Neuroplasticity, Stroke Recovery & Learning

August 2019: Carey et al (2019) Finding the intersection of neuroplasticity, stroke recovery, and learning: Scope and contributions to stroke rehabilitation. Neural Plasticity, Article ID 5232374, https://doi.org/10.1155/2019/5232374

My congratulations to Leeanne and her colleagues on this incredible piece of research. The fact that an initial search identified just over 400,000 publications gives you some idea of just how much work was involved in this investigation. The temptation to stop right there must have been very strong indeed. Not only is this research innovative in its research question and methods, it is intriguing in its findings. As the title indicates, the investigators set out to find the intersection between neuroplasticity, stroke recovery and learning, and what they found is portrayed in Figure 3. Interestingly, the findings don’t quite intersect, which may say more about where research is up to, in the evolution of this evidence; because, the connectivity between these three issues is in no doubt at all. That “cognition was the major theme identified”, does not come as any surprise. Other identified themes like “task-based….and activity-based learning” and “experience-dependent learning” provides the therapeutic perspective. This watershed evidence is a “must read” for all those involved in recovery after stroke, I’d suggest. This article is freely available. As always, this is just my “humble opinion”.

PS: To make my blog less complicated, as of this month, I’m only going to post. I’ll leave it to others to comments if they want to.

Mindfulness After Stroke

We’re in December again, the festive season of Christmas is fast approaching for some of us, and 2018 will arrive in less than four weeks! The Christmas “message” is about joy and peace. Perhaps this is the craziest thing I have ever done, but this month, I found myself searching for a scholarly article using the search terms of “stroke”, “peace” and “joy”! I’m sure you won’t be surprised to find that my search was not hugely successful, if you’re just talking number of finds! However, it was successful in that it led me across a “small and rickety” bridge that took me to a place where I have now lots to think about, when it comes to spirituality, peace, joy and stroke! This article is such an interesting read. If you can’t read all of it, at least read pages 409-415. It is not publicly available, but don’t forget, you can always contact the author for a copy.

Do you and your family celebrate Christmas, and if so, I wonder what you’ll be doing? My family will be getting together for Christmas lunch at our house. With young children present, it will be noisy, chaotic, messy and exhausting; but oh, so much fun! I suspect joy will win out over peace, but eventually peace will come. On the turn of 2017 to 2018, I have three wishes for you:

  1. Some enjoyable, peaceful and relaxing time with those previous to you
  2. A rewarding and interesting year in 2018, no matter how challenging and/or blessed.
  3. All the very best in wherever your professional journey takes you.

For me, 2017 has been a busy year with the launch of the book, so here’s hoping 2018 is a little less busy. I’ll be taking a break over Christmas/New Year, so there will be no Journal Club in January. It will re-start in February.

A very special thank you to all my faithful blog followers. I look forward to continuing our “changing stroke” journey together in 2018.

Cognitive Rehabilitation

November 2017 Gamito et al (2017) Cognitive training on stroke patients via virtual reality-based serious games, Disability and Rehabilitation, 39(4), 385-388, DOI: 10.3109/09638288.2014.934925

I’m often asked: What interventions have proven efficacy to improve cognition outcomes after stroke? Or, put another way, if I need to do cognitive rehabilitation, what should I be doing? Good questions! There are many who claim to be doing cognitive rehabilitation, and they are keen to tell you what they do and why; however, there is very little research into what works and what doesn’t work. But fortunately, this is starting to change. This month’s journal article demonstrates that prescribing virtual reality-based serious games can improve attention and memory outcomes after stroke. If you’re interested in cognitive rehabilitation after stroke, this article is worth reading. For “humble opinion”, please go to Journal Club 2017 and select Cognitive Recovery from the drop down box. This article is not publicly available, but don’t forget that you can always email the corresponding author for a copy.