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  • Admission prevalence of deep vein thrombosis in elderly Chinese patients with hip fracture and a new predictor based on risk factors for thrombosis screening

    https://bmcmusculoskeletdisord.biome...891-018-2371-5
    Jo Bowyer
    Chartered Physiotherapist Registered Osteopath.
    "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

    Comment


    • Low body mass index negatively affects muscle mass and intramuscular fat of chronic stroke survivors

      https://journals.plos.org/plosone/ar...l.pone.0211145



      Skeletal muscle is the main effector organ of disability in stroke survivors, and chronic stroke survivors often experience secondary changes in their skeletal muscles, including decreases in muscle mass and increases in intramuscular fat [16]. It is accepted that these secondary changes in skeletal muscle have been caused by reinnervation, a fiber-type shift, disuse atrophy, and local inflammatory activation [7].

      Less muscle mass and more intramuscular fat are associated with decreased gait independence [6], and increasing muscle mass and decreasing intramuscular fat have been shown to improve muscle strength and gait speed in chronic stroke survivors [8]. Previous studies [1, 2] have also shown a positive relationship between maximum oxygen uptake and muscle mass, and a negative relationship between insulin sensitivity and intramuscular fat content. These findings suggest that maintaining muscle mass and avoiding intramuscular fat accumulation may be one of the important managements for maintaining muscle strength, gait ability, maximum oxygen uptake, and insulin sensitivity.

      Obesity has been shown to be a risk factor for cardiovascular diseases [912]. Conversely, the survival rate and degree of improvement in the ability to perform activities of daily living (ADL) after stroke are higher in obese stroke survivors than in those who are underweight [1320]. This phenomenon has been termed the “obesity paradox” [20]. Furthermore, a previous study [21] reported that a decrease of body weight in convalescent older stroke survivors is related to decreased ability to perform ADL. These findings suggest that preventing weight loss may be essential for good outcomes. In support of this hypothesis is the finding that underweight chronic stroke survivors display decreased muscle mass and increased intramuscular fat [7]. However, the relationship between these secondary skeletal muscle changes and body weight in chronic stroke survivors has not yet been carefully examined. Understanding the relationship between body weight in chronic stroke survivors and secondary changes in their skeletal muscle would allow us to develop appropriate weight management and rehabilitation strategies to prevent secondary changes in skeletal muscle and improve their ability to perform ADL.
      Stroke rehab, which I started learning in the mid 1970s, is a "bit of a thing" with me, I love the challenge. Sitting to standing with linked fingers ticks a lot of boxes, in some cases, a great deal of pre-hab is needed for this activity.
      Jo Bowyer
      Chartered Physiotherapist Registered Osteopath.
      "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

      Comment


      • Effects of elastic tape on kinematic parameters during a functional task in chronic hemiparetic subjects: A randomized sham-controlled crossover trial

        https://journals.plos.org/plosone/ar...l.pone.0211332

        The ET changed UL joint motions and posture during a drinking task in chronic hemiparetic subjects, which defines its role as an adjuvant therapy.
        Jo Bowyer
        Chartered Physiotherapist Registered Osteopath.
        "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

        Comment


        • Health-related quality of life loss associated with first-time stroke

          https://journals.plos.org/plosone/ar...l.pone.0211493
          Jo Bowyer
          Chartered Physiotherapist Registered Osteopath.
          "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

          Comment


          • Absentmindedness Points to Earlier Warning Signs of Silent Strokes

            https://neurosciencenews.com/silent-...dedness-10695/

            ]The strokes are “silent” since they don’t cause lasting major changes seen with an overt stroke, such as affecting a person’s ability to speak or paralysis. Despite a lack of obvious symptoms, cerebral small vessel disease causes damage to the brain’s white matter (responsible for communication among regions), which can cause memory and cognitive issues over time.

            Typically, this type of stroke is uncovered incidentally through MRI scans or once the brain damage has worsened, says Dey
            Last edited by Jo Bowyer; 06-02-2019, 09:23 PM.
            Jo Bowyer
            Chartered Physiotherapist Registered Osteopath.
            "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

            Comment


            • Vegan or Mediterranean diet – which is better for heart health?

              https://theconversation.com/vegan-or...heart%20health
              Jo Bowyer
              Chartered Physiotherapist Registered Osteopath.
              "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

              Comment

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