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How to Restore Balance and Set Smart Goals After a Stroke
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DP Dansereau, MSPT Know-Stroke.org
I can’t stress enough how important it is for stroke survivors to know brain anatomy especially what part of your brain was injured from your stroke. Learning about the brain and the function of the damaged area can help you better understand your condition and help you establish an effective plan for recovery.
For more tips on setting smart rehab goals after a stroke register for our next free webinar
Source: Image from Bright Minds Kids Stroke Education Newsletter-page 2 Get a copy here
Tom Brady was on this morning’s local Boston sports radio talk show “Dennis and Callahan” on WEEI, discussing the recent hit/concussion over the weekend that will now sideline former teammate Wes Walker again for the 3rd time in the last few seasons.
While keeping to the discussion about brain injuries Tom Brady also revealed how he routinely goes through a series of 26 brain exercises with his body coach, Alex Guerrero, to ensure his mind remains sharp.
“I got started a few years ago and noticed a huge difference,” Brady said. “It’s another tool kind of in the tool bag to use. If you’re going to play for a long time you’ve got to figure out all these different types of things in order to strengthen your body, strengthen your mind, and be proactive about it. Because you just can’t wait to get hurt. … I don’t want to be 50, 60 years old and not be able to walk, or not be able to think. I think there’s effort that goes into that, and you pay the price in advance so that you can exceed all expectations.”
[Personal Sidebar]: Att: Stroke Survivors-If you don’t want to listen to me, then listen to Tom. I’VE REPEATED THIS TIME AND TIME AGAIN, SUCCESSFUL STROKE RECOVERY TAKES HARD WORK and LOTS of EFFORT! To quote Tom Brady again, “….there’s effort that goes into that, and you pay the price in advance so that you can EXCEED all expectations.”
Similar to many stroke survivors who “should” receive regular assessments of their neurological recovery when working with a good physical therapist, Brady’s health coach gave him a baseline scan of neurological function to see areas where they could work to make Brady’s performance even better.
“Like everything with your body, you don’t want something to work too hard, and you don’t want something to work not enough,” Brady said on WEEI earlier today. “I think finding that balance in your brain or in your body is how you optimize your performance. You figure out where deficiencies are. Where you’re out of range, and you exercise to bring yourself back to range so you can continue to do the things you want to do as long as you want. Just because you get older, I’ve said this before, you can sustain peak performance as long as you can … Your memory or whatever the things that you need to do to work on, you can sustain those things a lot longer than you realize. I think that’s something that I’ve learned and that I’m going to continue to do as long as I’m here.”
As technology uncovers more and more information about the way the brain works, there will be more ways for both athletes and those recovering from stroke and other traumatic brain injuries to use those advances to benefit their own recovery as well as be more proactive about their long term brain performance. As for now, I am still researching those exact 26 brain exercise Tom goes through (as you may be interested in knowing too)! For starters, I do know of one great brain app I will be demonstrating on an upcoming webinar when we launch our new stroke recovery resource so go register here.
Post by David Dansereau,MSPT for Know-Stroke.org Blog
Subway is also a proud partner of First Lady Michelle Obama’s Let’s Move™ national movement to make our kids healthier. Smart Move teaming up with Subway and Let’s Move but who’s really winning here??
Here’s a copy of the White House announcement and more on the menu items at Subway-“Eat Fresh”- and you might be surprised at what is being promoted as Let’s Move approved
via My-Nutrition-Coach.com Let’s Move™!-Moving towards a healthier nation? Really??.
Ralph Sacco, MD, FAHA, past-president of the American Heart Association, interviews David Spence, MD, primary investigator of the trial, “Transcranial Doppler Is Superior to Transesophageal Echocardiography in Detection of Patent Foramen Ovale,” which he presented at ISC 2014 in San Diego.
The researchers conducted a study to compare the performance of transcranial Doppler (TCD) with transesophageal echocardiography (TEE), the standard method for diagnosing a right-left shunt such as PFO. They hypothesized that transcranial Doppler saline studies would be more sensitive, in part because sedation for TEE could prevent an adequate Valsalva maneuver.
Kris Letang’s recent stroke and press surrounding what may have contributed to it (doctors found a small PFO) are certainly making waves again about PFO closure. Will he be able to play professional hockey again? It is certainly too early to tell. Some reports have even started to circulate in the sports media that Kris has undergone PFO closure but nothing has been confirmed. In the short term, Kris will now have to play another type of “D“, and it will be not guarding the blue line on the ice, rather it will be a decision on what type of defense he wants to take against further stroke. If in fact he has already opted to have PFO closure, the reports from the Penguins medical staff that Kris will “miss six weeks” while he is on blood thinners don’t convince experts either way of what type of defense Kris has chosen. The reason is that the usual course of post-op precautions following PFO closure would have Kris continue to take a blood thinner of some type for an average of that time frame, six weeks, before reducing the need for thinning to a daily low dose (perhaps aspirin) later on. The reports therefore aren’t conclusive to this point for medical management over a more permanent and hockey friendly option, PFO closure.
If Kris Letang can still choose this procedure to get back to what he loves to do, then PFO closure still remains an acceptable, although controversial option. If you remember, former New England Patriots’ linebacker Tedy Bruschi also chose PFO closure as his best defense to get back on the football field and return to the NFL following his stroke.
If Kris Letang decides to play hockey again, he and the medical staff with the Pittsburgh Penguins will have to make difficult decisions. Again, Letang can elect to have the hole in his heart closed, or he can return to play after he is taken off of blood-thinners (?coumadin). The blood-thinners will not correct his congenital heart defect (PFO) , but they can reduce the risk of more blood clots possibly passing through the PFO which can cause a stroke. Because coumadin and hockey skates aren’t generally the best of friends, the line of thought is Letang must have some sort of PFO procedure. Letang’s doctors must weigh the risks after Kris comes off blood thinners to be certain it is safe to return to the ice. I made the same decision for PFO closure as my best defense against additional strokes almost seven years ago for the reasons I referenced in this article.
Be sure to visit my new updated video resource for PFO / Stroke / Brain Health at know-pfo.org