The journey along the road of functional improvement can be described as the ‘process’ of rehabilitation. Your current state can be described as the ‘product’ of rehabilitation. It’s not just one thing you might do for your own rehabilitation, it’s everything – over time.
A good analogy may be writing a long book on a laptop and saving the changes to the hard-drive, every day, as you make them. time.
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The cycle of learned non-use, if it has been allowed to happen, really can be broken, and progress made, even years after stroke.
Such a negative cycle can begin virtually without the stroke survivor realising it. Whilst he or she is waiting for movement to happen, actually all that’s happening is that the plastic brain is getting used to using the good hand for all tasks.
If this sounds like you then we can help you. Call us on 0203 053 0111 or email support@arni.uk.com and we'll tell you if there's a trainer near you who will work with you to overcome it.
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This stoke recovery book is Essential Reading
Reviewed in the United Kingdom on 17 July 2020
This is the book that anyone who has had a stroke, or is associated with a stroke survivor, must read. It is just not possible to write a book about stroke survival unless you have experienced the sheer terror of it first-hand. Tom Balchin outlines what happens when you have a stroke, what help is (or should be) at hand, provides practical help with coping strategies and exercises. What he hasn't provided in this book probably isn't worth knowing. I just wish it had been available when I had my stroke 6 years ago, when I (and my husband) hit a wall of confusion, lack of information and poor NHS after-care. Things could have been so different! I have learned things from this book even now and intend to follow them up. A Brilliant Book.
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Every time you share, you could directly help someone – as knowledge is power ;)
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Thanks Angela!!! Looking forward to seeing you and Alex at the next BIG ARNI Day, which is on 6th December ;) Tom
I have Tom’s book The Successful Stroke Survivor and have always felt extremely grateful for him publishing his book. Helped me tremendously to recover from my stroke. Many thanks Tom! 💕
Never ever be the same 👎
Brilliant book, would highly recommend for any stroke survivor or family member supporting recovery xx
There is no shortcut to success, everything takes time. Always believe that success is the ultimate goal with hard work and persistence.
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Repetitions are required but ALSO you need to set goals and targets to get away from supports like wheelchairs, frames and sticks as soon as possible, to go further, to go for set distances, to feel less tired each time, to ramp up the quality of your walking by focusing on how you walk, to walk over different surfaces, to walk with an AFO and without, to tackle stairs, etc.
So its time to get creative!
Not sure what to do? Call us on 0203 053 0111, or email support@arni.uk.com , to find out if there's an ARNI trainer near you who can help you.
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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.
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Hi Mark Johnson ! Tom
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
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Hi Hatem, hope this helps your team! Tom
Overall, the road to recovery looks different for everyone. It’s 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.
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