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Spasticity 101: A debilitating yet treatable common condition after a stroke

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(Family Features) In the year following a stroke, about 1 in 3 stroke survivors will experience spasticity, a common post-stroke condition which causes muscle stiffness due to involuntary muscle contractions. Most commonly affecting the elbow, wrist and ankle, the condition may make it difficult to do activities people were able to do before their stroke like dressing, brushing their teeth or walking.

More than 3 million stroke survivors may wrestle with reduced independence and increased reliance on caregivers due to spasticity. The condition is particularly common in younger stroke survivors.

After a stroke, the way your brain communicates with your muscles may change. Muscles may be stiff or resistant to stretching. They may involuntarily contract or have a smaller range of motion.

“While there’s no cure for spasticity, working with your care team to find the best treatment options for you can help provide comfort, relief and independence,” said Richard D. Zorowitz, MD, volunteer past chair of the American Heart Association’s Stroke Council Rehabilitation and Recovery Committee and chief medical informatics officer and outpatient attending physician at MedStar National Rehabilitation Network.

Some common symptoms include painful muscle spasms; difficulty stretching muscles; stiffness in the arm, hand, leg and ankle; an arm folded and pressed against the chest with a curled wrist and fingers; an involuntary tight fist; pointed foot; curled toes; and overactive reflexes.

If left untreated, spasticity can cause painful and debilitating bone and joint deformities. Experts stress seeing a doctor as soon as symptoms develop. Assessment of the condition is critical in developing a treatment plan based on individual needs and goals, the severity of the condition and overall health.

Management plans may include targeted injections of botulinum toxin, oral medications, intrathecal baclofen pump therapy, physical therapy or other methods to improve the muscles’ ability to stretch and regain range of motion. Home modifications such as assistive devices and other adaptations to increase independence and safety may also help.

If you or a loved one is dealing with spasticity after a stroke, talk to your doctor or health care team about options to treat and manage it. Find resources and tools to help at Stroke.org/Spasticity. Spasticity education made possible through funding by Ipsen.

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Knowing the Signs of Stroke Saved One Man’s Life

When Herbert “Hub” Miller worked as a global leader for an international agriculture science company, his boss ended every meeting with a reminder of the “FAST” acronym to recognize the signs of stroke: Face drooping, Arm weakness, Speech difficulties and Time to call 911.

“I’d sit back and think, ‘Here comes the whole FAST speech again; let’s move on,’” Miller said. “I didn’t know I’d ever use it on myself.”

In April 2021, Miller was working from home when he experienced throbbing head pain. As other symptoms began appearing, the 42-year-old remembered those meetings and checked off the symptoms: His face was numb, his left arm drooped and he struggled to form words.

It turned out to be a hemorrhagic stroke, a ruptured blood vessel bleeding into the brain. Miller’s odds of surviving weren’t good, but it wasn’t until he was recovering in intensive care that he understood the full impact of the stroke. It caused abnormal increases in muscle tone causing stiffness, pain and spasms known as spasticity, leaving him with mobility and cognitive challenges.

After the stroke, Miller struggled with once-simple tasks like drawing a clock, completing a word puzzle and playing memory games.

“Spasticity changed my life and added an additional hurdle to my stroke recovery,” Miller said. “Without being able to open and close my left hand, I can’t write, type or drive like I used to. Those are things most of us take for granted until we can’t do them.”

Miller worked on his penmanship at the same time his youngest son learned to write in the first grade. Miller asked the teacher to send home extra worksheets, and father and son did homework together.

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“I don’t measure my success day by day, but when I look back to a year ago and where I am today, I am grateful every day how far I have come,” he said.

Photo courtesy of Getty Images (patient undergoing physical therapy)

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SOURCE:
American Heart Association

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Lifestyle

Combatting Loneliness in Older Adults

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(Family Features) The bonds found in friendships and other relationships are an important factor in health and wellness – even science says so.

According to the American Psychological Association, forming and maintaining social connections at any age is one of the most reliable predictors of a healthy, happy and long life. Studies show having strong and supportive friendships can fend off depression and anxiety, lower blood pressure and heart rates in stressful situations and change the way people perceive daunting tasks.

16967 FT detail image embed1However, statistics show approximately half of U.S. adults lack companionship and feel socially disconnected, according to the U.S. Surgeon General’s Advisory on the Healing Effects of Social Connection and Community. In fact, 12% don’t have anyone they consider a close friend, per the Survey Center on American Life. This “epidemic of loneliness,” as coined by U.S. Surgeon General Dr. Vivek Murthy, can take a severe toll on mental and physical health.

As people age, the risks of isolation increase. With America’s older population growing rapidly – the 65 and older population reached more than 55 million in 2020 – discussing how older adults can combat loneliness is relevant to public health and individual well-being.

Consider volunteering, which is one of the best and most rewarding ways to combat loneliness.

Volunteering Combats Loneliness
People often volunteer to find a sense of purpose, learn new skills, improve their communities or establish new routines after retiring or becoming empty nesters. For many, making friends through volunteer work is a welcome bonus. The act of volunteering provides proven benefits for older adults.

Forming connections can make all the difference in a person’s volunteer experience and sense of well-being. People who meet through volunteer work inherently share a common interest and something to bond over. These friendships can carry over outside of volunteer work and lead to bonding over other hobbies and interests.

Connection-Focused Volunteer Opportunities
In addition to making friends with fellow volunteers, many older adults also form relationships with the people they’re serving, especially if those recipients are their peers.

For example, AmeriCorps Seniors is the national service and volunteerism program in the federal agency of AmeriCorps that connects adults aged 55 and up to local service opportunities that match their interests. Its Senior Companion Program pairs volunteers with other older adults or those with disabilities who need companionship or assistance. Volunteers may help with tasks such as paying bills, shopping or getting companions to appointments. In some cases, volunteers may also provide support and respite for family members caring for loved ones with chronic illnesses.

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“We often think of volunteering as ‘giving back,’ but we’ve seen firsthand that it often becomes so much more than that,” said Atalaya Sergi, director of AmeriCorps Seniors. “By spending a few hours each week with another older adult in need of support, our volunteers are not only giving back to others, but they’re adding meaning to their own lives and establishing new connections. They’re helping to fight the loneliness epidemic one visit at a time.”

Growing older can come with challenges, but some of those can be minimized with a positive mindset and commitment to remaining connected and engaged – whether with friends, relatives or fellow community members. Fostering relationships is a key ingredient to a healthier and more fulfilling life.

For more information and to find volunteer opportunities near you, visit AmeriCorps.gov/YourMoment.

Meet Friends Who Connected Through Service

16967 FT detail image embed2Ray Maestas felt unfulfilled post-retirement and began volunteering with the AmeriCorps Seniors Senior Companion Program. He was connected with Bob Finnerty, a man with blindness looking for assistance a few days each week. They quickly struck up a routine of errands, reading and conversation that’s since become a friendship they both cherish.

“The Senior Companion Program has provided an avenue to enrich the lives of not only the participants but the people who are volunteering,” Maestas said. “Bob and I have gotten to the point where he’s a very important part of my life.”

Finnerty echoed those sentiments and shared his own appreciation for Maestas’ friendship.

“I’ve always relished my independence and I feel Ray is not just a person who reads for me – he’s a friend,” Finnerty said.

In the last few years, Maestas moved and now serves with a different chapter of the Senior Companion Program. He and Finnerty keep in touch. Maestas said they talk about every third day.

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Lifestyle

Stuff Those Stockings with Skin Care Solutions

The article suggests adding thoughtful skincare solutions as holiday stocking stuffers, highlighting Herbacin’s natural products that address various skin issues for women of all ages.

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(Family Features) Even if you have the perfect gifts picked out for your nearest and dearest, there’s still time to add some stocking stuffers that are sure to please all the favorite ladies in your life.

Stocking Stuffers

The holidays are the perfect time for gifting special skin care solutions they will love. Formulated for all ages and skin types, these curated formulas address multiple skin challenges for a wonderfully healthy glow. Ideal for slipping into a stocking at the last moment, thoughtful skin care products can show just how much you care.

To find solutions for your loved ones this holiday season, visit herbacinusa.com.

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7 Skin Care Solutions

Women of all ages and skin types can find a formula that fits their lifestyles from Herbacin’s Skin Solutions Series, which includes seven products formulated with 100% natural, vegan  ingredients to combat and alleviate any number of skin issues. Designed to integrate into a daily skin care regimen, they address various challenges such as dry and cracked skin, acne, psoriasis or pigmentation marks. Skin issues that affect external appearance can also lead to mental stress, making it important to address them with dermatologically tested solutions.

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Specialty Products to Tackle Skin Issues

Some skin problems are triggered by stress and genetic predisposition while others are caused by an unbalanced lifestyle and diet, hormonal imbalances or environmental influences. It’s important to meet your skin issues head on with products formulated for the challenge like Herbacin Creamy Face Wash, a plant-based cream that provides deep cleansing for the face, neck and decollete for a clean feeling without drying skin. Designed for women who enjoy the sun, Age Spot Primer reduces pigmentation spots with a langsat tree extract.

Photo courtesy of Adobe Stock (stockings on mantel)

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Herbacin

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.

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Life After Stroke: 5 tips for recovery and daily living

In the weeks and months immediately following a stroke, an early rehabilitation program offers the best possible recovery outcomes.

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(Family Features) In the weeks and months immediately following a stroke, an early rehabilitation program offers the best possible recovery outcomes. While each person’s stroke recovery journey is unique, starting the path toward rehabilitation as soon as it’s medically safe allows stroke survivors to mitigate the lasting effects.

According to the American Stroke Association, a division of the American Heart Association, each year, approximately 800,000 people in the United States have a stroke. Strokes can happen to anyone, at any age. In fact, globally about 1 in 4 adults over the age of 25 will have a stroke in their lifetime.

Early Intervention
The rehabilitation and support a survivor receives can greatly influence health outcomes and recovery. The first three months after a stroke are especially critical. Although recovery may continue for years after a stroke, this time in the immediate aftermath of a stroke is when the brain is most able to adjust to the damage done by the stroke so the survivor can learn new ways to do things.

Physical, Communication and Cognitive Changes
Following a stroke, a survivor may experience physical changes, such as fatigue, seizures, weakness or paralysis on one side of the body or spasticity, stiff or rigid muscles which may cause difficulty with completing daily activities and tasks. If experiencing fatigue, speak with your health care provider about ways to reduce it. Your care team may also be able to provide medications to help with seizures and spasticity. Physical therapy is also an option.

Challenges after a stroke depend on the severity and location of the stroke. In addition to various physical disabilities, stroke survivors may experience aphasia, communication and thought problems related to speaking, listening, understanding or memory. Planning, organizing ideas or making decisions can also be harder.

“Remember to be patient when communicating with a stroke survivor,” said Elissa Charbonneau, M.S., D.O., chief medical officer of Encompass Health and an American Stroke Association national volunteer. “The impact of a stroke on cognitive, speech and language can be significant and isolating. When connecting with a stroke survivor, some helpful practices include demonstrating tasks, breaking actions into smaller steps, enunciating, asking multiple choice questions and repetition.”

Customized Rehabilitation
Once a stroke survivor’s medical condition is stabilized and he or she is ready to leave the hospital, rehabilitation can help restore function and teach new ways to complete everyday tasks. Rehabilitation may take place in an inpatient facility, skilled nursing facility or long-term acute care facility. Outpatient clinics and home health agencies can also provide rehabilitative care in certain circumstances.

One patient’s rehab journey might include therapy to improve balance, strength or mobility while another might need speech or other therapies. A rehabilitation designed for the individual is critical.

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Preventing a Recurrence
After a first stroke, nearly 1 in 4 survivors will have another. Stroke survivors can help reduce their risk of having another stroke by working with their health care team to identify what caused the stroke and uncover personal risk factors.

Taking steps such as healthy eating, reducing sedentary time and taking medications as prescribed can help your brain and reduce your risk of a repeat stroke. Controlling conditions such as high blood pressure, diabetes and sleep apnea also reduce your risk of having another stroke.

Support During Your Journey
Caregivers and other loved ones can provide important long-term support during your recovery and rehabilitation.

Find resources for stroke rehab and recovery including the “Life After Stroke” guide, “Simply Good” cookbook and a support network to connect with other survivors at Stroke.org/Recovery.

Photo courtesy of Getty Images
 

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SOURCE:
American Heart Association

The Bridge is a section of the STM Daily News Blog meant for diversity, offering real news stories about bona fide community efforts to perpetuate a greater good. The purpose of The Bridge is to connect the divides that separate us, fostering understanding and empathy among different groups. By highlighting positive initiatives and inspirational actions, The Bridge aims to create a sense of unity and shared purpose. This section brings to light stories of individuals and organizations working tirelessly to promote inclusivity, equality, and mutual respect. Through these narratives, readers are encouraged to appreciate the richness of diverse perspectives and to participate actively in building stronger, more cohesive communities.

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  • Rod Washington

    Rod: A creative force, blending words, images, and flavors. Blogger, writer, filmmaker, and photographer. Cooking enthusiast with a sci-fi vision. Passionate about his upcoming series and dedicated to TNC Network. Partnered with Rebecca Washington for a shared journey of love and art. View all posts

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