When rehab therapy was delayed briefly, "you got very good success.
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When rehabilitation begins too quickly, "you can often make a stroke bigger and worse," Newport says. The study was inspired by earlier research on the rehabilitation of animals who have had a stroke. "Normally I could jump in the shower and 20 minutes I'm showered, dressed and out," he says.
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But after returning home, he still had trouble with basic tasks involving his right arm and hand. "My ability to move was diminishing in front of my eyes," says McEachern, who is now a professor of visual and performing arts at North Carolina Agricultural and Technical State University.Īfter the stroke, McEachern spent a week in the hospital getting treatment and more than a month in a rehabilitation center. But at home that night he found himself unable stand up. Just a few hours earlier, McEachern had been imitating Michael Jackson dance moves with his kids. "My ability to move was diminishing in front of my eyes" "That's not when most people are having their rehabilitation." "Two to three months after a stroke is when people are at home," Newport notes. The finding challenges the current practice of beginning rehabilitation as soon as possible after a stroke and suggests intensive rehabilitation should go on longer than most insurance coverage allows, says Elissa Newport, a co-author of the study and director of the Center for Brain Plasticity and Recovery at Georgetown University Medical Center. People who have had a stroke appear to regain more hand and arm function if intensive rehabilitation starts two to three months after the injury to their brain.Ī study of 72 stroke patients suggests this is a "critical period," when the brain has the greatest capacity to rewire, a team reports in this week's journal PNAS. New research suggests starting intensive rehab a bit later than typically happens now - and continuing it longer - might improve recovery.
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Everyday tasks - such as buttoning a shirt, opening a jar or brushing teeth - can suddenly seem impossible after a stroke that affects the brain's fine motor control of the hands.