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Article Category: Highlights

Exercise to Enhance Your Stroke Recovery

Published on May 28, 2024

Last updated 04:00 PM May 28, 2024

Friendly image of Stroke Rehab

The road to recovery after a stroke can be long and difficult. By following exercise recommendations from Wellstar’s rehabilitation care team, you can take an active role in the process and help shorten your journey.

According to the National Institutes of Health, falling can lead to delays in recovery for stroke survivors. Muscle stiffness and loss of balance are two common issues that contribute to increased fall risks. The expert providers at Wellstar work with patients and family members to develop individualized care plans that improve steadiness and flexibility. For added benefit, they also recommend you do the following exercises on your own.

Standing up and sitting down
Begin by sitting on a chair with a firm seat. Stand up fully and then slowly take a seat. Repeat as many times as you can tolerate initially. If necessary, use your hands to push into the standing position. Gradually progress to standing without the added assistance and completing more repetitions.

Step-ups
Begin by holding on to a stair rail. Step up onto the first step and then back down to the floor. Repeat as many times as you can tolerate initially. Step up with your stronger leg and lead with the weaker leg going down. Gradually progress to not holding on to the rail and increasing the number of repetitions.

Calf raises
Using a chair or countertop for balance, raise up onto your toes, lifting your heels completely off the floor. Slowly lower your heels back to the floor. Repeat as many times as you can tolerate initially. Gradually progress to not holding on and completing more repetitions.

Marching in place
Begin using a chair or countertop for balance and march in place for as many seconds as you can tolerate initially. Gradually progress to not holding on and marching in place for longer periods of time.

Shoulder flexion
Start with your arms at your side. With your palms facing each other, raise your arms in front of you as far as you can. Return to the starting position, then repeat.

Shoulder extension
Start with your arms at your side. With your palms facing each other, raise your arms behind you as far as you can. Return to the starting position, then repeat.

Shoulder abduction/adduction (lateral shoulder arm raises)
Extend your arms out to the side. Slowly raise your arms above your head. Return to the starting position, then repeat.

Elbow extension and flexion
Start with your arms at your sides, with your palms facing forward. Bend at your elbow so that your palm touches your shoulder. Return to the starting position, then repeat.

Wrist extension and flexion
Place your arms on a supported surface such as a table or desk, leaving your wrists free to move. Turn your palms up toward the ceiling and bend your wrists up and down.

Finger flexing and extending
Place your forearms on a surface such as a table or your lap with your palms facing up. Make a tight fist then open your hand and extend your fingers out until they are straight.

Get the most out of your exercise regimen

Establishing a regular exercise routine outside of your scheduled therapy appointments is important for your recovery. Perhaps equally important is completing the routine in a safe manner to avoid falling and to maximize your results. The experts at Wellstar suggest following these tips to maintain your safety.

  • Dress comfortably. Your clothes should not limit your movements. Wear a hospital gown, pajamas or athletic clothing.
  • Move slowly through all the movements.
  • Do not hold your breath while doing any of these exercises. Breathe deeply. Count out loud during the exercises to keep your breaths evenly paced and remind you to breathe.
  • Try to do the exercises while standing or sitting at the edge of your bed. If you do them this way, make sure another adult is around. This will help to make sure you are safe and reduce your risk of falling.
  • Stop any exercise that causes you pain or discomfort and tell your doctor, occupational or physical therapist. Continue to do the other exercises that do not cause pain.

 If you have any questions, talk with your doctor, physical therapist or occupational therapist. Learn more about the expert care from Wellstar’s inpatient rehabilitation program.

For more information on Wellstar Roosevelt’s specialty rehabilitation services, visit rooseveltrecovery.com.

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Heart Care Stroke Care
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Cindy cutting vegetables in her home kitchen

PeopleCare

CindyCare

To say Cindy Mejia is “busy” is an understatement. 

She’s constantly crunching numbers as an accounting manager for a large research institute, trying out new recipes in her kitchen at her Roswell home, or trying to keep up with her little granddaughter (who just discovered how much fun it is to run).

But one Wednesday in September, Cindy woke up and reached for her computer, trying to get an early start to her workday. She felt a little groggy and couldn’t remember her password but didn’t immediately realize something was wrong.

Then she stood up. Her right arm and leg weren’t functioning, and that’s when Cindy knew what was happening—she was having a stroke.

“The first thing I thought was, ‘I need to get to Wellstar North Fulton right away,’” Cindy said. “I knew the hospital was nearby and has a good reputation.”

That decision ultimately saved her brain and life.

For Cindy, the critical care she needed was close to home, too—she lives four miles from Wellstar North Fulton Medical Center. There, her care team sprang into action, bringing her the treatment and peace of mind in a moment of crisis.

“From then on, I felt well taken care of,” Cindy said. “I was relieved, and I knew I was going to be OK.”

 

Cindy's close-to-home 'pit crew'

When a patient has a stroke, every second matters. Each minute that ticks by could be the difference between a permanent stroke and a return to routine. So at North Fulton, Cindy’s care team assembled quickly to save her brainpower.

“We’re like the pit crew on a NASCAR team,” said Dr. Ed Malcom, an emergency medicine physician at Wellstar North Fulton. “We have our emergency stroke care response down to a science. Everyone knows their role and works together to act quickly.”

Cindy was one of the first patients at Wellstar North Fulton to benefit from the hospital’s new addition to its stroke program. While the hospital has been a primary stroke center for years, the introduction of thrombectomies at the hospital gives patients a close-to-home, life-saving option for stroke care—saving them both time and brainpower.

A thrombectomy is a minimally invasive procedure used to unclog an artery, restoring blood flow to the brain and preventing further damage. It does not involve cutting of the brain but instead starts with the insertion of a catheter through the patient’s groin.

“Recently, we’ve developed our own capability right here in the North Fulton area to pull the clot out of the brain. That’s a giant leap forward,” Dr. Malcom explained. “It's good for the whole state because there's only a handful of hospitals that do that, and it's good for the residents that live in that North Fulton area to have a hospital so close. They don't have to take a helicopter ride somewhere to get that procedure done. It saves time.”

For Cindy, having that procedure just a few miles from her home, right when she needed it, helped save her brain function.

“If Cindy would have gone to a different hospital that didn't provide this care, then it would have been a long time before she was able to have blood flow restored to the brain,” Wellstar Neurosurgeon Dr. Benjamin Zussman said, explaining how critical each section was when it came to Cindy’s care. “The delay could have been 30 minutes or even an hour, and it's possible that she would have had permanent stroke, permanent damage to her brain instead of making the recovery she did.”

Offering thrombectomies at Wellstar North Fulton has brought long-needed stroke services to the area north of Atlanta, so patients like Cindy don’t have to travel into the city through busy traffic to get the treatment they need. 

Proximity to care is especially important for critical situations like strokes, said Dr. Rishi Gupta, director of stroke care at Wellstar.

“Any disease that is time-sensitive where patients need to get to the hospital quickly, get treated quickly—the geography is everything, particularly in bad weather when helicopters cannot fly,” he said, explaining how logistics can impact life-saving stroke care. “We need to be able to provide services in the communities the patients reside and the North Fulton program is uniquely positioned to do that.”

Signs of a stroke can include a loss of balance, dizziness, blurry vision or sudden vision loss, drooping in the face, arm or leg weakness, and difficulty speaking. Patients who experience any of those symptoms should call 911 and seek medical care right away. 

Cindy said she is glad she got to the hospital as soon as she could—“I am so thankful that I took quick action and that I had Wellstar so close.” At Wellstar North Fulton, she not only received the highest level of stroke care. Wellstar takes a multidisciplinary approach to stroke care, including specialists such as critical care specialists, neurologists, neurointerventionalists and physical therapists on the care team. 

“When you're feeling pretty healthy, you don't think a stroke can happen to you. It happens so quickly. You don't necessarily get a warning,” Cindy said, sharing the importance of listening to your body’s signals when it comes to health. “You can feel one way one day or one minute, and the next minute, it changes.”

Keep reading
Illustration of fruits and vegetables, people exercising, checklist on clipboard

Highlights

Reducing Your Risk of a Stroke

While strokes have become relatively common—more than 795,000 people in the United States have a stroke each year, according to the Centers for Disease Control and Prevention—many risk factors for stroke can be managed in partnership with your healthcare team.

Managing your risk factors

Factors that can increase your risk of experiencing a stroke include:

High blood pressure

Hypertension, or elevated blood pressure, increases the risk of a stroke. Stay up to date on your annual physicals to know your blood pressure levels, and if you have hypertension, talk to your clinician about managing it. “High blood pressure is the most modifiable risk factor, meaning it’s the one that is most treatable and has the most impact on one’s risk,” said Wellstar Neurologist Dr. Ashis Tayal. “It is vastly underdiagnosed and when it is treated, it’s often undertreated.”

High cholesterol

Elevated cholesterol can lead to plaque buildup in the blood vessel and clotting in the blood, which can cause a stroke if the clot travels and blocks blood flow to the brain. Your primary care team can help you monitor your cholesterol with a blood test and manage levels with medications or lifestyle changes.

Diabetes

People with diabetes are at increased risk of experiencing a stroke. Talk to your clinician about diabetes screenings. If you are diabetic, discuss managing the condition in partnership with your care team.

Smoking 

“Cigarettes accelerate atherosclerosis, or clogging in the arteries, and cause inflammation in blood vessels that then increases people’s risk of stroke and heart attack,” Dr. Tayal said. 

Atrial fibrillation

Atrial fibrillation, a heart arrhythmia, can cause clots that then travel to the brain, leading to a stroke, according to Dr. Tayal.

While many of these risk factors can be controlled through medication or lifestyle changes in partnership with your care team, other risk factors for stroke are out of a person’s control. People of any age can experience a stroke, but stroke risk increases with age.

The risk of having a first stroke is nearly twice as high for Black adults as for white adults, and Black adults and Pacific Islander adults have the highest rates of death from stroke, according to the CDC. Hypertension is more common in Black patients, Dr. Tayal noted. People in rural communities may also experience higher rates of stroke due to limited access to healthcare and nutritious foods, he added.

To help lower stroke rates in our communities, Wellstar Community Health will distribute around 75 blood pressure cuffs in 2025 and educate community members about stroke risk and blood pressure monitoring at Wellstar Mobile Markets. The blood pressure cuffs can be used to monitor blood pressure at home so patients can work with their providers to take action against hypertension.

Recognizing a stroke

Learn the warning signs of a stroke, and if you notice any of these in yourself or someone else, be fast and call 911 right away. 

Balance

Look for a sudden loss of balance or coordination. This can also appear as a sudden, severe headache or dizziness.

Eyes

Blurred vision, double vision or loss of vision can be signs of a stroke. If you think someone else may be having a stroke, ask if they are having trouble seeing out of one or both eyes.

Face

One side of the face may be feeling numb or appear to be drooping. Ask the person to smile and see if it appears uneven.

Arms

Check for sudden arm weakness or numbness. See if the person can lift both arms without one drifting downward.

Speech

Watch out for slurred speech or difficulty speaking. Ask the person to repeat a simple sentence to find out if they are having trouble talking.

Time

The more treatment is delayed, the more the brain is damaged. Don’t wait to seek care. If you notice any of these symptoms, call 911 immediately.

Learn more about stroke care at Wellstar.

Keep reading
A pregnant woman's healthcare provider checks her blood pressure.

Highlights

8 Heart Health Facts Moms-to-be Should Know

Pregnancy is a time of excitement and change. But it also puts added strain on the heart. In fact, cardiovascular conditions are one of the leading causes of maternal complications worldwide. Some women can develop heart conditions during pregnancy that can lead to serious complications if not recognized early. Knowing the risks and being proactive about your heart health can help prevent a life-threatening problem.

Here’s what every expectant mom should know about heart health during pregnancy.

1. High blood pressure can be silent—and dangerous.

Some women develop high blood pressure during pregnancy, even if they’ve never had it before. High blood pressure can lead to preeclampsia. It’s a condition that can cause organ damage and, in severe cases, seizures. When high blood pressure isn’t treated, it can increase the risk of stroke or heart failure. Checking your blood pressure regularly can help catch problems early.

What to do about high blood pressure

If you have a history of high blood pressure, heart disease or a family history of cardiovascular issues, tell your care team. Preconception counseling is essential if you have a known heart condition. Your physician may recommend that you monitor your blood pressure at home and report any sudden swelling, headaches or vision changes immediately.

2. Heart failure can happen—even in healthy moms.

A rare but serious condition called peripartum cardiomyopathy (PPCM) weakens the heart, usually in the last month of pregnancy or the months following delivery. If you have shortness of breath, swelling or often feel extremely tired, don’t ignore those signs.

What to do if you have shortness of breath or a racing heart

Talk to your provider immediately if everyday activities leave you exhausted or struggling to breathe. Other concerning symptoms include persistent coughing, swelling in your legs or feet and dizziness. Don’t ignore symptoms like chest pain, shortness of breath, severe fatigue or a racing heartbeat. These could signal a serious heart problem—seek help right away.

3. Pre-existing heart conditions and hypertensive disorders require extra care.

If you’ve ever had heart disease, a heart defect or high blood pressure—including hypertension or hypertensive disorders—pregnancy can increase your risks. Even women without symptoms before pregnancy may need extra monitoring.

What to do if you have a pre-existing heart condition

Talk with your provider early about a care plan. High-risk pregnancies may require specialist support, like a maternal-fetal medicine physician or cardiologist. If you’ve been diagnosed with a heart condition before pregnancy, ask your provider how it may affect labor and delivery. If something doesn’t feel right, speak up. You know your body best, and your concerns deserve attention.

4. Blood clots are more common during pregnancy.

Pregnancy increases the risk of thromboembolism, a serious condition where blood clots can travel to the lungs and cause a pulmonary embolism. The risk is even higher for women with a history of clotting disorders, obesity or limited mobility.

What to do to prevent blood clots

To reduce your risk of blood clots, stay active, stay hydrated and watch for warning signs like leg swelling, redness or pain. If you notice these, call your provider right away. If you’re on bed rest, ask your provider about ways to improve circulation. Learn the signs of deep vein thrombosis and pulmonary embolism.

5. A racing heartbeat may be abnormal.

You can expect some changes in heart rhythm during pregnancy, but arrhythmias (irregular heartbeats) can be a sign of something more serious. Hormone changes, increased blood volume and underlying conditions like thyroid disorders can all contribute to an irregular heartbeat.

What to do about a racing heart

If your heart races often, feels like it’s skipping beats or you feel dizzy or faint, let your provider know immediately. Keep track of when these symptoms happen and whether they occur at specific times, such as during physical activities or when your stress levels are high.

6. Postpartum recovery still puts stress on the heart.

The risk of heart complications doesn’t end at delivery. Many serious conditions, including heart failure or high blood pressure, can develop in the weeks or months after childbirth. Postpartum heart issues can be life-threatening if you don’t address them.

What to do during the postpartum period

Keep all postpartum checkups, even if you feel fine. Watch for new symptoms like chest pain, shortness of breath or extreme fatigue. If you had high blood pressure during pregnancy, continue monitoring it after delivery. Be aware that cardiovascular complications can develop up to a year postpartum, and follow-up care is so important for your long-term health.

7. Your hospital choice matters

For women at high risk, delivering in a hospital with access to specialized prenatal tests, genetic testing like amniocentesis, fetal evaluations and emergency cardiac care can make all the difference. Not all hospitals have the same level of maternal heart care, so it’s important to plan ahead. Choose a hospital that is equipped to handle pregnancy-related cardiac emergencies.

Wellstar provides specialized care for mothers and babies close to home, including:

  • Wellstar Acworth Health Park: Perinatal cardiology
  • Wellstar Avalon Health Park: Perinatal cardiology
  • Wellstar Cherokee Health Park: Perinatal cardiology
  • Wellstar Children’s Hospital of Georgia: Level IV NICU
  • Wellstar Cobb Medical Center: Emergency cardiac care, level III NICU, maternal-fetal medicine, medical genetics, perinatal cardiology
  • Wellstar Douglas Medical Center: Emergency cardiac care, maternal-fetal medicine
  • Wellstar East Cobb Health Park: Perinatal cardiology
  • Wellstar Kennestone Regional Medical Center: Emergency cardiac care, Level III NICU, maternal-fetal medicine, medical genetics, perinatal cardiology
  • Wellstar MCG Health Medical Center: Cardio-obstetrics, emergency cardiac care, maternal-fetal medicine, medical genetics
  • Wellstar North Fulton Medical Center: Emergency cardiac care, medical genetics
  • Wellstar Paulding Medical Center: Emergency cardiac care, medical genetics, perinatal cardiology
  • Wellstar Spalding Medical Center: Maternal-fetal medicine
  • Wellstar Vinings Health Park: Perinatal cardiology
  • Wellstar West Georgia Medical Center: Emergency cardiac care

What to do about your hospital choice

If you are high-risk, consider hospitals with advanced cardiac care and those that have expertise in pregnancy-related heart conditions. Talk to your care team well in advance about your birth plan, especially if you have a heart condition. If possible, tour the hospital beforehand and ask about its capabilities in managing pregnancy-related heart complications.

8. Mental health and stress impact heart health.

Anxiety and stress can affect your heart. If you’re feeling overwhelmed, talk to someone. Your mental health is just as important as your physical health. Depression, anxiety and even post-traumatic stress disorder are common in pregnancy and postpartum, and they can impact heart health.

What to do to keep your mental health in check

Access mental health resources and practice stress management techniques to help you manage your mental health. Simple practices like deep breathing, mindfulness and connecting with loved ones can help lower stress levels. Remember, you are empowered to take control of your health—talk with your provider or a support person and get the help you need.

Take Action for a Healthier Pregnancy.

Eat well, stay active and avoid smoking or alcohol. These efforts can protect your heart and your baby’s health. Small, consistent changes—like reducing salt intake or walking daily—can make a difference.

Regular prenatal visits are just as important. Remember, knowledge is power. Stay informed, speak up when something feels off and choose a hospital that meets your needs. These simple steps can help you take control of your heart health and reduce the risk for you and your baby.

Find an OB/GYN or perinatal cardiologist and learn about labor and delivery at Wellstar.

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