Originally Posted by
jfsully
Ok, i am not a rehab doc or trainer, but from the Neuro side this makes sense for Peripheral nerve injuries. In a stroke, the nerves damaged are in the brain, far from the anaerobically stressed muscles and local nerves. Brain perfusion will increase readily on demand, whereas contractile muscles and their local nerves may struggle. And we want increased perfusion in the brain around the strokes area, for neuroplasticity to do its thing.
In the stroke recovery setting, my observation has been that patients who are diligent and consistently push the envelope (within reason) do better than those who think of themselves as brittle and treat themselves gingerly. I am sure you see the same thing.
So I would not shy away from volume in this setting.
Also....Paul, you’re kicking ass!