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An update of 'where we are' as far as stem cell therapy for stroke survivors is concerned. So, stem cell therapy is, as you probably know very well, not currently recommended as a standard treatment for ischemic stroke patients due to insufficient evidence of clinical efficacy, despite promising preclinical results.
Despite the limitations of current standard treatments, stem cell therapy remains investigational. No mention of stem cell therapy appears in any of the major stroke treatment guidelines. Multiple stem cell types have been investigated in preclinical and clinical studies:
Mesenchymal stem cells
Neural stem cells
Bone marrow mononuclear cells
Embryonic stem cells
Induced pluripotent stem cell-derived neural stem cells
Proposed mechanisms of action include:
Cell differentiation and replacement
Immunomodulation
Neural circuit reconstruction
Release of protective factors
The most recent and highest quality evidence comes from a 2021 systematic review and meta-analysis of randomized controlled trials. An analysis of 8 RCTs involving 459 subjects (217 intervention, 242 controls) shows:
No significant reduction in neurological deficit (NIHSS score) in acute or subacute stroke
Some benefit observed in chronic stroke patients, but clinical significance unclear
No statistically significant reduction in mortality rates
Overall conclusion: "No clinically important evidence for efficacy of stem cells in reducing neurological deficit compared to control group"
Challenges and Limitations
Several issues remain unresolved regarding stem cell therapy for stroke:
Cell type selection
Dosing regimens
Delivery routes (IV vs. intra-arterial)
Timing of administration
Translation challenges from bench to bedside:
Conflicting results between preclinical and clinical studies
Mechanisms of action not fully understood
Limited therapeutic window in most clinical trials
So, patients interested in stem cell therapy should be referred to centers conducting approved clinical trials, avoiding unproven commercial stem cell treatments outside of regulated research settings.
While stem cell therapy shows theoretical promise for ischemic stroke treatment, current evidence does not support its use in routine clinical practice. Established treatments like thrombolysis and endovascular therapy remain the standard of care for improving outcomes in ischemic stroke patients.
www.arni.uk.com
#neurorehabilitation #arnistrokerehab #strokerehab #strokerehabilitation #strokerecovery #strokeexercise #strokesurvivorscan #strokerecoveryexercises #exerciseafterstroke
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SHOULDER PAIN & DYSFUCTION AFTER STROKE: CAN HOME-BASED VR HELP? -
This study is part of the eMBraCE activity programme. It aims to see whether digital, game-based exercises can help chronic stroke survivors regain shoulder movement and improve their balance while reducing pain and fatigue.
Find out more by clicking on the link in this post.
If you are interested in taking part or would like to have some more information feel free to contact study researcher Tom Richards: t.richards2@exeter.ac.uk
#neurorehabilitation #strokerehab #strokerehabilitation #strokerecovery #strokesurvivorscan #strokeresearch
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Overall, the road to recovery looks different for everyone. Itâs important to do everything you can to keep recovering; and try not to compare your recovery journey with that of someone else.
Not sure what to do? We can help you. Call us on 0203 053 0111 or email support@arni.uk.com We have trainers throughout the country who can help YOU.
www.arni.uk.com
#neurorehabilitation #arnistrokerehab #strokerehab #strokerehabilitation #strokerecovery #strokeexercise #strokesurvivorscan #strokerecoveryexercises #exerciseafterstroke
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Zoom based ARNI Instructor training course; starts on September 20, 2025
ARNI runs the ONLY FUNCTIONAL REHABILITATION & EXERCISE TRAINING QUALIFICATION CURRENTLY AVAILABLE IN THE UK which teaches experienced therapists and exercise instructors how to continue the rehabilitation path of stroke and other acquired brain injury survivor.
You will learn how to teach things that stroke survivors really want, and will ask you for help with. With this CPD you will be ready to meet the full needs of a referred client.
Functional rehabilitation & exercise training after stroke taught by ARNI is characterised by: essential upper and lower limb task practice in order to recover action control, innovative physical coping strategies in order to perform ADLs independently⌠and appropriate stroke-specific cardiovascular and resistance training.
Enrol now!!
arni.uk.com/instructors/
#neurorehab #strokeexercise #neurorehabilitation #strokerehab #exerciseafterstroke #strokerehabilitation #strokerecoveryexercises #strokeexerciseinstructor
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Many stroke survivors can be assisted to retrain by advising them to have one place and a set amount of times per week in which they devote time to their retraining. I tend to promote the importance of setting up a small matted âtraining areaâ in your house, which needs only to be a few square metres wide. You also need a chair and a small table with a task-board, more advanced challenge board and other small items on it.
You need to finding your own task specifics, according to your goals. You also need to work on âclose-simulationsâ. Even though simulations are probably not as effective for motor learning as performing the actual task, and remember, we are after significant performance improvement via task practice, you can see that this approach gives you some great advantages. It keeps you in the training area, keeps you working on-task and keeps you safe. And then outside of the training area, you need to make an effort to practice the tasks (or the components of them that you can manage), as part of your ADLs (activities of daily living), noting changes when you can.
www.arni.uk.com
Need some help? Call us on 0203 053 0111 or email support@arni.uk.com to find out if we have a trainer near you to help you,
#strokeexercise #strokerehabilitation #neurorehabilitation #arnistrokerehab #strokerecoveryexercises #exerciseafterstroke #strokerecovery #neurorehab
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The deadlift will do the job of providing real, useable strength better than a hundred lesser exercises. The name of the exercise sounds âfierceâ, but donât worry, itâs not really. You will grow to love it, however old you are, for it is the safest and most results-producing exercises for you as a stroke survivor to do. But only if you do it properly; with attention to the technique.
Call us on 0203 053 0111 or email support@arni.uk.com if you need some help. We have trainers throughout the country.
www.arni.uk.com
#strokerehabilitation #neurorehabilitation #strokeexercise #strokerehab #strokerecovery #strokerecoveryexercises #exerciseafterstroke #neurorehab
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Overall, the road to recovery looks different for everyone. Itâs important to do everything you can to keep recovering; and try not to compare your recovery journey with that of someone else.
Not sure what to do? We can help you. We have trainers throughout the country who can work with you on your recovery. Call us on 0203 053 0111 or email support@arni.uk.com to find out if there's one near you.
www.arni.uk.com
#neurorehabilitation #arnistrokerehab #strokerehab #strokerehabilitation #strokerecovery #strokeexercise #strokesurvivorscan #strokerecoveryexercises #exerciseafterstroke
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Here's an article about the importance of dietary copper intake in improving cognitive functions in older adults, especially those with a history of stroke.
www.arni.uk.#strokerecoveryo#strokesurvivorscanr#neurorehabr#strokerehabr#strokerehabilitationa#neurorehabilitationation
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Copper may protect brain health after stroke
www.news-medical.net
Research shows dietary copper intake boosts cognitive function in older adults, particularly those with a stroke history, highlighting its neuroprotective role.
Challenge helps your brain get better. Challenge exists when you push yourself just beyond your current ability level. But not too much.
In order to get better, you need to find your current level of ability and challenge yourself by pushing slightly past it. Not too little, not too much.
So go on. Challenge yourself today!
Not sure what to do? We have trainers throughout the country who can help you. Call us on 0203 053 0111 or email support@arni.uk.com to find out if there's one near you.
www.arni.uk.#ARNIstrokerehabr#neurorehabr#strokerehabr#arnistrokecharitya#strokerecoveryo#arnistroket#strokerehabilitationa#strokeexerciser#strokesurvivorscanrscan
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A friend introduced me to a Sacred spiral holistics at a naturopathy that helped her heal her stroke std I got orders and it helped me too i have been feeling so fine now for a month have you tried reaching out to him support organization for help they might be able to provide you with the resources and support Lovely greens
Dr Tom told me: There's little doubt that teaching stroke survivors to get up from the floor may help to allay their fears and those of their carers. If a fall does occur, being able to rise independently or with a minimum of assistance may avoid âlong liesâ and their consequences as well as give people the confidence to participate in society knowing that they can âhelp themselvesâ if need be, wherever they are.
At ARNI, as he is showing on the mat here, many stroke survivors who come to train with our Instructors simply cannot, at first, figure out how to get get down to the floor and get up again, or do it badly, dangerously or plain wrongly. For example, many stroke survivors report that they are shown how to lower themselves into a âkneeling positionâ. Unfortunately this takes a lot of courage to perform without holding onto anything. And often, limitations caused by drop foot means that stroke survivors anticipate falling forward or into the âgap createdâ on the good side. And so they donât do it, either instinctively realising that itâs impossible, or they crash to the floor with one knee in the attempt to stay upright as they descend. There are lots of badly bruised knees out there!
Can you get down and up from the floor with confidence now, after stroke? Please let usknow!!
www.arni.uk.com
#arnistrokerehab #neurorehabilitation #strokerehab #arnistrokecharity #strokerecovery #arnistroke #strokerehabilitation #strokeexercise #stroke
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O don't know how to do it. Is there a video showing the technique?
Very important đđ˝đđ˝
I can get down and up again without assistance or even using my hands. But... not everytime... depends on my fatigue level...but I can get up
This was one of the things my PT taught me in rehab after my stroke and I’m so glad he did!!
Only just, at 82.
My gym instructor puts a chair against the wall and I put my good arm on it bend down and sit on the floor do the exact opposite to get up .
Lost my ability to do this and it's destroyed my confidence
The ARNI Institute is a UK Registered Charity: No. 1116130.
Currently in our 23rd year of voluntary work, we are committed to teaching stroke and other acquired injury survivors to gain better action control. Our Approach to stroke rehabilitation therapy is dynamic, innovative and linked directly to the very latest neurorehabilitation evidence base.
We have over 140 highly qualified independent therapists and trainers around the UK active & available for you at any one time, trained via our Functional Rehabilitation & Exercise Training after Stroke Qualification. Call now to find your therapist or trainer.
ARNI supports the work of the hospital therapists by supporting YOU when your care pathway ends.
NEW! GET YOUR COPY OF NEW BOOK BY TOM BALCHIN LEARN HOW TO RECOVER OPTIMALLY
CLICK HERE
Whether you had your stroke a week or 20 years ago, this seriously practical book reveals everything you need to know about for real-life, evidence-based long-term recovery from limitations caused by stroke, that you can actually understand, use and apply successfully for yourself. With 244 pages of new information and material, itâs stacked with revelations for you based on the neuro-rehabilitation evidence-base.
NEW! LISTEN TO THIS TESTIMONIAL ABOUT ARNI TRAINING FROM SURVIVOR'S DAUGHTER
 CLICK HERE
Click the middle of this short video to listen to the experiences of a stroke survivor currently rehabilitating with the help of an a Senior ARNI Instructor. You can learn for yourself about what she has been doing in this DVD series.
The ARNI Blog
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SHOULDER PAIN & DYSFUNCTION: CAN VR HELP?
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ARNI STROKE REHAB BLOG November 2, 2024Approximately 70% of stroke survivors experience a weakened arm immediately after the stroke and for 40%, this persists beyond 6 months1....
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IMPROVING STANDING & WALKING BALANCE AFTER STROKE
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ARNI STROKE REHAB BLOG October 8, 2024Over the 23 years of service to the public, we have trained many thousands of people over the long term, and...
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THE EVIDENCE AND ‘THE BIG 10’ OF STROKE RECOVERY
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TASK PRACTICE OR ASSISTIVE DEVICES AFTER STROKE?
ARNI STROKE REHAB BLOG March 5, 2024So, whatâs the point of task-specific practice and why should you do it? Can assistive devices help much? Are they ‘better’...
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YOUR INVITE: FREE 3HR ONLINE STROKE PLASTICITY & TECH WORKSHOP
ARNI STROKE REHAB BLOG January 12, 2024Your exclusive free invitation to 3 hr online Workshop on Saturday January 20th, 2024 (10.30am to 1.30pm). Listen to (and talk...
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STROKE PLASTICITY & TECH: FREE ONLINE WORKSHOP
ARNI STROKE REHAB BLOG January 2, 2024Your exclusive free invitation for 3 hours Conference on January 20th 2024:Â For professionals who help those with brain injury –...
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CAN YOU IMPROVE UPPER LIMB CONTROL AFTER STROKE WITH VR?
ARNI STROKE REHAB BLOG November 22, 2023Virtual reality (VR) basically means interactive simulations of activities within environments that appear and feel similar to real-world objects and events...
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CAN THE FLU JAB REDUCE YOUR RISK OF STROKE?
ARNI STROKE REHAB BLOG October 17, 2023Did you know that your flu jab may also be viewed as a preventive intervention for stroke? It’s recommended to book...
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CAN ‘BRAIN-WAVES’ ENHANCE RECOVERY FROM STROKE?
ARNI STROKE REHAB BLOG September 14, 2023Can your âbrain wavesâ be used to identify the movements of your limbs? Can you use them to interact with virtual...
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SHOULDER PAIN & DYSFUNCTION: CAN VR HELP?
August 5, 2025
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HOW TO DO CARDIO AFTER STROKE
July 7, 2025
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POST STROKE RECOVERY AND REHABILITATION
March 18, 2025
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DR TOM BALCHIN RECEIVES OBE IN NEW YEARS HONOURS
December 31, 2024
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