SFA author Jim Evans is a 42-year veteran of the health and fitness industry and an internationally recognized fitness consultant. Today he describes promising innovation in the area of stroke rehabilitation.
DEAR JIM: My wife suffered a debilitating stroke last year at age 70 and still has trouble using her arms. She has made considerable progress working with her physical therapist, but many of her arm movements still seem awkward and unnatural. Do you have any advice to help her regain the normal use of her arms more quickly? WORRIED IN WACO
DEAR WORRIED: I would not want to contradict anything in your wife’s current physical therapy regimen because it seems to be working, albeit more slowly than you would like. It typically takes time to recover from a stroke, and recovery is usually measured in very small increments — especially after the first three months or so. Sometimes survivors do not recover substantially even with the best of love and medical attention, so prepare yourself for the long haul and relish even the slightest improvement, no matter how small.
But take heart, too, because researchers are constantly working to find new and better ways to help stroke survivors. Research appearing in BioMed Central’s open access Journal of euroEngineering and Rehabilitation shows some significant success using robots to help stroke survivors regain the normal use of their arms.
The researchers’ robot assists patients as they attempt to guide its "hand" in a figure-eight motion above a desk, pulling in the correct direction and resisting incorrect movements to a minutely controlled degree. This interactive assistance allows for alternating levels of help, encouraging patients to re-learn how to use their arms.
According to Elena Vergaro and a team of researchers from the University of Genoa, Italy, "Our preliminary results from this small group of patients suggest that the scheme is robust and promotes a statistically significant improvement in performance. Future large-scale controlled clinical trials should confirm that robot-assisted physiotherapy can allow functional achievements in activities of daily life."
"Stroke survivors," said Vergaro, "perform arm movements in abnormal ways, for example, by elevating the shoulder in order to lift the arm, or leaning forward with the torso instead of extending the elbow. Use of such incorrect patterns may limit their ability to achieve higher levels of movement ability, and may lead to repetitive use injuries. By demonstrating the correct movements, a robot can help the motor system of the subject learn to replicate the desired trajectory by experience."
Robots are being used in various other ways to help stroke survivors, too, so there are some exciting developments that may be available to your wife in the near future. In the meantime, please continue to be patient and supportive while your wife goes through this difficult and painstaking recovery.

He added, “Exercise should be a daily habit. Just get up and do it!” In today’s issue of Experience! Jim Evans provides further insight into the man he knew. Also included are several photographs that Jack gave to Jim over the years.
And he often said – very honestly – that he didn’t work out because he “liked it” but, rather, because it enhanced his quality of life as he grew older and allowed him to continue to do things that people half his age had long since give up because they were simply “too old.”
Several hundred people had gathered to see the new club but, more important, they wanted to meet the guest of honor – the “godfather of fitness.” Small in stature – he was only about 5’6” – Jack was “big” in personality with a terrific sense of humor. As he was about to speak to the crowd, a very large woman elbowed her way rudely to the front of the room to see the fitness icon in person. The crowd grumbled audibly but parted so that she could get by, curious about her purpose. Finally, face to face with Jack, she looked him up and down and appeared noticeably crestfallen.
While many so-called fitness experts have had more academic credentials or titles than Jack, no one could sell the concept of physical fitness with more natural enthusiasm – more passion – than Jack. He made exercise fun.
SFA author Jim Evans is a 43-year veteran of the health and fitness industry and internationally recognized consultant specializing in fitness for seniors. For seven years he was host of the popular radio talk show "Forever Young" on San Diego’s KCBQ 1170 AM focusing on issues of health, fitness, and quality of life for older adults. He is a member of the Visionary Board for the International Council on Active Aging (ICAA), focusing exclusively on the health and wellness of adults 50 years and older. Association members include people working within senior housing and retirement communities, recreation, academia, government agencies, and fitness and rehabilitation centers.
SFA author Jim Evans is a 40-year veteran of the health and fitness industry and an internationally recognized senior fitness consultant. Today Jim provides practical solutions for mature adults who have concerns regarding holiday weight gain.
SFA author Jim Evans is a 42-year veteran of the health and fitness industry and an internationally recognized senior fitness consultant. Today he discusses natural concerns that may arise with advancing age.
DEAR JIM: My wife and I just returned from a meeting with our financial advisor, and we were surprised when he suggested that we both should lose weight, exercise more and take better care of ourselves. At first we were offended and thought perhaps he was overstepping his bounds, but after he explained himself it began to make sense. We hadn’t thought of it before, but our health affects the cost of our life insurance, health insurance and even our long-term care insurance — all of which are major factors in our retirement planning. Are other financial advisors offering the same kind of advice or is ours just ahead of the curve? ENLIGHTENED IN ESCONDIDO
SFA author Jim Evans is a 42-year veteran of the health and fitness industry and an internationally recognized senior fitness consultant. Today Jim offers some healthy advice for getting sufficient, good quality sleep.
I haven’t been handling my grief very well, and I find myself down in the dumps most of the time. My doctor has prescribed an antidepressant which seems to help a little, but I still can’t seem to shake this constant feeling of loneliness. I know you have always said that exercise helps to fight depression, but I really don’t feel up to anything very physical. Is there anything else you can recommend? DEPRESSED IN DULUTH
With a pet, you will be responsible for its care and feeding, and you will be rewarded with "unconditional love and acceptance," says Rebecca Johnson, associate professor at the University of Missouri Sinclair School of Nursing, the College of Veterinary Medicine, and director of the Research Center for Human-Animal Interaction.