Generally, stroke can cause five types of disabilities:
• Paralysis, or problems controlling voluntary movement
• Disturbance of the senses, including pain
• Problems using or understanding language
• Problems with thinking and memory
• Emotional disturbances
7 stages of stroke recovery: Home rehabilitation is important
It is also imperative to know the severity of the stroke before deciding on the rehabilitation plan. There are seven recognised stages of stroke recovery through which most survivors progress through:
• Stage 1 – Flaccidity: No voluntary movement is observed.
• Stage 2 – Spasticity appears: Spasticity refers to the continuous contraction of muscles, which interferes with normal movement, speech and gait, and causes the arm or leg to make small involuntary jerky movements.
• Stage 3 – Increased spasticity: The e arm or leg becomes more spastic, and the muscles feel stiff and tight against external resistance.
• Stage 4– Decreased spasticity: Spasticity of the arm or leg decreases and the limb begins to move more easily.
• Stage 5 – Complex movement combinations: The movement of the limbs start becoming more coordinated and full movement begins to return.
• Stage 6 – Spasticity disappears: Muscle spasticity disappears and isolated joint movements are voluntary; however, spasticity may return if the patient is tired.
• Stage 7 – Normal function returns: Movements return to normal.
Each stage requires different types of approaches and exercises for rehabilitation.
Post Stroke Pain: Fake or Real?
https://youtu.be/fbM6C49YBPI
After Stroke This 1 Thing Is Key to Rehab Arm & Hand
https://youtu.be/_FsoZONjq8A
Best Hand Exercises for Stroke Patients at Home
https://youtu.be/i0JYsLyJEnE
Stretches For Hand Spasticity - Best Stroke Recovery Hand Exercises
https://youtu.be/dBWRuy_hdoc
Hand Recovery and Dexterity For Stroke, Injury & Musicians
https://youtu.be/d1g6YxQpJ-U
Passive Range Of Motion - How to Stretch Your Own Arm After Stroke
https://youtu.be/YReRjHbIngQ
Best Arm stretches after Stroke
https://youtu.be/YpwySCyAiZ4
Upper body Exercises after Stroke
https://youtu.be/ZCywA3DoExo
Best seated leg exercises
https://youtu.be/dRct62KQM3o
Seated Core Exercises
https://youtu.be/twZ1hnetOP8
Stroke: Exercise to Improve Walking
https://youtu.be/7O-MD5-DStA
Physical Therapist Shows How To Walk Correctly
https://youtu.be/-fD2TSL2s7I
Easy Leg Exercises for Stroke Patients (Guided by a Physical Therapist)
https://youtu.be/-rwby0zA6Vs
Stroke Recovery Arm Exercises: Shoulder
This video demonstrates post-stroke arm exercises. The focus of this video is the shoulder. And it is best for those with spasticity in the arm.
Here are links to all the products I used in this video. I am an amazon affiliate and I would be so grateful if you use the link I provide :)
Elbow immobilizer: https://amzn.to/2SDqaJW
Nylatex Strap (blue strap): https://amzn.to/2Yl93gZ
Pilates ring:https://amzn.to/2SNqxln
https://youtu.be/0e4AcS763Fk
Spasticity: Best Stroke Arm Stretches
https://youtu.be/SpRx_G4nfz4
How to keep the arm straight when walking
https://youtu.be/gct-2dqLObs
Standing after stroke: Assisted and unassisted
https://youtu.be/rlrIa759sc0
Stroke Exercise: Regain knee control Part 2
https://youtu.be/YYP3Q9Ujf_0
Stroke Walking Exercise: Progression 3
https://youtu.be/su0i-iVwM4k
Advanced Balance and Walking Exercises
https://youtu.be/TnpiDHo8vjU
Standing and Walking after a Stroke: Progression Two
https://youtu.be/rliuArKMJm0
Arm Exercises for Stroke Patients (Best Tabletop Home Exercises)
https://youtu.be/kuuGlz_ddOM
Finger & Upper Extremity Stretches for Musicians
https://youtu.be/_jWxIPrBSdQ
Hand Exercises after Stroke
https://youtu.be/8gpQFbgqxUc
Stroke Rehabilitation: Use of electrical stimulation to help arm and hand recovery
https://youtu.be/qvbMUja6P8Q
Stroke Rehabilitation: Use of electrical stimulation to help the fingers be able to open and close
https://youtu.be/s516torEQrY
Stroke Rehabilitation: Use of electrical stimulation to help arm and hand recovery
Millennials now make up over a third of the workplace and overwhelmingly value flexibility in where, when and how to work. And top talent has been increasingly clustering in dense urban areas and has been unwilling to commute to suburban office parks
The pandemic virus has dramatically accelerated a trend towards remote
work that was already underway over the last decade.With social
distancing, many of the office workers have not seen their desks for
some time.
BUSINESSES depend on people and knowledge to operate successfully.
Office space is the primary place where the transfer of knowledge occurs, and it is second only to salaries as the largest expense for most organisations.
And that is rapidly changing even before the outbreak of Covid-19.
The rapid development of technology provided a significant impact on the way one operates today.
One can work from any location so long the individual can have access to cell phone signal.
Young people entering the work force are not using office space the way their seniors did.
Big office is no longer the perk it once was. Instead, what is important to the young generation is the quality of their interaction.
They increasingly are evolving today’s workplace by defining how, when, where, and with whom they want to work.
Meanwhile, the pandemic virus has dramatically accelerated a trend towards remote work that was already underway over the last decade.
With social distancing, many of the office workers have not seen their desks for some time.
Even when coronavirus lockdowns have started to ease, there may be fewer desks to return to.
Many may prefer to work from home out of caution or convenience. And businesses facing a sudden need to cut costs, it now appears that property portfolios look like a good place to start, especially with the businesses having adapted to remote set-ups.
By now it is clear that the pandemic virus will change the way we work in offices – perhaps indefinitely.
Less certain is the impact these physical and structural changes will have on corporate culture.
Anthony Dass
Besides, corporate culture can be described as the warm feeling employees have or the high expectations of a company’s management team.
Corporate culture is the essences that builds the loyalty and trust workers have for their employer and defines the nature of an organisation.
Up until recently, it was built within the confines of a company’s office.
But the pandemic virus is likely to bring about a turning point in corporate culture as businesses contend with a more remote workforce that lack the ability to connect in one room or even, in some circumstances, face-to-face.
While it may keep workers safe, it will likely feel more unproductive, less connected and perhaps involve fewer chances for employees to grow.
And so, the office of the future post-pandemic may resemble more of a place out of a movie, leaving some to worry this may have a massive impact on employee morale and corporate culture.
One aspect about work post-pandemic that appears to be universally agreed upon is that employees are unlikely to come back all at once.
They need to stage it in teams or staggered. This may create frustration.
It is going to be a long haul and will be difficult to keep people’s spirits up in the long-term, especially those who have been impacted by the illness.
There is risk of experiencing inefficiencies of working from home and missing the connectivity and productivity an office environment.
The daily work environment, the daily interaction, the social energy that is created and makes working for a company part and parcel of why one wants to get up every day and give it all is something that just cannot replicate working from home.
But others believe the new normal will be more positive.
And so, it is important to extend the office culture into the work-from-home culture.
By encouraging casual Zoom coffee breaks to check in and see how people are doing, or getting creative with birthday celebrations and events that might have played a big role in the company culture pre-Covid are ways to improve corporate culture.
And the question now is whether we need office?
The answer is, yes, but with a greater focus on flexibility, wellness, and collaboration.
As employees increasingly have a choice of where to work, the office must both coexist and compete with the safety of staying home, the comfort of a favorite cafe, or the convenience of a coworking space.
The result is much more variability in when and how offices are used along with increased employee expectations of the workplace.
Millennials now make up over a third of the workplace and overwhelmingly value flexibility in where, when and how to work. And top talent has been increasingly clustering in dense urban areas and has been unwilling to commute to suburban office parks.
Employees have come to expect the same level of technology in their personal and work lives.
For corporations, this poses a complex challenge. How to cost-effectively provide the right kind of office space.
When and where it is needed. Solving this problem creates a wealth of opportunity for property-tech in several broad areas.
First is on the core needs where it creates big opportunities for innovation and allow rethinking of how building controllers are built, installed, and programmed with an emphasis on ease of installation and automated control.
Next is on the security systems control access to offices, elevators, turnstiles, data centres, and other secured spaces.
Focus will also have to be on the space needs.
Facing the twin pressures of providing high-quality space in expensive urban centers and supporting employees with flexibility in where they work, companies need new tools to understand how space is used, manage utilisation, and provide new locations cost effectively.
And lastly it is on the productivity needs. Engaged and inspired employees are more productive and drive better financial results.
The workplace plays a key role in employee engagement and employee productivity.
Workplace apps will extend to focus on even more aspects of our workday including fostering collaboration, building community and providing “quantified self” feedback on how we work.
The bottom line is that while Covid-19 has disrupted the real estate business today, it will largely accelerate trends and create more opportunities for property-tech as businesses reopen.
There are opportunities from broadly applicable core needs to higher-value productivity needs. And successful companies will emerge.
Office would have a future, albeit in different forms.
We’re almost well into the third quarter of 2020 – have you made headway in any of this year’s financial priorities and goals? Or perhaps you have been thrown off guard by the state of affairs in by the Covid-19? In a challenging environment like now, it is even more crucial to sit down and do a critical review of your latest financial status.
TIME flies by quickly when you’re going about your daily grind. We’re almost well into the third quarter of 2020 – have you made headway in any of this year’s financial priorities and goals?
Or perhaps you have been thrown off guard by the state of affairs in by the Covid-19? In a challenging environment like now, it is even more crucial to sit down and do a critical review of your latest financial status.
Loss of livelihood, pay cuts, unemployment, business closures, and a looming global recession – this is the trail of devastation left by a virus which has played havoc around the globe.
Interesting enough, if this health crisis is not enough to shake you into action to take charge of your finances, then what will?
According to the Oxford English dictionary, procrastination is defined as a postponement, “often with the sense of deferring though indecision, when early action would have been preferable, ” or as “defer[ing] action, especially without good reason.”
Throughout my experience as a licensed financial advisor, I have met many people who procrastinated over reviewing their financial status, let alone in growing their wealth. There are many reasons for this. Some lack the knowledge on where to begin, while others may cite the poor state of economy or our poor tax regime. However, the bigger reason usually lies in our tendency to procrastinate.
Procrastination is one of mankind’s biggest weaknesses – we have all procrastinated doing something important at some point. But in the world of finance, procrastination can result in an opportunity loss to mitigate risk and in growing wealth – sometimes an opportunity which can never be recovered. After all, it takes time for any investment to compound into a significant figure.
Yap ming HuiYap ming Hui
In this article, I’m going to highlight some of the common reasons people use to put off taking actions on their financial matters.
> “I don’t have enough time to plan and invest”
This is a common reason people often say, when putting off investing. In today’s economy, most households require both spouses to work full-time jobs in order to afford the lifestyle that they desire. In the office, you’re stressing about deadlines, projects to complete, and deadlines to meet.
At home you’re likely seeing to your family, social life, and chores, and any leftover time is probably spent away vacationing to rejuvenate so you can rinse and repeat. Add kids to the equation, and you’ll barely have any time left to breathe.
Who really has the time to spend to research, plan and invest? After all, you still have 20 years headstart till your retirement, you should be able to put it off for later, right?
Wrong. Pushing things for later is comfortable, as you convince yourself that it will get done eventually. However, as most of us know by now, later is a concept that is never ending. There is always a “later” to convince yourself about. Before you know it, too much time would have passed and you’ll have too little time to play catch up to achieve the financial goals you could have well achieved if you started earlier.
What you need to do: Set a date and time and clear your schedule. If being at home is too much of a distraction with the family present, then find a place where you can be isolated to focus on your financial planning. Alternatively, outsource these efforts to an independent financial advisor who can review your financial status and manage the wealth for you.
> “I don’t have enough money to plan and invest”
Most people don’t realise it, but having enough money is a matter of perspective. If you don’t have enough money to invest when you’re earning RM5,000 a month, do you think you will have enough to invest when you’re earning RM50,000 a month? Believe it or not, I have met several people earning around RM50,000 or more per month and still lament about not having enough to save and invest.
We always think along the lines of “if only we make more money”, but once we actually start making more money, our expenses and lifestyle will also go up a notch.
The famous Parkinson’s Law coined by C. Northcote Parkinson in his book The Law and The Profits illustrates this concept best. The law says that work expands to fill the time that is allocated to complete it. In other words, if given a 24-hour deadline, a 20-minute job will take a day to complete.
He goes on to say that individual expenditure does not only rise to meet income but it tends to surpass it, and probably always will. So, if you’re waiting for a time when you feel you have enough money to save and invest, that time will never come.
What you need to do: Take a long hard look at your expenses. This is critical since we are now in challenging economic times. Mindfully track your spending habits for a month and cut back on luxuries that you can live without. If it helps, set up a standing instruction with your bank to automatically transfer a portion of your salary into another bank account. Use that to start investing. Every small portion helps, so don’t think that cutting back on a small luxury is insignificant.
> “I don’t really need to invest”
People won’t admit to thinking this, but they do. This fallacy of not needing to invest stems from the fact that when they retire someday, they will have their EPF savings to rely on. Technically, if you are earning a comfortable amount and do not make any EPF withdrawals before you retire, you may be right in thinking this.
However, this is hardly the case. EPF has reported that more than two-thirds (68%) of EPF members aged 54 had less than RM50,000 in EPF savings, while only 18% of its members had the minimum savings target of RM240,000 in their account by 55. This amounts to a monthly withdrawal of RM1,000 to cover basic needs for 20 years – sufficient if you want to live a basic retirement lifestyle, but nowhere near what is needed for a comfortable retirement in a middle-class lifestyle.
So if you’re thinking of relying mainly on your EPF savings, think again. Your EPF should act as an additional retirement fund on top of your other retirement savings, instead of being the only pillar in your retirement plan.
What you need to do: Start planning now for additional retirement savings. Before you invest, determine the lifestyle that you want to live when you’re retired and calculate how much you’d roughly need over the span of your retirement. Don’t know where to start?
Use a holistic financial planning app, like iWealth, to do a comprehensive calculation on your retirement and other major financial goals. Remember to factor in inflation.
While half of the year has flown by just like that, it’s never too late to examine your financial health and take the necessary steps to protect and grow your wealth.
Over the years I’ve shared many articles to inspire middle class folk like yourselves to take control of your financial destiny.
I certainly hope this knowledge has proven useful and relevant to your personal circumstances.
However, I also hope that you have begun putting into place some of these practices. Today, you may have gotten a better idea of what has been stopping you from investing properly.
Procrastination is a very human trait – but if you’re able to identify what’s been holding you back and take the necessary measures to monitor yourself and counter this, you’ll already have the upper hand on your future.
Remember, true power comes from knowledge. But knowledge without action, is useless.
During good times, there may not be an urgency to act. But we have now arrived at an unprecedented juncture where there will be a cost or consequence to our inaction. If this is not the time to take the bull by the horns, then when?
Embrace multi-asset investments in volatile market
Investors will need to undertake dynamic multi-asset allocation for managing their investment portfolio in the current low interest rate environment.
https://youtu.be/ZkYNN4daZR4
What is multi asset investing?
https://youtu.be/vbWrn58JAJ8
Why multi asset investing?
https://youtu.be/hoemEAMqNJA
Meanwhile, Michael Chang Wai Sing, chief
investment officer for fixed income at RHB Asset Management (M), said
investors could consider having an exposure in fixed income instruments
such as bonds as well as foreign exchange (forex) instruments.
“Asian credits are a sweet spot as Asia, especially China, is
recovering and is expected to recover further into the rest of the year
and into 2021, ” - Michael Chang Wai Sing
PETALING JAYA: Investors should undertake a dynamic multi-asset allocation in managing their investment portfolio, in view of the current low interest rate and volatile market environment.
Diversification into the appropriate asset classes is key in managing risks and optimising returns, especially when uncertainty is rife in the market, according to panellists at the “Investing in Volatile Times: Stocks, Fixed Income or Multi-Asset?” webinar organised by RHB Asset Management.
According to Schroder Investment Management (S) Ltd South-East Asia head of multi-asset product Reginald Tan, investing in dividend yield stocks offer good and stable returns, at a time when the equity market is volatile.
While corporate earnings have taken a hit as a result of the Covid-19 pandemic and more companies have turned conservative in managing their cash, Tan believed that this is set to change moving forward as the global economy recovers.
“Companies experienced a short-term hit over the last one or two quarters due to Covid-19 and there were dividend cuts, but going into 2021, we will definitely see a rise in dividends.
“You cannot conserve cash forever, ” he said.
Tan added further that a low interest rate environment and a pick-up in economic activity are positive for high dividend yield stocks.
Meanwhile, Michael Chang Wai Sing, chief investment officer for fixed income at RHB Asset Management (M), said investors could consider having an exposure in fixed income instruments such as bonds as well as foreign exchange (forex) instruments.
Fixed income instruments are low-risk in nature and typically offer better returns than any average fixed deposits in banks, particularly at a time when interest rates have been lowered.
“Asian credits are a sweet spot as Asia, especially China, is recovering and is expected to recover further into the rest of the year and into 2021, ” said Chang.
However, he cautioned that investors should be selective as they invest into the credit space.
“There will also be opportunities in the forex space. If you have a certain view on forex, you can also use that to enhance your returns for the fixed income, ” stated Chang.
As for the opportunities in the equities universe, RHB Islamic International Asset Management Bhd CEO Mohd Farid Kamarudin told StarBiz that investors should consider stocks in sectors that are capable of evolving and adapting to the new economic environment. A potential sector is information technology (IT).
“Of course, we can also look at companies from different sectors that provide services to the IT-related players, ” he said.
Moving forward, Tan from Schroder said that investors will need to practice caution in the stock market, amid the rally that has continued since mid-March this year.
“A double-dip (in the stock market) is possible as fears of Covid-19 remains to be felt and investors engage in profit-taking.
“However, there are expectations that politicians, central bankers and governments will step in to help paper over the cracks, ” he said.
Over the past several months, Bursa Malaysia has enjoyed a rally fuelled by liquidity and a boom retail investor participation. This was in line with the rally witnessed across key stock exchanges globally.
Bursa Malaysia’s bellwether index, FBM KLCI, has surged by almost 30% since the year-to-date low in March after the market tumbled on Covid-19-induced panic.
Yesterday, the index gained by 1.07% or 16.78 points to 1,583.5 points as investor sentiment seemed to be boosted by Bank Negara’s 25 basis point-cut in the Overnight Policy Rate a day earlier.
Protesters raise their fists as they stand on the base of a statue of
Christopher Columbus in front of City Hall during an "International
March for Black Lives" protest against police brutality in downtown
Columbus, Ohio. - Protests continue across the nation over police
brutality and systemic racism have taken place following the police
killing of George Floyd in Minneapolis last month. (Photo by SETH HERALD
/ AFP)
https://youtu.be/TdomoLSwoqc
WASHINGTON: Protesters in the US city of Baltimore pulled down a statue of Christopher Columbus on Saturday, local media reported, the latest monument to be toppled in anti-racism demonstrations.
Statues of figures connected to colonialism and slavery have been ripped from their plinths in the United States and around the world since Black Lives Matter protests were sparked by the killing of George Floyd by a white police officer in Minneapolis in May.
Footage published by the Baltimore Sun showed protesters using ropes to pull down the statue of Columbus – the Italian navigator who reached the Americas in 1492 – near the city's Little Italy district and rolling it into the Inner Harbor on the night of July 4.
Long hailed as the so-called discoverer of "The New World," Columbus is considered by many to have spurred years of genocide against indigenous groups in the Americas. He is regularly denounced in a similar way to Civil War generals of the pro-slavery South.
President Donald Trump earlier mentioned the sailor in his speech to mark the July 4 holiday, when Americans typically celebrate their 1776 declaration of independence from Britain.
"Together, we will fight for the American dream, and we will defend, protect, and preserve the American way of life which began in 1492 when Columbus discovered America," he said in an address in which he railed against protesters demanding racial justice.
"We are now in the process of defeating the radical left, the anarchists, the agitators, the looters, and the people who, in many instances, have absolutely no clue what they are doing," he said.
"We will never allow an angry mob to tear down our statues, erase our history, indoctrinate our children."
The president last month signed an executive order pledging to enforce prosecution for protesters who vandalise public memorials, promising "long prison terms" for "lawless acts against our Great Country!"
A statue of Columbus was taken down in San Francisco last month because the explorer's actions "do not deserve to be venerated," city officials said, and another was removed from California's state capital Sacramento.
Elsewhere, a statue of Belgium's King Leopold II – who ruled over a brutal regime in Africa – was removed in the port city of Antwerp and a monument to slave trader Edward Colston was ripped down in Bristol in the United Kingdom. - AFP
Attacking the brain 
