, head injury, developmental disability or learning challenge. Joan Green specializes in using traditional therapy methods, a life participation approach and state-of-the-art technology to help people of all ages who have a wide range of communication and cognitive challenges.


Individual Speech Therapy - Intensive outpatient and residential individual therapy options are available

Training Opportunities - In-person and online coaching and training for professionals and families to learn more about how to integrate technology into the rehabilitation and education process to improve communication, cognition and literacy


Click here to take a look at Joan Green's new resource guide.
Innovative Speech Therapy's Mission Statement: Next..............