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Arguments Against Recurrent Stroke

Decent Essays

Stroke is a public health burden that affects 15 million people worldwide (World Health Report, 2002), approximately 795,000 people per year in the United States (Centers for Disease Control and Prevention, America’s Burden on Stroke, 2012) and specifically in Mississippi, stroke is the fifth leading cause of death (Mississippi Vital Statistics, 2014). Approximately 610,000 are first or new strokes and approximately 185,000 strokes, nearly one of four,four; occur in individuals that have had a previous stroke (Mozaffarian, Benjamin, Go, et al, 2015). Currently, there are more than 6.2 million noninstitutionalized adults who have had a stroke in the United States (Faststats, CDC, National Center for Health Statistics, 2012).
A stroke occurs …show more content…

Physical activity can improve health and lower risk for heart disease, stroke, type 2 diabetes, depression, and some cancers, (CDC, 2014). Even though physical activity can reduce recurrent stroke, stroke survivors are not engaging in physical activity at optimal levels to protect against recurrent stroke. In their research, Boysen & Krarup, pg. 148, (2013) found that “following a stroke, sequelae such as hemiparesis and ataxia may limit the trainability of stroke patients and lead to decreasing levels of physical activity and physical performance.” Historically, motivation to exercise has also been cited in the literature as a deterrent and a facilitator to exercise among the stroke survivor population (Damush, Plue, Bakas, Schmid & Williams, 2007). According to a study conducted by researchers Mohan, Wolfe, Rudd, Heuschmann, Kolominsky-Rabas, & Grieve, (2011) patients who survive an initial stroke are at a significantly increased risk for future strokes compared with the general population; a systematic review and meta-analysis showed that the cumulative risk of stroke recurrence was 3.1% at 30 days, 11.1% at 1 year, 26.4% at 5 years and 39.2% at 10 years. Furthermore, recurrent strokes are more likely to be disabling or fatal compared with the first stroke (Mohan, Crichton, Grieve, Rudd , Wolfe, & Heuschmann,

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