Chuck's Stroke Warrior Newsletter

Updates and Recent Developments

Neural Implants Restore Speech for Paralyzed Patients

The article from NPR2 reports on experimental brain implants that can restore speech to paralyzed patients.

These experimental brain implants can restore speech to paralyzed patients by using brain-computer interface technology to directly translate neural activity into speech. As demonstrated through paralyzed patient Pat Bennett and two recent studies, the implants can decode thoughts and turn them into words, allowing patients to communicate just by thinking. This promising technology shows the potential of brain-computer interfaces to restore speech communication abilities in those who cannot speak.

https://www.npr.org/sections/health-shots/2023/08/23/1195438289/these-experimental-brain-implants-can-restore-speech-to-paralyzed-patients

Declining AF Mortality Reflects Improved Care But Rising Prevalence

A recent study found that better diagnosis and treatment of atrial fibrillation (AF) in the UK has led to a 50% decline in mortality from heart attack and stroke for these patients over the past decade. However, the number of AF cases has also increased 50% to 1.5 million, as more people are being diagnosed. This suggests a need for wider screening to identify cases early, before complications like stroke can occur. But greater public awareness is also needed, as a 2022 study found only half of people know AF can lead to stroke, despite AF patients being 5 times more likely to experience a potentially fatal stroke.

https://www.belfasttelegraph.co.uk/news/uk/keep-fit-to-avoid-heart-rhythm-disorder-and-stroke-study-suggests/a183823633.html

Improving Blood Pressure, Cholesterol and Weight Lowers Heart Attack and Stroke Chances

A recent study analyzing data on over 500,000 people in the UK Biobank found that middle-aged adults with three or more marginally unhealthy traits like high blood pressure, high cholesterol, and excess weight had a significantly higher risk of early heart attack or stroke compared to those with none of these traits. The research suggests that even small improvements in factors like blood pressure, cholesterol, and weight can substantially reduce the risk of cardiovascular events like heart attack and stroke in middle-aged populations.

https://medicalxpress.com/news/2023-08-cluster-slightly-unhealthy-traits-linked.html

Ultra-Processed Diets Raise Risk of Heart Disease and Stroke

Two studies have linked high consumption of ultra-processed foods like fast food, packaged snacks, and sugary drinks to an increased risk of cardiovascular diseases including high blood pressure, heart disease, heart attacks, and strokes. The findings show the importance of reducing intake of heavily processed foods that are high in sugar, salt, and fat, and instead eating more whole, minimally processed foods for better heart health.

https://www.theguardian.com/science/2023/aug/27/ultra-processed-food-raises-risk-of-heart-attack-and-stroke-two-studies-show

Staying Active in Childhood Lowers Risk of Heart Attacks and Strokes as an Adult

A new study shows that being inactive for long periods during childhood may increase the risk of heart attacks and strokes later in life. The research found that sedentary time accumulated from childhood through young adulthood was linked to heart damage. The findings highlight the importance of physical activity in childhood to lower heart disease risk as an adult. Most heart disease risk factors in kids and teens can be controlled early, reducing later risk. Prevention is best to avoid heart problems later. Controlling risk factors like high blood pressure, cholesterol, smoking, obesity, and inactivity from childhood will help decrease adult heart disease risk.

https://zeenews.india.com/health/no-activity-for-hours-during-childhood-may-cause-heart-attack-strokes-later-in-life-study-2652976

How Sleep Apnea Stresses the Heart and Raises Stroke Risk

Sleep apnoea greatly increases the risk of stroke and cardiovascular disease like atrial fibrillation, according to a new study from Stanford University. The repetitive breathing interruptions of sleep apnoea can stress the cardiovascular system over time, leading to hypertension, heart failure, and arrhythmias. Treating sleep apnoea is critical for reducing stroke risk and preventing other cardiovascular complications.

https://www.theguardian.com/society/2023/aug/25/sleep-apnoea-greatly-increases-risk-of-stroke-us-scientists-find-stanford-atrial-fibrillation

Brain Implants Help Stroke Victims Regain Arm Movement in Clinical Trial

Researchers at Jefferson Health have initiated a clinical trial testing a new method for stroke recovery that involves surgically implanting microelectrodes into the brain to decode signals that control arm movement. These signals are then used to allow patients to "power steer" their own arm braces, restoring motor function lost due to stroke. Initial trials on a patient who suffered a stroke 2 years ago have shown promising results. This brain implant approach is part of an emerging field of research aimed at using neural interfaces to help stroke victims regain movement.

https://innovationorigins.com/en/revolutionising-stroke-recovery-brain-implants-propel-movement/

Sentara Martha Jefferson, UVa Lauded for Stroke Care Excellence

Sentara Martha Jefferson Hospital and the University of Virginia have received notable recognitions for their high-quality stroke care. Sentara Martha Jefferson became the first hospital nationwide to earn the DNV Primary Plus Stroke Certification. Additionally, both Sentara Martha Jefferson and UVa won the American Heart Association's Gold Plus Achievement award for their commitment to following research-based treatment guidelines. These honors showcase the hospitals' dedication to providing the best possible stroke care to patients.

https://dailyprogress.com/news/local/uva-martha-jefferson-recognized-for-stroke-care/article_be78559e-44ff-11ee-9f82-8761862ca61e.html

Ex NZ cricketer Cairns' Inspiring Video Shows Progress Since Stroke Left Him Paralyzed

Former New Zealand cricketer Chris Cairns has achieved a major milestone in his recovery after suffering a spinal stroke two years ago - he has stood unaided for the first time since the stroke. Cairns suffered catastrophic heart failure leading to the stroke in 2021, leaving him paralyzed from the waist down. After multiple heart surgeries and intensive rehabilitation, Cairns posted a video on social media showing him standing without assistance, sparking celebration among fans and the cricketing community. The video marks significant progress for Cairns after the life-threatening medical ordeal that left him wheelchair-bound.

https://www.odt.co.nz/news/national/chris-cairns-stands-unaided-two-years-spinal-stroke

Thoughts and Insights

Creative Expression for Stroke Survivors

A stroke occurs when the blood supply to part of the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. This can cause brain cells to die and leads to disabilities that affect a person's ability to move, speak, and process thoughts, among other functions. There are over 795,000 strokes per year in the U.S., making strokes a leading cause of serious long-term disability.

The journey to recover lost abilities after a stroke is challenging, both physically and emotionally. Along with physical and occupational therapy, creative expression can provide meaningful benefits for stroke survivors. Engaging in creative arts allows survivors to rediscover purpose, regain confidence, reduce stress, and connect with others.

Benefits of Creative Arts-Based Therapies

A recent qualitative systematic review identified five main benefits stroke survivors experienced through creative arts:

Functional restoration:

Activities like playing a musical instrument or sculpting clay help improve motor skills and coordination.

Psychological support:

Creative expression can aid emotional processing, boost self-esteem and provide a sense of accomplishment.

Social engagement:

Group art classes connect survivors and help reduce isolation.

Spiritual experience:

Some survivors describe being transported to a meditative, spiritual state during creative activities.

Barriers:

Lack of transportation and fatigue may limit participation. Caregiver support is important.

Specific art forms offer different benefits. For example, singing can help strengthen vocal muscles impacted by a stroke. Painting allows self-expression and development of fine motor skills. Pottery making encourages use of both hands together.

Team Support

Recovering from a stroke requires a coordinated care team, including doctors, nurses, physical/occupational/speech therapists, nutritionists, and mental health providers. They collaborate to support survivors from diagnosis through rehabilitation. Communication between providers is key.

Mindfulness for Stress Reduction

Mindfulness-Based Stress Reduction (MBSR) uses meditation, yoga, and breathing exercises. While MBSR is effective for depression, studies show unclear benefits for stroke patients specifically. More research on MBSR for stroke survivors is needed.

Communication Problems

Around one-third of stroke survivors have some type of aphasia, affecting their ability to speak, read, write, or understand language. Supportive speech therapy, communication tools, and patience from others can help. Focus on the survivor's abilities rather than disabilities.

Caring for a Survivor

Caring for a stroke survivor requires practical assistance plus emotional support. Be patient when communicating and break activities into smaller steps. Provide reassurance and celebrate small wins in their recovery journey.

As a main caregiver after hospital discharge, be present during therapy sessions to understand care needs. Make adjustments at home for accessibility and safety. Seek respite care when needed. Join a caregiver support group.

Conclusion

Creative expression provides many benefits for stroke survivors' physical and emotional recovery. A coordinated care team supports survivors across the rehabilitation process. Mindfulness practices may help reduce stress. Communication and practical support from caregivers is also invaluable. With time, creativity, and support, survivors can regain meaning and purpose in life after a stroke.

Tips and Techniques

Art, Writing, and Music to Support Your Recovery After Stroke

Ah yes, some excellent healing modalities to nurture mind, body and spirit after a stroke! Let's dive in, my friends:

Art therapy:

What a fabulous suggestion! There's something so freeing about grabbing some art supplies and letting your inner creative spirit flow. Don't worry about talent or skill - this is all about the process. Finger painting, working with clay, collaging magazines - try different mediums and see what feels good. The act of creating can help rebuild neural pathways and improve dexterity. Plus, art provides a means of expression when words may fail us. Externalize your inner world through shapes, colors, textures. Find relaxation in the serendipity of watercolors blending or the kinetic energy of vigorously stroking a paintbrush across the canvas. Discover new aspects of yourself. If mobility is limited, even just scribbling with crayons or markers can be beneficial. Release emotions, gain perspective, and celebrate your unique vision - let art be a balm for the spirit.

Journaling:

An excellent introspective practice. Writing can help organize thoughts and emotions, serving as a compass when one feels lost or overwhelmed. The simple ritual of putting pen to paper is soothing and empowering. Documenting your journey day by day, unfiltered, is a way to gain insight into your healing process. Track milestones, ah-ha moments, frustrations - log the ups and downs. FREE TIP: add a daily gratitude list of 3-5 things you’re thankful for, which research shows boosts positive emotions. Look back over time and see how far you’ve come! Consider sharing entries with loved ones so they can better understand your experience. The journal is a sacred space for reflection - use it as a tool to center yourself and find your voice.

Music:

Movement and dance - oh yes, pump up the tunes and move that body! Music has a direct channel to our emotions - find songs that inspire, uplift, energize. Create playlists to match different moods and activities. Get those toes tapping, play air drums, shimmy your shoulders, anything to get the body grooving! Movement increases blood flow, improves circulation and range of motion. Modify based on your abilities - even swaying arms while seated has benefits. Singing utilizes breath control, builds lung capacity, and can be incredibly cathartic. Unleash your inner rockstar! Dancing allows freedom of expression - get lost in the rhythm. Recruit a dance partner for extra encouragement and social connection. Endorphins will be flowing in no time. Use music creatively to motivate yourself through rehab exercises. Let melody and motion be your medicine!

There we are, my friends - three modalities to nourish creativity, self-expression, and mind-body awareness on your healing path. Remember, progress will ebb and flow, so be patient with yourself. You've got this! Sending much encouragement today.

Silly Humor Section

Puns and Jokes About Stroke Recovery

Physical Therapy

My physical therapist told me to visualize my recovery. But I can't picture it.

Speech Therapy

I went to speech therapy to work on my diction. But she kept making me use ridiculous words like "rehabilitate." Just talk normal!

Doctor Visits

I told my doctor, "My left side still feels weak." He said, "Yes, we're working on your right."

Walking Again

Learning to walk after my stroke was hard at first. But I gradually got my footing.

Arm Weakness

The physical therapist asked me to lift weights to strengthen my arm. I told him, "Sorry, I don't have the strength to do arm day."

Muscle Memory

They say your muscles have memory. I'm trying to jog mine so I can get back to normal.

Encouragement

My therapist told me, "Keep working hard in rehab - you'll get there stroke by stroke!" I told him I'm trying, but my progress has been im-peck-able.

Stress Relief

Rehab can be stressful. But luckily, laughter is the best medicine!

Support System

I'm grateful for all the support after my stroke. My friends and family have really stepped up to the plate.

Persistence

Rehab is a marathon, not a sprint. But I'm not getting discouraged - I'm determined to make a full recovery, no matter how long it takes!

Related Content Links

Recent developments in stroke and stroke recovery include:

Noninvasive brain stimulation (NIBS): This innovative technique uses weak electrical currents to stimulate areas of the brain associated with stroke recovery. It has been used with some success in a research setting to help improve a variety of motor skills

https://www.hopkinsmedicine.org/health/conditions-and-diseases/stroke/stroke-recovery-timeline

https://www.mayoclinic.org/diseases-conditions/stroke/in-depth/stroke-rehabilitation/art-20045172

Neuroimaging and non-invasive brain stimulation: Recent research has focused on using neuroimaging and non-invasive brain stimulation to better understand the underlying physiological processes of stroke recovery

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7650109/

Treating the whole patient: Stroke rehabilitation should focus on treating the whole patient, mind, body, and spirit. Cognitive and emotional activities with a mental health specialist can help patients understand and deal with the range of emotions they may be experiencing

https://www.healthpartners.com/blog/stroke-recovery-timeline/

Overall, while there have been some recent developments in stroke and stroke recovery, breakthroughs like those encountered in acute stroke treatment are still missing

AI Generated Writing

The Sound of Her Name

The moment Abby had been waiting for finally arrived on a sunny Tuesday afternoon. She was sitting by Luke's bedside, just like she had every day since his life-changing stroke three months ago. Their usual routine involved Abby reading to Luke, catching him up on current events, and playing his favorite music. His responses were limited to blinks and subtle facial expressions.

Abby turned the page in the novel she was reading aloud. "And then Elizabeth shouted 'Don't go, I love you!' but he drove away..."

As she finished the sentence, she heard a faint sound from the bed. "Aaabee."

Abby's head shot up. "Luke? Did you just say something?"

He slowly opened and closed his mouth again. "Aaabbee."

Tears of joy streamed down Abby's face. After weeks of speech therapy with minimal progress, Luke had finally spoken his first word since the stroke. And that word was her name.

Abby threw her arms around Luke, half-laughing, half-sobbing. "You said my name! I knew you could do it."

Luke's eyes creased into a smile. He slowly lifted a weakened hand to wipe a tear from Abby's cheek.

Abby kissed his forehead, her heart overflowing with love and relief. This was the moment she had been waiting for - proof that Luke was still in there, still fighting, still coming back to her.

"I'm here, Luke, and I'm not going anywhere," Abby whispered. "We're going to get through this together."

This breakthrough was a turning point in Luke's recovery. With his speech returning, his personality shone through more each day. The Stroke Warrior was fighting back.Abby remained steadfastly by his side, encouraging each new word and celebrating every milestone, no matter how small. Their bond grew deeper than ever through their shared journey of healing.

Disclaimer:

The information provided in this newsletter is for general informational purposes only and is not intended to constitute professional advice. The content presented here should not be relied upon as a substitute for personalized guidance from qualified professionals. Readers are encouraged to seek appropriate advice from healthcare professionals, legal experts, or other qualified authorities regarding their individual circumstances.

Medical Disclaimer:

The content shared in this newsletter is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified healthcare provider with any questions you may have regarding a medical condition or treatment plan. Never disregard professional medical advice or delay in seeking it because of content found in this publication.

Accuracy Disclaimer:

While we make every effort to provide accurate and up-to-date information, the content in this newsletter may contain errors, omissions, or inaccuracies. The information presented here is subject to change and should not be considered as absolute or definitive. Readers are advised to verify any critical information from reliable sources before making decisions based on the content presented herein.

Keep shining, Stroke Warriors! 🎨🖋️🎶

That's it for this week's newsletter, dear Stroke Warriors! Remember, you are not alone on this journey, you are strong, and together, we can overcome any challenge.. Embrace your rehabilitation with determination, and know that progress is within reach.

We hope you found the information valuable and informative.

With the assistance of AI, I am able to enhance my writing capabilities and produce more refined content.

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Keep fighting and stay resilient!

With warm regards,

Chuck and the Stroke Warrior Team