MSGID: 1:317/3 6272017b   
   PID: hpt/lnx 1.9.0-cur 2019-01-08   
   TID: hpt/lnx 1.9.0-cur 2019-01-08   
    For stroke survivors, modified cardiac rehabilitation can reduce the   
   chances of death by 76%    
      
     Date:   
         May 3, 2022   
     Source:   
         Elsevier   
     Summary:   
         Survivors of serious stroke can reduce their chances of dying within   
         the year by 76% if they complete a modified cardiac rehabilitation   
         program that includes medically supervised exercise, prescribed   
         therapy, and physician follow-up, according to new research. The   
         findings have the potential to change the future of stroke care.   
      
      
      
   FULL STORY   
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   Survivors of serious stroke can reduce their chances of dying within the   
   year by 76% if they complete a modified cardiac rehabilitation program   
   that includes medically supervised exercise, prescribed therapy, and   
   physician follow-up, according to new research published in the Journal   
   of Stroke & Cerebrovascular Diseases, published by Elsevier. The findings   
   have the potential to change the future of stroke care.   
      
      
   ==========================================================================   
   The study is the latest research from the ongoing Stroke-HEARTTM Trials   
   at Hackensack Meridian JFK Johnson Rehabilitation Institute, located in   
   Edison, NJ, USA. The study shows that participants in the JFK Johnson   
   Stroke Recovery Program also significantly improved exercise capacity,   
   mobility, self-care, and cognition.   
      
   "After a stroke, sometimes family members are cautious. 'Don't get   
   up, you might fall.' Many caregivers of stroke survivors discourage   
   stroke patients from being active and mobile," said Sara J. Cuccurullo,   
   MD, Chairman and Medical Director of JFK Johnson and a Co-Principal   
   Investigator of the study.   
      
   "But we are showing that even survivors of serious stroke can exercise   
   safely in a supervised program -- and they can benefit enormously."   
   The JFK Johnson Stroke Recovery Program (SRP) provides 36 sessions   
   of medically monitored interval cardiovascular training -- as well as   
   follow-up visits with a Physical Medicine and Rehabilitation physician   
   along with psychological, nutritional, and educational support and risk   
   factor (such as smoking, diet, and exercise) management. The research   
   found that stroke patients, even those who may experience hemiplegia,   
   can exercise safely with some modifications, such as the use of recumbent   
   bicycles.   
      
   The research follows survivors with strokes serious enough to require   
   inpatient hospital rehabilitation at JFK Johnson. The study so far   
   has included more than 1,600 stroke survivors. Because stroke can vary   
   greatly from one survivor to the next, the study created a subgroup of   
   patients closely matched for gender, race, type of stroke, age, medical   
   complexity, and functional scores at hospital discharge.   
      
   Of 449 patients in this subgroup, 246 completed the program. Among the   
   patients who completed the program, four died within a year of their   
   stroke. Among the non-participants, 14 patients died. This translates   
   into a four-fold reduction in one-year all-cause mortality.   
      
   The researchers hope the ongoing research will persuade the Centers   
   for Medicare & Medicaid Services (CMS) to cover comprehensive stroke   
   rehabilitation the same way cardiac rehabilitation is covered in people   
   who have cardiac events; both stroke and cardiac events involve the   
   vascular system.   
      
   "Stroke survivors deserve the same benefits that patients with cardiac   
   disease receive. As a nation, we need to do more to help patients   
   with stroke improve their lives -- to improve both their longevity   
   and quality of life," commented Talya Fleming, MD, Medical Director of   
   the JFK Johnson Stroke Recovery and Aftercare Programs and Co-Principal   
   Investigator of the study. "We should enable stroke survivors to function   
   in the community at the highest level possible."  The study also found the   
   Stroke Recovery Program participants improved in other ways. Participants   
   saw a 78% increase in their cardiovascular capacity. (Many people with   
   stroke also have cardiovascular disease.) The Stroke Recovery Program   
   participants showed steady improvement in scores related to mobility,   
   self-care, and communication/cognition. Research results show the matched   
   pairs function similarly at the beginning of the study; over time, the   
   study SRP participants perform better compared to the non-participants   
   as they move forward with the Stroke Recovery Program.   
      
   "You see a real divergence," Dr. Cuccurullo added. "What this means to   
   patients is that instead of just walking around the house, maybe you can   
   walk around the block. It means you can feed and take care of yourself at   
   a much higher level of independence. We also see speech and cognition   
   improve. Exercise has significant and multiple benefits associated   
   with it, including promoting overall improvement in circulation,   
   especially promoting enhanced circulation to the brain."  The research   
   continues. Future phases of Stroke-HEARTTM Trials will include other   
   rehabilitation institutes as the research expands nationally.   
      
      
   ==========================================================================   
   Story Source: Materials provided by Elsevier. Note: Content may be edited   
   for style and length.   
      
      
   ==========================================================================   
   Journal Reference:   
      1. Sara J. Cuccurullo, Talya K. Fleming, Stavros Zinonos, Nora   
      M. Cosgrove,   
         Javier Cabrera, John B. Kostis, Christine Greiss, Arlen Razon   
         Ray, Anne Eckert, Rosann Scarpati, Mooyeon Oh Park, Martin Gizzi,   
         William J.   
      
         Kostis. Stroke Recovery Program with Modified Cardiac Rehabilitation   
         Improves Mortality, Functional & Cardiovascular Performance. Journal   
         of Stroke and Cerebrovascular Diseases, 2022; 31 (5): 106322 DOI:   
         10.1016/ j.jstrokecerebrovasdis.2022.106322   
   ==========================================================================   
      
   Link to news story:   
   https://www.sciencedaily.com/releases/2022/05/220503141326.htm   
      
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