American Health News and
Wellness Report Newsletter
 
Prevention is a Cure (c)  
MAY  2011 - Vol 12 Issue 18

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In This Issue
RETRAIN YOU BRAIN AFTER A STROOKE
SHORT-TERM PAIN KILLERS COULD PUT HEART PATIENTS AT RISK
TEST YOURSELF A HEALTHY HEART
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Retrain your brain after a Stroke 

Retrain Your Brain After Stroke

 

Two years ago, Terri Knudsen suffered a sudden, massive stroke while she was talking to a friend.

"I noticed I was talking funny, like I had an accent, and she said it sounded like I was underwater," Knudsen told American Health.

 

Knudsen lost mobility on her left side. She spent months relearning how to stand and how to walk.

Physical therapists are using a new tool to help patients like Knudsen regain an even gait. Using motion detector cameras, physical therapist Darcy Reisman, Ph.D., an expert in biomechanics and movement science at the University of Delaware in Newark, Del., analyzes how a patient moves on a specially designed split-belt treadmill. The belts can run together, or therapists can program the belts separately.

 

Dr. Reisman says when a patient's legs move at two different speeds, the brain gets an error signal. Next, the patient's brain and nervous system use the feedback to adjust. The cerebellum is the part of the brain that controls coordination. It remembers what it has learned even after the treadmill stops. For just a few minutes, stroke patients have an easier time on solid ground.

 

"You notice immediately that you want to take a bigger stride," Knudsen said. "It was a definite carryover from the treadmill."

 

"There's the immediate effect that you get," Dr. Reisman told American Health. "The problem is, of course, that it decays."

 

Dr. Reisman wants to know if additional treadmill therapy will help rewire the brain, resulting in longer periods of even walking -- and making the split-belt treadmill the first step towards a faster recovery for stroke patients.

 

Darcy Reisman, PhD, PT
Department of Physical Therapy
University of Delaware 

Short-term Pain Killers could put heart patients at risk 

Short-Term Pain Killers Could Put Heart Patients at Risk

(American Health Newswire) -- Even short-term use of some painkillers could be dangerous for people who've had a heart attack.

Researchers analyzed the duration of prescription non-steroidal anti-inflammatory drugs (NSAIDs) treatment and cardiovascular risk in a nationwide Danish cohort of patients with prior heart attack. They found the use of NSAIDs was associated with a 45 percent increased risk of death or recurrent heart attack within as little as one week of treatment, and a 55 percent increased risk if treatment extended to three months.

In a 2007 statement, the American Heart Association advised physicians about the risks of NSAID use among heart patients and provided a stepped care approach. 

In the current study, researchers undertook the first time-to-event analysis of a nationwide group and investigated if the duration of prescription NSAID treatment influenced the cardiovascular risk among heart patients. Among 83,697 heart attack survivors (average age 68; 63 percent men), 42.3 percent had a least one prescription for an NSAID.  

 

The most common NSAIDs prescribed were ibuprofen (23 percent) and diclofenac (13.4 percent). Selective COX-2 inhibitors - rofecoxib (4.7 percent) and celecoxib (4.8 percent) - were also used.

All NSAIDs were associated with an increased risk of death or recurrent heart attack, with diclofenac having the highest risk (nearly three times). "Overall, NSAID treatment was associated with a statistically significant increased risk of death," said Anne-Marie Schjerning Olsen, M.B., lead author of the study and research fellow at Copenhagen University in Hellerup, Denmark. "Our results indicate that there is no apparent safe therapeutic window for NSAIDs in patients with prior heart attack."

The NSAID naproxen was not associated with an increased risk of death or recurrent heart attack. However, previous studies found increased gastrointestinal bleeding with naproxen.
Olsen said "a very conservative approach to use NSAIDs in patients with prior heart attack is warranted.

"The accumulating evidence suggests that we must limit NSAID use to the absolute minimum in patients with established cardiovascular disease," researchers said. Further study is warranted to establish the cardiovascular safety of NSAIDs, they said.

SOURCE: Journal of the American Heart Association, May 10,

Test yourself for a healthy heart

Test Yourself for a Healthy Heart

(American Health Newswire) -- Do you know what the number one cause of death is for both men and women in the U.S.? It's heart disease. The most common type of heart disease here is coronary artery disease, which can lead to a heart attack. Although genes play a big part in diagnosis, experts say you can do a few things at home to reduce your risk of death.

 

Joe Piscatella knows a thing or two about staying healthy. Thirty-three years ago, this now best-selling author thought his life was over.

 

"One day, I got a little pulling sensation on my chest when I was playing tennis and then I went back and played again and got another pulling sensation," Piscatella told American Health.

 

Two days after a doctor's visit, he was getting open-heart bypass surgery. At just 32 years old, Piscatella had a 95-percent blockage of his coronary arteries.

 

"You reach what's called a teachable moment, and all of sudden, you develop a perspective about, 'is this thing really the end of the world?'" Piscatella said.

 

Piscatella made sure it wasn't by focusing on healthy eating and exercise. He's now one of the world's longest-living bypass survivors.

 

So, what do you know about what you're eating? For instance, is 2% milk really just 2% fat?

"The 2% on the carton tells you what fat weighs in the carton. It doesn't tell you how many grams of fat," Piscatella said.

 

The 2% milk is actually 5 grams of fat per 8 ounces. Fat-free milk is better.

 

The fruit in your yogurt ... that's one daily fruit serving, right?

 

"When you get to the fruit-flavored ones where the fruit is down at the bottom, it's more like jam, so it's not unusual to have 5 or more teaspoons of sugar," Piscatella said.

 

More like a serving of sugar. Check the label: 4 grams of sugar equals one teaspoon of sugar. Finally, what about research that says strawberries are good for your heart?

 

"Strawberries and blueberries are two of the best things that you can have either by themselves or on cereal because they are tremendous antioxidants that are cardio-protective," Piscatella said.

Strawberries help reduce hardening of the arteries while blueberries are packed with antioxidants. That knowledge -- and more -- helped Piscatella get back to what he does best: living.

 

"What I do is when I get up in the morning, I make a decision that day that I'm here and that I'm going to do the best for my health just for this one day," Piscatella said.

If you are at risk for coronary heart disease, doctors recommend taking two baby aspirins per day to help stave-off a sudden heart attack.

 

If this story or any other story impacts your life, please tell us. We like to know how we're doing.

Email us at: Thehealthsociety@aol.com


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The American Health Society is a distinguished 11 year old multi-award winning preventative public health & wellness 501(c)(3) charity whose mission is in preventative healthcare, mental wellness, health education, literacy and advocacy aimed at preventing lifestyle based illnesses, diseases and the frailties of aging. 
 
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