Strength training shown to improves stroke recovery outcomes
A just-published systematic review and meta-analysis confirms the reason why, since 2001, one of the 3 parts of ARNI rehab has ALWAYS been (stroke-specific) strength training. Just published in the BMJ’s British Journal of Sports Medicine the review, entitled ‘Prescribing strength training for stroke recovery’ concludes that:
‘Training alone or combined with usual care improves stroke recovery outcomes and more frequent strength training, power-focused intensities and traditional programme designs may best support stroke recovery’.
More frequent strength training, traditional strength training programmes and power-focused intensities (ie, emphasis on movement velocity) were also positively associated with walking capacity, health-related quality of life and fast-paced walking speed.
(Eight electronic databases (MEDLINE, EMBASE, EMCARE, AMED, PsycINFO, CINAHL, SPORTDiscus, and Web of Science) and two clinical trial registries (ClinicalTrials.gov and WHO International Clinical Trials Registry Platform) were searched from inception to 19 June 2024. )
Noguchi KS, Moncion K, Wiley E, et al. Prescribing strength training for stroke recovery: a systematic review and meta-analysis of randomised controlled trials. British Journal of Sports Medicine 2025;59:185-197.
https://bjsm.bmj.com/content/59/3/185
Introducing the Walk n’Watch Protocol
Incorporating higher-intensity walking into early stroke rehabilitation significantly improves patient outcomes, including mobility and quality of life; new research suggests that higher-intensity exercise, including walking, during the initial phase of stroke rehabilitation leads to better recovery outcomes.
A specific protocol called “Walk ‘n Watch” has been developed to increase the intensity of walking exercises in stroke rehabilitation.
This protocol has been successfully implemented in real-world rehabilitation settings, demonstrating its feasibility and effectiveness in improving patient mobility and quality of life. Patients who participate in this higher-intensity walking program show improvements in walking distance, speed, and overall quality.
The study also found that stroke patients in inpatient rehabilitation following the implementation of high-intensity stepping training took significantly more steps per day compared to those receiving usual care.
These improvements are not only statistically significant but also clinically meaningful, indicating a tangible difference in patients’ ability to walk and perform daily activities. Click to Walk n Watch for more.
Dr Tom’s TEN COMMANDMENTS OF ARNI STROKE RECOVERY
These can all be achieved by you to a certain degree, however old you are, if you want them badly enough and are prepared to sacrifice some time and effort.
Can a generic programme be created? For example, is there one ‘programme’ that will fit everyone? It would be much easier that way, right? The simple answer is ‘no’. But there are many things that all stroke survivors must do, and many things that most will need to do.
The ARNI Approach preaches the superiority of simplicity and slow and steady mini-successes over the fast talk, fast supply, fast gains and fast losses that seem to characterise modern life and by extension, how you view stroke recovery. It needs no special preparation to understand, and can be accessed regardless of present activity level. Each exercise has enough variety and progressions attached to keep you challenged and incrementally recovering.
Remember, this ‘retraining’ can phase into an enjoyable and social physical activity wherein you are actively rehabilitating. So encouragingly, it seems that ‘formal training’ is finite… but it must be done right. And try to grow to enjoy your rehabilitation now, strange though this may seem. For you will be harnessing the tension and release of your own creative force during the process. To be aware of this is an amazing thing.
Stroke, however, can rob you of the ability to enjoy life much and may leave you with a host of emotions, none of which are likely to help you feel like being creative. Equally you may think that ‘enjoying rehabilitating’ is a silly notion, what with everything you’ve been through. We hope that starting ARNI retraining with a trainer or just by yourself with the help of Successful Stroke Survivor, Had a Stroke? Now What and/or the 7 ARNI anytime-view streaming videos playable from dashboard (see the Product section to inspire you to examine your limitations and get to grips with them yourself by being proactive. Everything you do will rewire your brain: by doing more, you WILL incrementally develop more motor control and gain strength. You will ‘get nothing by doing nothing’.
Does more intensive rehabilitation really improve upper limb motor control?
New finding: cognitive decline rate after a mini stroke same as a full stroke
This is quite an alarming finding; for the first time, the cognitive decline rate after a mini stroke has been found to be the same as a full stroke.
Mini strokes, as you know, are events during which a brain region is temporarily deprived of oxygen, most often for only few minutes, and are without a lesion on brain MRI scans.
Del Bene VA, Howard G, Gropen TI, et al. Cognitive Decline After First-Time Transient Ischemic Attack. JAMA Neurol. 2025;82(4):323–332. doi:10.1001/jamaneurol.2024.5082
Pioneering health tracker for stroke survivors which accurately monitors progress
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ARNI Speech and language Telerehab can now help YOU, right now, wherever you are in the world!
Ki-gong to help with recovery from stroke


