Hyperbaric Oxygen Therapy (HBOT) and Stroke

When a stroke happens and life as you once knew it changes, the road to recovery can feel impossibly hard. But rest assured, all is not lost. Aviv Clinics uses advanced tools and therapies to treat stroke by unlocking your mind and body’s natural rejuvenation abilities. Learn all about Hyperbaric oxygen therapy and stroke so you can regain physical vibrancy and emotional well-being.

What Is a Stroke?


A stroke happens when part of the brain’s blood supply is cut off due to a clot or a blood vessel rupture. This impact stops the brain from receiving the oxygen it needs, causing brain cells to die.

  • Stroke is the second leading cause of mortality.
  • Stroke is the third highest cause of disability worldwide. 
  • The prevalence of post-stroke cognitive impairment ranges from 20-80%.
  • Survivors may suffer from some form of motor dysfunction or brain impairment (i.e., memory loss, difficulty focusing and processing information, and the inability to reason).

The Primary Types of Stroke

The primary types of stroke are:

  • Ischemic stroke: Blood clots, fatty deposits (plaque), or other particles block the blood vessels to part of the brain.
  • Hemorrhagic stroke: A weakened artery in the brain leaks blood or ruptures, putting too much pressure on brain cells and damaging them.
  • Transient ischemic attack (TIA): Not a true stroke (often called a mini stroke, silent stroke, or warning stroke). These are often caused by blood clots and symptoms should not be ignored.

Ischemic strokes make up 87% of all strokes (including TIAs), with hemorrhagic comprising the other 13%.

Hope exists for stroke survivors with the Aviv Medical Program—a customized medical approach that can help stroke patients achieve improved performance and health.

If you or a loved one has suffered from an ischemic or hemorrhagic stroke or a transient ischaemic attack (TIA), we may be able to help.


What Are the Signs and Symptoms of a Stroke? 

Timely intervention is critical with stroke. Two million brain cells die every minute during a stroke, increasing the risk of permanent brain damage, disability, and death. 

One helpful tool for remembering the key signs and symptoms of a stroke is the F.A.S.T. acronym:

  • F–Facial drooping. Is the person able to smile normally? Does one side of the face droop? 
  • A–Arm weakness. Can the person raise both arms to equal height? Does one drift downward?
  • S–Speech difficulty. Is the person slurring their words or having trouble communicating?
  • T–Time to call 9-1-1 immediately.

What Are the Symptoms and Signs of a Silent Stroke?

Some people experience a stroke without realizing it. This is called a silent stroke. Symptoms may go unnoticed or be blamed on other health conditions. 

There are 10 symptoms and signs of a silent stroke.

1. A lapse in or loss of short-term memory

  • Asking a friend to repeat instructions they just told you
  • Unable to remember a recent activity you engaged in

2. A decreased ability to think or reason

  • Games (e.g., Sudoku, crossword puzzles) are more difficult than usual
  • Feeling frustrated about not being able to understand someone

3. Mood changes

  • Suddenly irritable, anxious, apathetic, or depressed
  • Crying or laughing for no obvious reason or at inappropriate times

4. Psychiatric disorders

  • Having hallucinations or delusions 
  • Engaging in unusual motor behavior (e.g., nibbling food at the dinner table or repeatedly banging your head)

5. Trouble with balance

  • Experiencing dizziness or feeling like your head is spinning 
  • Having trouble making quick adjustments to maintain balance 
  • Stumbling or bumping into things

6. Movement or walking impairment

  • Toes catching on the ground when walking
  • Difficulty walking a short distance
  • Trouble walking and talking at the same time 

7. Limb clumsiness

  • Difficulty controlling hand motions
  • Trouble typing on the computer
  • Having a shaky leg
  • Decreased hand-eye coordination

8. Incontinence

  • Feeling the urge to urinate more often than usual 
  • Consciously or unconsciously leaking urine or stool during the day or while asleep at night
  • Trouble emptying your bladder completely

9. Headaches or migraines

  • Having more headaches or migraines than usual 
  • Getting long-term, persistent headaches
  • Having headaches become severe enough to disrupt your daily activities

10. Vision issues

  • Only seeing clearly with intense concentration
  • Experiencing double vision
  • A decline in the field of vision

How Can the Aviv Medical Program Help with Stroke Relief?

Woman recieving treatment in Aviv Hyperbaric oxygen chamber

Most stroke survivors are told that their recovery will plateau after about six months, with only the potential for minimal gains after this period. Gaining functions and abilities more than six months post stroke requires working with a diverse medical team of physicians, nurses, and therapists.

Aviv Clinics leverages its comprehensive team to offer a high-quality program that meets your needs. Backed by over a decade of research, the Aviv Medical Program can combine the following in a customized program to help treat the body and brain after a stroke: 

  • Cognitive training 
  • Physical training and therapy
  • Dietary coaching
  • Hyperbaric oxygen therapy (HBOT)

How It Works: A 3-Step Process

Aviv Clinics’ approach entails a three-step process: 

  1. In-depth medical assessment: We diagnose the severity of the brain injury using the most advanced brain imaging tests suited to your needsperfusion MRI, fMRI, and/or SPECT. Our medical team also conducts physical, cognitive, and neurological tests to assess the suitability for our program.
  2. Tailored program: We use your results to develop a personalized, comprehensive therapy plan. This plan can include cognitive and physical training, dietary coaching, and hyperbaric oxygen therapy (HBOT) sessions.
  3. Post-assessment and evaluation: At the conclusion of your Aviv Medical Program, you’ll receive a detailed report of your results, including any cognitive and physical improvements. We repeat the tests from the initial assessment to measure your progress and make recommendations for ongoing progress.

Watch Cindy’s Remarkable Story

Upon suffering a stroke, Cindy sought the help of the Aviv Medical Program.

Learn what her program was like and how her brain and body benefited.

“Because of Aviv, I’m now walking without a cane. The fog and fear are gone. I got in a golf cart within six weeks from the time I started!”

“It didn’t take long at Aviv before I had the courage to try new things. The therapy I’ve gotten, it’s incredible.”

Speak with an Aviv team member to learn if you’re a candidate for our program.


Stay educated on stroke by joining our on demand webinar.
Recovering After a Stroke: Is it ever too late?



The 5 Stages of Stroke Recovery

There are five support stages to post-stroke recovery. Each stage represents a milestone that gets you closer to optimal health.

  1. Thinking, memory, and perception training: Neuropsychologists typically step in and assesses measures memory, learning, and processing speed. 
  2. Communication and language training: Stroke patients with aphasia are often referred to speech-language pathologists (SLPs). SLPs help individuals relearn communication and language techniques. One study found when early aphasia therapy is provided, “people have a massive increase in their ability to communicate at 12 to 26 weeks after their stroke.”  
  3. Exercise and mobility training: Physical challenges are common among stroke survivors, meriting a physical therapist (PT) who can help patients relearn and regain physical activity. Consistent PT lowers the risk of hospital readmission among post-stroke patients. 
  4. Nutritional training: Nutritional training can be beneficial, especially for those who are unable to swallow well or experience difficulties using their arms/hands to eat. Dieticians can also address those concerns and provide recommendations.
  5. Hyperbaric oxygen therapy (HBOT): More than a decade of research illustrates the benefits of using HBOT post stroke. HBOT for stroke patients is a therapy process where patients are prescribed time in an oxygen chamber, breathing in 100% oxygen at fluctuating levels. Researchers have noted significant improvement in stroke patients after treatment with HBOT, even several years after the stroke.

What Role Does HBOT and Stroke Play in Improving Your Post-Stroke Life?

Aviv Clinic’s hyperbaric chambers pressurize air to above atmospheric levels. This environment increases oxygen levels in the body up to 20 times higher than normal, delivering oxygen to damaged cells injured by stroke.

The Aviv unique HBOT protocol for stroke uses a scientifically validated process in which oxygen levels fluctuate throughout the session. This fluctuation triggers the body into cell repair and regeneration mode. 

What Benefits Can Stroke Survivors Achieve?

When combined with personalized cognitive, physical, and nutritional plans, HBOT as a part of your stroke regimen may produce impressive outcomes, even years after a stroke: 

  • Regained speech and ability to read/write
  • Restored motor function, even with paresis
  • Return to independence in performing daily activities

Many of our clients report the biggest benefit is simply not being “a burden” on their loved ones.

Here is the full breakdown of how our medical program can impact the brain, body, and cells even years after suffering a stroke. 

Benefits for your brain*:

  • Rejuvenation of injured brain tissue, restoring some impacted functions 
  • Increased blood flow in the parts of the brain associated with sensation, memory, vision, and attention
  • New stem cells and blood vessels in the brain (angiogenesis)
  • Improved psychomotor function (the combination of precise motor responses and cognitive problem-solving abilities)
  • Triggered neuroplasticity (the brain’s ability to adapt/react in response to injury or disease) in injured parts of the brain
  • Triggered neurogenesis (neuronal, or nerve cell) regeneration that occurs in the brain.
  • Improved overall quality of life 

*Individual patient results may vary.

Benefits for your body*:

  • Better physical performance: mobility, fitness, strength, coordination, balance, gait
  • Improved NIHSS (neurological motor function score), ADL (activities of daily living score), and EQ-5D (quality of life score)
  • Boosted power and stamina
  • Reduced pain (strong anti-inflammatory effect)
  • Improved sleep quality
  • Improved sexual performance 

*Individual patient results may vary.

Benefits for your cells*:

  • Strengthened immune system
  • Encouragement for stem cells (the building blocks of tissue rejuvenation) to multiply and migrate
  • Lengthened telomeres (the protective caps at the end of each strand of DNA) associated with extending our biological clock
  • Reduced senescent cells (known to contribute to many age-related diseases)
  • Increased mitochondrial function (the power center of the cell)

*Individual patient results may vary.

How Soon after a Stroke Can a Patient Participate in the Aviv Medical Program?

We recommend waiting three to six months after the stroke to participate in the Aviv Medical Program. This time allows the brain’s natural-healing progression to take hold, but even years after suffering a stroke, patients can see significant improvements. We’ve seen success in clients who were as many as 10 years into their stroke recovery.

Aviv Clinics Is Changing the Lives of Stroke Victims, One Patient at a Time

Backed by over 15 years of research, the Aviv Medical Program was formed under the scientific leadership of Dr. Shai EfratiDirector of the Sagol Center for Hyperbaric Medicine and Research at the Shamir Medical Center in Israel. Recent clinical studies at the Shamir Medical Center have evaluated the effects of HBOT on stroke patients suffering from neurological deficiencies.

Over 2,000 clients have been successfully treated with the Aviv protocol to date.

Post-Stroke Recovery: 4 Tips to Keep in Mind

To ensure the most successful post-stroke recovery, stay mindful of the following: 

  1. Several factors influence recovery: What recovery looks like and how long it takes is different for everyone because of where in the brain the stroke happened, how much of the brain was affected, and other factors.
  2. Repetitive practice is key: Just like learning a new musical instrument, repetitive practice is the most important element in any neurorehabilitation program. 
  3. Recurrent stroke prevention should be approached with vigilance: Nearly one in four stroke patients has had a stroke in the past.
  1. Measuring progress matters: Working with a premier medical staff that captures and tracks data is critical to success. The Aviv Medical Program tracks analytics to provide a detailed report of your health and progress. 

Speak with an Aviv team member to learn if you’re a candidate for the program.

Can You Biologically Reverse Your Age? Science Says It’s Possible

With specialized health programs and the right hyperbaric oxygen therapy (HBOT) protocol, it may be possible to reverse your biological age.  How? It involves targeting the key biomarkers responsible for the body’s aging process. This quick guide dives into all the details.

Learn more about age-related decline and how Aviv Clinics can help. 

What Are the Two Types of Age? 

First, it helps to understand the two types of age: 

  • Chronological age or how many birthdays you have had
  • Biological age or “the aging of our body’s functions”

Biological age refers to how old a person’s body and cells actually are. It’s often measured by evaluating a person’s various biological markers, such as:

  • Epigenetic changes: Your behavior and environment can impact how your genes function.
  • Telomeres: They protect the ends of chromosomes from deterioration. As we age, our telomeres naturally shorten. A yearly decrease of their length by 20–40 bases is associated with serious illnesses.
  • Senescent cells: Over time, these cells can accumulate in the body and prevent cells from growing. The increase in senescent cells contributes to age-associated conditions.
  • Stem cell exhaustion: The growth of senescent cells with age causes the activity of stem cells to slowly decrease.

Additionally, biological age takes into account a person’s:

  • Health
  • Lifestyle choices
  • Genetics

A healthy adult who has a chronological age of 60 years can be much younger in biological age if they have long and healthy telomeres and a healthy amount of senescent cells—areas that can be achieved with the right lifestyle. 

Researchers note “biological age is a better predictor of morbidity risk than chronological age.”

aviv-clinics-aging seminar


Does Hyperbaric Oxygen Therapy (HBOT) Reverse Aging? 

A unique protocol of HBOT has been scientifically proven for reversing biological age. 

Several studies illustrate HBOT, when administered in a specific protocol: 

  • May increase telomere length and encourage the “clearance of senescent cells.” This illustrates the potential HBOT has in slowing aging. 

Keep in mind, the type of HBOT protocol is important. Not all HBOT programs are created equal. There are different types of oxygen chambers, and each provides a unique process. Reversing biological age has been scientifically proven only in multi-chamber suites, such as those at Aviv.

The Aviv Medical Program

The Aviv Medical Program offers a more robust and extensive treatment program compared to other clinics. The program has been clinically proven to reverse biological aging by: 

  • Lengthening telomeres
  • Reducing senescent cells
  • Stem cell proliferation
  • Targeting other areas of the brain and body to improve cognitive and physical performance   

Our program consists of a treatment plan that begins with: 

  • In-depth review of health history
  • Comprehensive physical and neurological exams
  • Highly advanced brain imaging  scans
  • Neurological and neurocognitive tests
  • Body composition analysis
  • A detailed report of our assessment findings

Based on the results of the above, as well as your goals, needs, and symptoms, your customized medical program can also include:

  • Cognitive training
  • Physical training
  • Dietary coaching
  • Hyperbaric oxygen therapy (HBOT) provided in the specific protocol used in the above studies

All of this is included in Aviv’s physician-designed program tailored to each client’s needs.


4 Ways the Aviv Medical Program and HBOT Can Promote Reverse Aging and Actionable Tips

Let’s dive more into specifics and break down the four main ways HBOT can help reverse aging. You’ll also find additional strategies to give your mind and body the holistic care they need for optimal performance.

Note: Speak to your doctor before you pursue any lifestyle changes.

1. Cognitive Health

Common cognitive decline with age includes memory issues, language processing, and sleep disorders. 

Health experts note harnessing oxygen via HBOT along with cognitive training can help. Breathing in a pressurized environment with fluctuating oxygen levels can: 

  • Turbocharge the body’s self-healing mechanisms.
  • Slow down the biological aging process.

Cognitive training inside the HBOT suite can be more effective as well. For example, Aviv Clinics provides each patient with a tablet, so they can engage in brain exercises during their HBOT sessions. 

Additional Strategies for Optimal Cognitive Performance

  • Find healthy ways to cope with stress: If not managed, chronic stress can take a neurological toll, raising the risk of cognitive issues (e.g., memory and attention problems). Safeguard your cognitive health by engaging in healthy coping mechanisms for stress.
  • Engage in brain games: Playing brain games can improve cognitive performance and enhance the overall quality of life. The fact that these games are fun is just the icing on the cake.

2. Physical Health

Our bodies grow less efficient at channeling oxygen when we age. This is one of the reasons why we may feel “slower” in terms of mental and physical performance. 

Research shows a specific HBOT protocol may: 

  • Optimize athletic performance by helping you elevate aerobic stamina, heal faster post-injury and more
  • Minimize pain via anti-inflammatory effects

Additional Strategies for Optimal Physical Performance

  • Exercise regularly: Commit to at least 30 minutes of exercise three days a week. Make sure your exercise regime involves cardio and strength training.
  • Engage in intermittent fasting: Not only does intermittent fasting promote weight loss, but this metabolic switching can also help enhance the brain’s ability to resist injury and disease.

3. Mental Health

Mental health is another vital area to nourish with age. It is estimated that 20% of people age 55 or older experience some type of mental health concern. This may be attributed to life changes or events and injuries (e.g., TBIs, concussions, mini-strokes). 

Evidence suggests a proprietary HBOT plan can: 

  • Improve neuroplasticity, or the brain’s ability to adapt in response to an injury or disease. This means the brain can rewire itself after suffering an injury and strengthen its neural connections—key aspects to improving and maintaining cognitive health.
  • Enhance brain functionality in those with PTSD, helping PTSD survivors alleviate their symptoms. 

Additional Strategies for Optimal Mental Performance

  • Try meditation: Meditation offers many brain health benefits, such as helping to cope with anxiety, depression, and overall mood. Following a simple daily practice will provide moments of groundedness and clarity.
  • Lean on your support system: Reach out to family and friends for support. Human connection can be a lifeline to healing.

4. Sexual Health

Various reports state that “frequent sex can improve…our general quality of life and may even extend our life by years.” 

“Men tend to marry younger women, die sooner and care more about sex.” But until what age is a man sexually active

Experts say, “at age 55, men can expect another 15 years of sexual activity.” But this stat isn’t universal—conditions like erectile dysfunction (ED) can minimize the quantity and quality of sexual health. 

Luckily, studies illustrate HBOT may be a promising supportive or independent treatment for ED. It can encourage new blood vessel formation and improve blood flow, which can help recover erectile function.

Additional Strategies for Optimal Sexual Performance

  • In addition to HBOT, take good care of your physical, mental, and cognitive health with the suggestions we’ve listed above.
  • According to researchers, “Modifiable risk factors for ED include smoking, lack of physical activity, wrong diets, overweight or obesity, metabolic syndrome, and excessive alcohol consumption.”
  • Therefore, following a healthy diet and exercise regime are key to overcoming ED and promoting better sexual activity in older adults.

Invest in HBOT to Reverse Your Age 

Reversing your age may sound fantastical, but with the right medical team by your side, that goal may be possible. 

Learn more about the benefits of investing in your health and how Aviv Clinics can help.

3 Critical Takeaways: The Research behind Hyperbaric Oxygen Therapy (HBOT) for Stroke Patients

Numerous research studies have been conducted on hyperbaric oxygen therapy (HBOT) for stroke patients, and the results of many of those studies are available on our site. To help consolidate all the information, we’re highlighting the most relevant research areas regarding stroke to help you stay informed and make smarter decisions as you resume your day-to-day life after your stroke. 

Research and data are at the core of the Aviv Medical Program. Our team strives to use the peer-reviewed, evidence based research to improve our clients’ individual health outcomes. So keep reading to glean the latest insights, expertise, and guidance. 

Our goal is to help you take ownership of your health—to proactively improve your quality of life. 

HBOT for Stroke Patients: 3 Key Research Takeaways

The Sagol Center for Hyperbaric Medicine and Research In Israel and Aviv Clinics medical staff have led many HBOT studies on post-stroke patients. These studies have played a significant role in developing our unique HBOT protocol. 

Our research and findings uncovered four critical takeaways on HBOT and post-stroke conditions.

1. Improved Motor Function and Quality of Life

Research Study

Hyperbaric Oxygen Induces Late Neuroplasticity in Post-Stroke Patients – Randomized, Prospective Trial


The study evaluated whether a specialized HBOT protocol could activate neuroplasticity (the brain’s ability to create new neural connections) and improve motor function and quality of life in post-stroke patients.. 


The study involved 74 patients, all of whom “suffered a stroke 6-36 months prior to inclusion and had at least one motor dysfunction.”

Researchers split participants into two groups:

  • The first group’s patients were evaluated twice—at baseline and after 40 HBOT sessions. 
  • Patients in the second group were evaluated three times—at baseline, after a two-month control period, and after 40 HBOT sessions.


The study found neurological functions and quality of life in both groups were “significantly improved following the HBOT sessions.” However, no improvements were demonstrated  during the control period of the patients in the second group. Additionally, the neurological changes correlated with imaging findings: areas with low function/metabolic activity following the stroke were re-activated.

These results have shown “neuroplasticity can be activated” even long after the stroke event.

2. Improvement in Memory Impairments

Research Study

Improvement of Memory Impairments in Poststroke Patients by Hyperbaric Oxygen Therapy


More than 50% of stroke survivors suffer from cognitive impairments. This study aimed to assess the specific impacts of a specialized HBOT protocol on “memory impairments after a stroke at late chronic stages.”


Researchers conducted the study on 91 stroke patients who either had ischemic or hemorrhagic strokes within the past “3-190 months prior to treatment with HBOT.” 

For reference: 

  • An ischemic stroke happens when a blood vessel that supplies blood/oxygen to the brain becomes blocked via a blood clot or fatty deposits (plaque). 
  • A hemorrhagic stroke occurs when an artery in the brain leaks or ruptures.

The HBOT protocol entailed daily HBOT sessions—five days per week, 90 minutes each, for up to 12 weeks. 

Patients underwent computerized memory tests before and after the program.


There were significant improvements in “all memory measures after HBOT”, including both immediate and delayed memory domains. These progressions were linked to better brain metabolism, mainly in the temporal areas.

The results illustrate the potential of hyperbaric oxygen therapy in managing memory impairments in post-stroke patients, even years after the incident.

3. Enhancement in Neurocognitive Functions 

Research Study

Hyperbaric Oxygen Therapy Improves Neurocognitive Functions of Post-Stroke Patients – A Retrospective Analysis


This study aimed to assess the impact of a specialized hyperbaric oxygen therapy protocol on cognitive functions in those dealing with post-stroke cognitive symptoms at the late chronic stage. 


Participants were treated in a multi-place hyperbaric chamber where they received 40-60 total daily sessions of HBOT, five days a week. 

Different factors which may affect the results of the treatment were explored:

  • Those who suffered from cortical strokes (i.e. the outer surface of our brain), compared to those who suffered from deep/inner regions strokes.
  • Those who suffered from ischemic strokes (see above), compared to those who suffered from hemorrhagic strokes.
  • Those who suffered from strokes in their dominant hemisphere (the side responsible for speech, usually the left side in right-handed patients), compared to non-dominant hemisphere (usually the right side in right-handed patients).


HBOT sessions improved “all the cognitive function domains, including memory, attention, processing speed, planning (executive functions) and coordination with 86% of the stroke victims achieving a clinically significant improvement”.

The main predictor for cognitive improvement was a decreased metabolic function on imaging rather than the type of stroke, the side or region of the stroke. 

These improvements offer hope that patients can still gain cognitive improvements even at a late, chronic post-stroke stage.


The Aviv Medical Program—A Research-Backed Program

The Aviv Medical Program is founded in part on the research studies outlined above. By making data-driven decisions, our clients have achieved better cognitive and physical performance.  We understand every individual is unique, with different post-stroke symptoms and challenges. Thus, not every person will be a candidate for our program. Our rigorous assessment process will determine whether the program is right for you. 

Our post-stroke program remains focused on research and leans on a holistic and personalized approach. Depending on your symptoms, needs, and goals, it can include the following: 

  • In-depth review of medical history
  • Comprehensive physical and neurological exam
  • Physical therapy evaluation
  • Gait analysis, when relevant
  • Highly advanced brain imaging scans
  • Neurocognitive tests

During the treatment, the program can include a combination of:

  • Cognitive training
  • Physical training
  • Dietary coaching
  • Hyperbaric oxygen therapy (HBOT) provided in the specific protocol from the mentioned studies

Dr. Mohammad Elamir, MD, FACP, explains the post-stroke program at Aviv Clinics in more detail:

Stay educated on stroke by joining our on demand webinar.
Recovering After a Stroke: Is it ever too late?


Navigate Your Post-Stroke Journey with Aviv Clinics

Contact Aviv Clinics to learn more about hyperbaric oxygen therapy in Florida. We will take the time to understand your health background, issues, and lifestyle to determine whether the Aviv Medical Program is the right fit. 

Ways to Enhance Your Post-Stroke Journey: 3 Brain Exercises to Consider

When we think of exercises, we often think about movement. As much as physical activity is essential to post-stroke health, mental exercises are just as important. 

For post-stroke patients, brain exercises can be a critical component of their rehabilitation journey, as “cognitive impairment and memory loss are common after a stroke.” 

The good news is the brain is a powerful organ that can learn at any age. Medical experts note, “the reality is that everyone has the capacity to develop new cells that can help enhance cognitive functions.” The more you will engage your brain – the better are the chances you will see cognitive improvement.

Brain exercises can unlock this potential. Below, we offer insights into three main types of brain exercises for stroke relief: games, apps, and lifestyle activities. We also discuss the training Aviv Clinic’s post-stroke program can offer, so don’t miss out.

1. Games for Stroke Patients 

Games are not only fun, but they can also improve cognitive performance. 

brain-exercise after stroke


Games like crossword puzzles, Sudoku, and word searches are excellent activities to stimulate the brain. 

The most impactful? Crossword puzzles. Researchers specify crossword puzzles are “superior to other brain games in improving memory.” 

Let’s also not forget the accessibility crossword puzzles offer—you can find them anywhere online or in newspapers and easily take them on the go.

Board Games

Board games often require critical thinking and teamwork. 

Playing board games—like Scrabble, Connect Four, and Battleship—stimulates brain areas that oversee memory formation and thought processes. Games do this by: 

  • Encouraging high-level thinking. Board games can improve brain skills like strategic thinking, logic, attention, memory, and comparison. Researchers report that “playing non-digital games may be a positive behavior in terms of reducing cognitive decline.”
  • Enhancing creativity and self-confidence. The collective nature of board games can help post-stroke patients with creative problem solving while connecting with their friends and family. 

brain-exercise after stroke

Video Games

In a study where post-stroke patients participated in playing Wii Sports Resort—a collection of sports simulation mini-games: 

  • The group who played video games “achieved better results than the control group”
  • Among attention, processing speed, and working memory, “the attention and processing speed improved” the most. 

These results illustrate the potential video games have in supporting cognitive rehabilitation after a stroke. Like board games and puzzles, video games can offer the same stimulation the brain needs to enhance critical thinking and memory. 

One study even notes that motor-sensor video games could offer physical benefits. When working with a therapist, the games “allow patients recovering from a stroke to improve their motor skills and affected arm movements.”

brain-exercise after stroke

2. Devices and Apps for Stroke Patients 

There are some specific devices and apps that provide access to speech and cognitive activities. Though most apps are not specifically for stroke patients, they can still help with neurological rehabilitation. 

One tip is to look for ‘Psychomotor skills” apps that calibrate themselves to an individual’s motion range. These can be especially useful for stroke patients. 

brain-exercise after stroke

Here are examples of helpful devices and apps for stroke patients

  • BrainHQ is a cognitive training app. The app offers several games that help Aviv Clinics’ clients improve skills in areas—such as memory, attention, brain speed, and navigation—that stroke survivors may struggle with. You can even design your own program, choosing exercises and workouts that meet your personal interests.
  • MindMaze has a helpful game-based digital therapy called MindMotion™ GO. It offers full-body motion capture, allowing patients to practice physical and cognitive exercises at the same time.
  • Lumosity offers exercises for your mind with a fresh set of games daily to keep your brain consistently challenged. The app also provides reports that track your progress.
  • VAST is a virtual reality rehabilitation system we use at Aviv Clinics. It offers the flexibility to work in any physiotherapy practice and helps our patients engage in moto-cognitive activities.

3. Lifestyle Activities for Stroke Patients 

Here are some lifestyle activities for stroke patients that shake things up by offering more diverse, non-digital options that can create balance in your life.


Listening to music offers an emotive experience that enhances mood and improves memory. Frequently, a specific song elicits certain memories or forms new ones. 

Studies note that music therapy can be a good “motor function rehabilitation” method. Listening to music or singing songs can help  “promote neural plasticity”—the ability of the nervous system to adjust itself—and improve “patients’ motor function.”

Have you been interested in learning to play a musical instrument? This activity may offer additional benefits, as “Listening to and performing music reactivates areas of the brain associated with memory, reasoning, speech, emotion, and reward.”

brain-exercise after stroke


The Stroke Association recommends photography as a leisure activity. Take a walk around a nearby park or nature sanctuary and take some photos. Photography can be a therapeutic activity that offers a healthy and peaceful distraction. You’ll also get a chance to move your body while snapping pictures.

Aviv Clinics: Post-Stroke Program

The Aviv Medical Program offers a comprehensive post-stroke program targeted to those in the chronic post-stroke phase, typically six or more months after the incident. This program may entail cognitive exercises in addition to physical and nutritional training. 

The Aviv Medical Program consists of a plan that can include the following: 

  • Cognitive training
  • Physical training
  • Dietary coaching
  • Hyperbaric oxygen therapy (HBOT)
  • In-depth review of health history
  • Comprehensive physical exam
  • Highly advanced brain imaging scans
  • Neurological and neurocognitive tests
  • Body composition analysis
  • A detailed report of our assessment findings 
  • A post-program report of your improvements and recommendations for future progress

All components of this plan are included in a physician-designed program tailored to the needs and goals of each patient.

Cognitive Training Program

The cognitive training portion of the Aviv Medical Program is performed both inside and outside our hyperbaric oxygen suites. During HBOT sessions, your brain and body unlock their regenerative mechanisms. This helps you become more receptive to other forms of therapy. 

As part of your treatment, you may also complete our unique cognitive training regime while exerting yourself physically on the cutting-edge h/p/cosmos medical treadmill. Research shows this combination of physical and cognitive effort maximizes the benefits of the Aviv Medical Program, taking your brain and body to the next level.



Find Hope with Aviv Clinics

Life after a stroke can be challenging. A stroke can suddenly strip away the capabilities we take for granted. Support, trust, and consistency are vital to getting back to optimal health. The medical team at Aviv Clinics offers all three elements while crafting a personalized rehabilitation plan specifically for you. 

If you’ve tried the suggested brain exercises for stroke relief and other therapies but haven’t received the desired results, it’s time to seek the help of Aviv Clinics.

6 Trends in Healthcare in 2023

Healthcare is rapidly evolving, and it’s important to stay aware of these shifts to activate your role in driving better health outcomes for yourself and your loved ones. Patients have higher expectations and want to take more ownership of their health through the convenience of personalized, educational, and digital care. 

Alongside these growing expectations, here are six other trends in healthcare to help you know what you might expect this year

1. Remote Patient Monitoring (RPM) 

The COVID-19 pandemic showed how critical technology could benefit patients and elevate care. One way to achieve this has come through remote patient monitoring (RPM).

In 2022, RPM tools (e.g., wearable devices, pulse oximeters, blood glucose meters, and heart monitors) had a value of $53.6 billion. The value of this market is projected to reach $175.2 billion by 2027. 

When 6 in ten people live with at least one chronic disease, the ability to manage a condition remotely is one key element in preventing or reducing hospitalizations. Another critical area to achieving this goal is education, bringing up our next point.

2. Health Literacy 

With more doctors remotely managing patients’ health, healthcare organizations are providing digital, personalized educational experiences. These experiences address each patient’s health literacy level in their preferred language and reading level.

More providers anticipate higher patient volume in the coming year, as 41% of individuals delayed or avoided medical care during the pandemic. When seeking treatment or care, you’ll likely receive additional educational materials at each touchpoint of your journey. Discuss literacy levels with your doctor throughout the process to ensure you feel confident and comfortable navigating your health needs.

3. Mindfulness Products 

Wellness has taken center stage since 2020, and mindfulness is one of the most in-demand aspects of this concept.

  • McKinsey reports mindfulness has gained mainstream acceptance among healthcare patients. Half of the survey respondents wished more mindfulness products and services were available.
  • Medical research points toward brain health benefits of mindfulness exercises such as meditation. 

You may see a rise in providers offering more holistic care. For example, healthcare organizations may consider partnering with mindfulness apps or providing products that offer you mental health benefits

4. Data Analytics 

Objective data is critical. It illustrates your progress and determines what steps you and your physician need to take to help you reach your health goals. 

More providers are tracking and sharing data that reports: 

  • Patient interaction with educational materials 
  • Gaps to address for better outcomes
  • Patient progress
  • Personalized treatment plans
  • Actionable steps taken by patients to manage their health (remotely or in-clinic)

Data transparency helps the provider and the patient understand how a condition is progressing and what options can elevate treatment.

5. Advanced Imaging 

The development of new technologies has brought on better ways to treat patients. Imaging and neuroscience stand as prime examples of medical trends to pay attention to this year. 

Advancements in radiography give medical professionals tools to perform in-depth assessments of the brain after a stroke. Advanced imaging may include: 

  • 3T MRI
  • SPECT scan
  • Diffusion tensor imaging (DTI) 


These imaging technologies help providers map out a personalized recovery plan and track recovery in post-treatment assessments. 

Comprehensive medical programs, such as the Aviv Medical Program, rely on advanced imaging and neuroscience tools like these to improve long-term results for patients.

6. Hyperbaric Oxygen Therapy (HBOT) 

Oxygen is the lifeblood of our health. As we age, body oxygen levels decrease, leading to the infamous age-related decline. While many believe these shifts are irreversible, research and clinical trials say otherwise. 

Studies indicate hyperbaric oxygen therapy (HBOT), along with other physical and cognitive therapies, can help in the following areas:

At Aviv Clinics, our medical program can include a research-backed HBOT protocol that uses fluctuating oxygen levels, helping to trigger the body’s self-regeneration capabilities.

“By treating vascular dysfunction, we’re mapping out the path toward Alzheimer’s prevention. More research is underway to further demonstrate how HBOT can improve cognitive function and become an influential tool in the imperative fight against the disease.” –Dr. Shai Efrati, Aviv Clinics.


Learn More about the Science of HBOT

We encourage you to lean on Aviv Clinics to learn more about HBOT and other treatment options that can benefit your health.

Our diverse community of patients continues to achieve significant health milestones thanks to a multidisciplinary approach that may include: 

  • Hyperbaric oxygen therapy
  • Cognitive training
  • Physical training
  • Nutritional coaching

We take a unique approach centered on research, providing high-quality care that produces lasting outcomes. 

Health is Wealth: 9 Actionable Ways to Invest in Your Health

The daily choices we make and the activities we engage in all impact our quality of life. Here’s the reality—the average person spends nearly $170,000 on medical expenses in their lifetime. Costs tend to stack up, especially after the age of 65. 

While we might consider health problems and expenses the norm as we age, there are ways you can minimize them or even avoid them altogether. Why not start today? 

At Aviv, we believe making more conscious decisions today will give you the longevity you deserve. We’re here to get you started on the right foot. Consider these nine ways to start investing in your health today and accruing a healthy ROI immediately!

Note: Speak to your doctor before you pursue any lifestyle changes.

1. Consider the MIND Diet

Eating healthy has always been the mantra over the years, and for good reason—it’s the foundation of feeling good. While there are numerous diet trends out there, there is one truly worth your time and investment—the MIND diet. 

Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet is a blend of two highly effective diets: 

  • Mediterranean: Consists of a heart-healthy eating plan
  • DASH: Aims to address hypertension or high blood pressure 

Sticking to this diet that entails a variety of fruits and vegetables provides anti-inflammatory and cognitive benefits—it can strengthen brain cell structure and help regulate anxiety and mood.

intermittent fasting

2. Engage in Intermittent Fasting

We know—fasting doesn’t sound like the most exciting thing. But consider intermittent fasting. Not only can you achieve a healthy body composition, but you can also improve your brain health—all without strict dietary restrictions.

Intermittent fasting is a dietary lifestyle that comprises alternating periods of eating and fasting and limiting the number of hours you consume calories during the day or week. 

This metabolic switching: 

3. Stay Educated on Fall Prevention Tactics

Falls in older adults are common. Conditions that become prevalent as we age (e.g.,  muscle weakness, osteoporosis, and balance and gait problems) make us more susceptible to falls. 

The key ingredient to prevention? Exercise. We’re talking about: 

  • Strength training
  • Cardio training 
  • Balance training 
  • Flexibility training 

Other fall prevention tactics are just as important. They are:

  • Keep your home clear of clutter and trip hazards such as cords, books, shoes, etc.).
  • Install grab bars in the bathroom and handrails in the hallways and stairways.
  • Avoid wearing clothing that drags on the ground.
  • Wear non-slip socks or shoes around the house.
  • Take a pause after standing up and before beginning to walk.

4. Find Helpful Ways to Cope with Stress

Stress is inevitable in life, and the body and mind are biologically equipped to handle it. But sometimes, when the stress gets overwhelming, it can negatively impact the brain

Chronic stress can: 

  • Kill brain cells 
  • Cause memory decline
  • Negatively impact mental health

Whether you are grieving or dealing with a major change in your life, it’s essential to find healthy coping mechanisms for stress:               

  • Make time for physical activity: At Aviv, we recommend 30 minutes of exercise three days a week at a minimum. Exercise benefits the brain by releasing endorphins, helping relieve pain, and improving mood. The key is to find an activity you enjoy—this will make exercise fun and feel less like a chore.
  • Be conscientious about screen time. Regarding technology and brain health, experts say it’s all about quality vs. quantity. When used wisely, technology offers worthy benefits. But using it improperly can cause more harm than good. Thus, stay aware and focus on balancing screen time with other activities.
  • Meditate. Not only is meditation a great activity to do instead of “doom scrolling” on your screen, but meditation may also slow the progression of Alzheimer’s and improve brain focus. Consider meditation apps like Headspace and Calm to get started. 


5. Focus on Body Composition Instead of Weight

A low number on the bathroom scale doesn’t necessarily mean all is well. Indeed, society’s obsession with the scale can lead to problems like declining muscle mass—a condition that will do more harm than good later in life. 

So toss that unhealthy relationship with the bathroom scale. Instead, look at your overall body composition. 

For example, Aviv Clinics uses the seca scale to get a precise rundown of the meaning behind a person’s weight. This scale helps us develop an accurate and customized treatment plan—losing body fat, gaining muscle, or a combination of both. 

Speak to your doctor to gain a comprehensive assessment of your body composition so you can make appropriate, personalized goals.

6. Stick to a Consistent Sleep Schedule 

Since the sleep hormone melatonin naturally decreases with age, it’s vital to set up healthy sleeping habits. This entails turning off all electronics an hour before bedtime and getting in bed at the same time each night.

Doing so will promote natural circadian rhythms and maintain cognitive health.

7. Engage in Games

Investing in your health doesn’t have to be boring, it can include games!

That’s right, researchers report playing brain games can improve cognitive performanceIt’s a fun and active way to shake things up for your brain. 

Much like muscles build muscle fibers after exercising, the brain functions similarly—it promotes new neurons and neuronal connections after participating in games.

8. Listen to Music

When was the last time you truly listened to music? What kinds of images and memories did it elicit? 

Music offers far more advantages than helping you get through a grueling drive or setting the tone for a party. The best part is these benefits are backed by research. 

Studies illustrate music can:

  • Have a positive impact on those with memory loss conditions (i.e., Alzheimer’s disease, dementia)
  • Reduce anxiety, pain, and blood pressure
  • Improve sleep quality and mental alertness 

9. Find a Research-Backed HBOT Program

Hyperbaric oxygen therapy (HBOT) is a therapy that has a patient breathe 100% pure oxygen in a pressurized chamber. 

Several studies illustrate the potential of HBOT, when administered in a specific protocol, in improving cognitive, physical, and psychological performance. In this protocol, oxygen levels are fluctuated during each hyperbaric session. This system increases oxygen levels in the body up to 20 times higher than normal and boosts your brain’s ability to heal itself. 

The unique medical program at Aviv consists of a treatment program that can include this same research-backed HBOT protocol along with cognitive training, dietary coaching, and physical performance training, in a physician-designed program tailored to each client’s needs.

This holistic approach gives each patient the personalized care they deserve for their unique health conditions. Our clients have optimized their athletic performance with HBOT and have found relief from debilitating medical conditions such as stroke and traumatic brain injury.



Invest in Your Health at Aviv 

The Aviv Medical Program stands by a holistic treatment program that targets all areas discussed above. A series of independent clinical trials illustrate how our program helps treat the symptoms of different health conditions.



Delayed Concussion Symptoms: Why They Happen and What You Can Do

The CDC estimates that 1.5 million Americans survive a traumatic brain injury every year. However, not all concussion symptoms show up right away. Over 10% of people with a concussion develop symptoms later on—some studies estimate as many as one-quarter of concussions develop long-term symptoms. 

Whether you or your loved one suffered a fall, motor vehicle accident or a sports concussion, the brain injury that occurs can manifest itself long after the incident took place. 

Fortunately, recovery from delayed concussion symptoms is possible even years after a traumatic brain incident. Aviv Clinics is here to explain why concussion symptoms can be delayed and what you can do. 

Why Might Your Concussion Symptoms Be Delayed? 

In an ideal world, you would know exactly what’s happening inside yourself and why. But the reality is the body and mind are complex.

When someone undergoes a traumatic brain injury (TBI), this causes physical, metabolic, and chemical changes to the brain. Even if you feel okay and experience very mild effects, this can change later on. 

Here’s why. 

The brain has pathways—think of them as different routes you may take to work. Some roads have more traffic than others. Sometimes, you have to take the long way to get home. Brain pathways work the same way. 

Let’s say you get into a car accident that causes a head injury. Some brain pathways are damaged and can’t deliver the blood and oxygen supply the brain needs. Fortunately, other pathways and cells can take over to do the job. However, over time, the healthy brain pathways might overcompensate for the lack of operating pathways. Your brain grows tired of the extra effort and delayed concussion symptoms emerge. 

Symptoms may include cognitive, physical, and psychological effects such as: 

  • Headaches 
  • Nausea or vomiting 
  • Balance problems or dizziness
  • Sensitivity to light/noise
  • Memory or concentration problems
  • Depression and/or anxiety
  • Mood swings 

How Does the Brain Recover from a Concussion?

The brain is a powerful organ with incredible self-healing mechanisms. Even if you underwent an accident years ago, there’s still hope for recovery decades later. The key is finding the right treatment program to give the brain a delicate push for unleashing that potential.  

Proper medical expertise and protocol can help: 

  • Encourage neuroplasticity, or the brain’s ability to adapt or react in response to injury or disease.
  • Drive neurogenesis or nerve cell regeneration that occurs in the brain.
  • Increase blood flow and oxygen in parts of the brain associated with executive function, vision, sensation, and more.

Most patients at Aviv Clinics see progress roughly 8-12 weeks after the start of their treatment plan. But the recovery period varies depending on the severity of your condition, health background, lifestyle, and other factors.

If You Suspect You Have Delayed Concussion Symptoms 

Rest assured that science is on your side. Data-backed treatment plans are available for concussions, no matter when they occur. They include the following: 

  • Physical therapy (PT): Aims to ease pain and improve mobility. Treatment may include customized exercises and range of motion stretching. Research notes that at 6.8 PT sessions, patients reported their physical symptoms improved. 
  • Cognitive behavioral therapy (CBT): Psychological treatment strives to change thinking and behavioral patterns. Studies illustrate CBT is a potentially effective rehab plan for anxiety and depression following a TBI.
  • Hyperbaric oxygen therapy (HBOT): Involves breathing 100% pure oxygen in a room known as an HBOT suite. This process increases oxygen levels in the body 10-15 times higher than normal and helps improve cognitive, physical, and psychological performance.

Read more about the common forms of post-concussion syndrome (PCS) treatment plans. 



Aviv Clinics Unique Rehabilitation Plan

At Aviv Clinics in Florida, our team proudly offers a unique rehabilitation program backed by data and a holistic action plan. When partnering with our medical team, patients can expect a personalized plan that enhances their long-term health.

Research in the last two decades notes hyperbaric oxygen therapy (HBOT), in combination with cognitive, physiological, and nutritional training, can lead to significant neurological improvement after a concussion. The Aviv Medical Program is based on this research. 

“HBOT can be successful because it addresses the cause of the symptoms, not just the symptoms alone. In combination with cognitive, physical, and nutritional coaching, some HBOT protocols can be very effective.” —Dr. Mohammed Elamir, MD, FACP

A Personal Story of Healing through Aviv Clinics

The Aviv Medical team helps individuals of all ages and backgrounds win lasting health—the foundation of a good life. Our unique medical protocol has proven to give patients the vitality, health, and confidence they need to move forward.

Learn about 15-year-old Linden Perry’s journey below!

Invest in Your Health with the Aviv Medical Program

Good health allows you to focus on the essential and enjoyable areas of your life. The time to invest in your health is now, and the Aviv Medical Program will be with you every step of the way. 

Post-Concussion Syndrome Treatment That Works

So you had a concussion. Weeks pass, yet you’re still not feeling quite right. You might even feel your condition has worsened—headaches have become chronic, you feel more tired than usual, and you have difficulty following conversations with friends. The list goes on…

You’re not alone if you’re feeling lingering symptoms of your concussion, after all, it is a traumatic brain injury. While the brain is a marvelous organ and usually amazes us with its healing capabilities, there are times when our brains need a bit more time and treatment to fully heal. 

Post-concussion syndrome (PCS) is a common complication during concussion recovery. Most individuals with PCS can recover even years after their accident, but finding a comprehensive treatment plan can be challenging. We’re here to get you on the right path.

Learn what the right post-concussion syndrome treatment entails and how the Aviv Medical Program can help.

What Is Post-Concussion Syndrome

Post-concussion syndrome (PCS) is a condition where concussion symptoms last longer than normal. PCS occurs from traumatic brain injury (TBI)—a blow or jolt to the head from accidents such as falls, car accidents, and sports injuries. Mild to severe cases of TBI can lead to PCS. 

Symptoms of PCS include a variety of physical, cognitive, emotional, and sleep indicators such as: 

  • Headaches that won’t go away
  • Feeling more exhausted than usual
  • Having trouble concentrating and remembering
  • Having difficulty falling or staying asleep

How Do You Diagnose Post-Concussion Syndrome

Post-concussion syndrome symptoms and severity can vary daily, making the experience quite confusing. If you feel anything is off, we recommend reaching out to a physician at Aviv Clinics

To diagnose PCS, your doctor will carry out a series of exams that may entail: 

  • Discussing your health and concussion history
  • Conducting a physical examination 
  • Advanced MRI that maps out specific parts of your brain 
  • SPECT scan that points out negatively affected brain areas
  • Neurocognitive testing that examines your motor, verbal communication, and memory skills
  • Neurological exams that may involve using lights and reflex hammers to assess your nervous system

How Is Post-Concussion Syndrome Treated? 

We understand obtaining a PCS diagnosis can be stressful. Rest assured, there are treatment options available. These options may be combined to maximize your recovery. 

  • Cognitive behavioral therapy (CBT): CBT is a psychological treatment that aims to change your thinking and behavioral patterns. 
  • Studies report PCS patients (who have had mild/moderate TBI) experience improvements from their CBT program.
  • Additional studies show a combination of CBT and SSRIs has the potential to improve symptoms in PCS patients.
  • Cognitive rehabilitation therapy (CRT): CRT encompasses a group of therapies that strive to restore cognitive (attention, memory, speech, etc.) balance after a brain injury. CRT includes therapies such as neurofeedback and attention processing training (APT).
  • Research indicates CRT can teach patients long-term skills that help restore their cognitive abilities. 
  • Hyperbaric oxygen therapy (HBOT): HBOT is a therapy process that increases oxygen levels in the body. Patients breathe in 100% pure oxygen via a mask in a suite. The air in the suite is pressurized 10–15 times higher than normal oxygen levels.
  • Clinical studies illustrate that HBOT may encourage the brain to change and adapt in a way that improves PCS even years after sustaining the TBI. 
  • Other research reports patients suffering from PCS symptoms showed better thinking/cognitive performance after HBOT. 

According to Dr. Mohammed Elamir, MD, FACP: “HBOT can be successful because it addresses the cause of the symptoms, not just the symptoms alone. In combination with cognitive, physical, and nutritional coaching, some HBOT protocols can be very effective.”

The Aviv Medical Program for PCS

Many people go to one or more doctors before getting their diagnosis. Due to the complexity of treating PCS, far too many patients receive minimally effective treatments. The results? Short-term results that don’t provide what you actually need.

With the Aviv Medical Program, we assure you that our team of diverse medical professionals (cognitive, physical, and nutritional specialties) will carry out advanced testing to identify exactly what is going on and craft a customized, long-term treatment plan.  

  • Our program entails a group of certified medical professionals focused on your recovery. They will track data on your health and offer individualized solutions to elevate your quality of life. 
  • Treatment may include a combination of cognitive and physical training, dietary coaching, and HBOT protocols. HBOT yields multiple positive shifts in the brain, such as new blood vessel formation and stem cell production. 

Case Studies

Here are two PCS patients who have leveraged Aviv’s comprehensive treatment program. Both received access to our multidisciplinary team of healthcare specialists and in-depth assessments: 

  • Linden Perry: At just 15 years old, Linden suffered concussions from playing basketball and soccer. Her lingering PCS symptoms left her having balance issues, nausea, headaches, and blurred vision. Upon her customized treatment plan at Aviv, Linden got back to where she was academically and athletically.
  • Clarissa Rainey: This horseback riding champion experienced a concussion in a car accident. Clarissa experienced memory issues, which made her job challenging and frustrating. After her state-of-the-art treatment at Aviv, she reports that she is much more focused, has clearer thinking, and sleeps better. Not to mention, she is still riding horses and engaging in daily activities to the best of her ability.

How Long Can You Leave Post-Concussion Syndrome Untreated? 

The longer you wait to heal PCS, the more likely your symptoms will become permanent. Dr. Mohammed Elamir, MD, FACP, further explains: “Damaged or injured tissues due to PCS carries a limited window for full recovery.”

Thus, the time to take action is now. If you have undergone an accident and have not been feeling the same, trust your instinct—take back control of your health by seeking PCS treatment. 

Learn More about the Aviv Medical Program

It’s easy to feel alone when living through PCS. Hope is here at Aviv Clinics. 

Backed by over a decade of research, the Aviv Medical Program will be with you every step of the way during your PCS recovery journey. We’ll introduce you to our team of medical professionals who will ensure your recovery is around for the long haul. 

How Hyperbaric Oxygen Therapy for TBI Can Help Ease Psychological Changes After a Brain Injury

Watch our free webinar:
Post-Concussion Syndrome: New Approaches to Treatment

Every year, 1.5 million Americans suffer from a traumatic brain injury (TBI), which can include mild TBIs or concussions

A TBI can trigger various changes beyond the physical effects. Several “invisible” or emotional symptoms often lie beneath the surface, causing significant struggles among those suffering from TBIs. 

These psychological impacts are harder to pinpoint. Thoughts, feelings, and emotions are complex, intangible processes. There isn’t necessarily one remedy that will resolve long-lasting psychological effects.

If you have sustained a TBI and have been experiencing behavioral and emotional shifts like depression, anxiety, or irritability, you are not alone. The good news is that hyperbaric oxygen therapy (HBOT) can provide genuine results when used with other treatments. And the Aviv Medical Program carries the data to prove it. 

Keep reading for all the key details on using hyperbaric oxygen therapy for TBI and how it can help ease psychological changes after a brain injury. 

What Happens to the Brain When You Have a TBI? 

Psychological changes can occur when the brain’s frontal lobe sustains damage, whether caused by a sports injury, a fall, or an accident. This region of the brain manages emotions and personality traits. After a TBI, an individual might begin acting differently, have uncharacteristic emotional outbursts, and other side effects.

Since blows to the head often cause more severe TBIs, another side effect may be amnesia, which can spare the patient the traumatic memories of the incident.

6 Common Psychological Effects Associated with a TBI

Often, patients and their loved ones don’t realize their behavioral and emotional shifts are the result of a brain injury. Symptoms can materialize days or weeks after the original trauma. Blows to the head may also cause amnesia of the event, which can also make it difficult to connect a head injury with psychological effects.

A lack of understanding makes navigating psychological changes even more difficult. However, there are six common signs you can watch for.

1. Anxiety

Anxiety is common in those with moderate-to-severe TBI. It manifests differently for everyone, but most people experience worry and fear. 

Anxiety can also show in physical ways, causing symptoms like:

  • A racing heart 
  • Rapid breathing
  • Sweating
  • Shaking 

Certain events/activities might also trigger anxiety, including:  

  • Large social situations (e.g., being in a crowd)
  • Sudden or unexpected changes in plans
  • Feeling rushed
  • Situations that merit fast thinking or a lot of attention

2. Depression

Depression involves feelings of sadness, grief, and worthlessness. These emotions might make you: 

  • Feel tired or frustrated more than usual.
  • Experience changes in sleep and eating patterns.
  • Withdraw from friends and family.
  • Feel less joy from favorite activities.
  • Show aggressive behavior (67% of first-time TBI patients sought treatment within three months for aggression).  

3. Mood Shifts

Emotions can be difficult to manage after a TBI. Depending on the impact, TBIs can change how you feel or express emotions. For example:

  • You might be full of excitement or joy one moment, followed by feelings of devastation or sadness the next. 
  • You might have unpredictable moments of laughing or crying—emotional expressions that have nothing to do with what you’re feeling or what’s happening around you.
  • You might exhibit childlike or aggressive behaviors after a brain injury, potentially having emotional outbursts or feelings of impulsiveness.

4. Paranoia

The average onset of paranoia occurs four to five years after a TBI. Paranoia causes people to become unusually defensive, often believing they’re under threat when little to no evidence of an actual threat exists.

Other signs of paranoia include: 

  • Trouble admitting faults
  • Detachment or social isolation
  • Doubting the loyalty of others
  • Holding grudges

5. Personality Disorders

Some people may develop personality disorders after TBIs. A personality disorder is a mental health condition involving disruptive thinking and behavior patterns. 

Someone with a brain injury and narcissistic personality disorder may have an inflated sense of self-importance and an excessive need for admiration. Roughly one in 10 patients with TBI show symptoms of a personality disorder.

6. Executive Dysfunction 

Executive dysfunction is a behavioral symptom that makes it challenging to manage thoughts, emotions, and actions. Symptoms might include: 

  • Having trouble paying attention 
  • An inability to prioritize tasks 
  • An inability to plan for and remember future events (i.e., always being late to events/activities)
  • Having difficulty analyzing and/or processing information
  • Exhibiting poor judgment
  • Struggling to make decisions

These symptoms can cause frustration, adding to the mental health challenges outlined above. 

7. PTSD and ADHD

Overlap between TBI and the effects of PTSD and ADHD exists, with studies showing that: 

Developing PTSD from an accident can complicate the TBI recovery process. The injury may inhibit their ability to experience emotional closure after the traumatic event.

Could I Have a TBI and Not Know It?

Yes, it’s possible to have a TBI and not know it. Brain injuries are more common than people realize, and some cases of TBI are never accurately diagnosed. Some of the reasons behind missed diagnoses include: 

  • Mild, random, or generic symptoms that don’t accurately manifest the severity of the injury
  • Remaining conscious after an injury, resulting in the patient feeling like the injury wasn’t severe enough to seek medical treatment

These points cause many to dismiss the notion of getting a CT scan or MRI, which is the first and most vital step in detecting structural damage to the brain. More advanced assessment tools, such as functional MRIs or SPECT scans, can also detect: 

  • Metabolic damage in the brain tissue
  • Brain cells that don’t function properly

Elevate the Quality of Your Life with TBI Rehabilitation 

Your TBI and its effects do not have to be permanent fixtures in your everyday life. TBI rehabilitation programs have proven effective, offering relief for those who have struggled with the impact of this type of injury.

An effective TBI rehab plan often involves hyperbaric oxygen therapy (HBOT) in combination with cognitive, nutritional, and physiological protocols. Research illustrates these collective methods work well in repairing areas of the brain after a traumatic brain injury or concussion. 

Aviv Clinics’ HBOT protocol involves an oxygen suite where multiple patients can sit in comfort and breathe 100% pure oxygen through a mask. Medical staff members adjust the oxygen fluctuation levels to trigger the self-regenerative mechanisms of the brain and body. 

The Aviv Medical Program, which can include this unique protocol, can yield multiple changes in the brain, including:

  • Blood vessel formation (angiogenesis)
  • New and stronger neural connections (shows promise in healing anoxic brain damage)
  • Stem cell proliferation

TBI Survivor Stories

Studies illustrate TBIs are detectable and treatable even years after they occur. With Aviv’s personalized therapy programs that can include effective HBOT protocols, patients have experienced structural brain improvements that enhance their psychological health and overall quality of life.

These TBI survivor stories speak for themselves: 

  • Clarissa Rainey – Avid horseback rider and champion Clarissa had memory issues after a car accident. Learn how Aviv helped her get back to optimal health and back in the saddle.

  • Linden Perry – Having undergone multiple sports concussions, 15-year-old Linden turned to Aviv to regain her health and performance. Find out how her customized treatment plan gave her more confidence to thrive academically and athletically again.

Our Florida Traumatic Brain Injury Program Offers Hope

If you or your loved one has experienced psychological changes from a TBI, reach out to a TBI rehab clinic. Aviv Clinics has a diverse medical team to help individuals enhance and nurture their brains and bodies. The results? Fewer limitations and a happy and healthy life. Contact our team today.

The 5 Support Stages of Stroke Recovery

The brain is a powerful yet delicate organ we often take for granted. Every thought, movement, and feeling we experience is thanks to the brain. So when these significant capabilities are suddenly stripped away by a stroke, the emotional and physical turmoil runs deep. 

Each year, over 795,000 people in the U.S. have a stroke. And up to 50% of stroke survivors suffer motor dysfunction or brain impairment, which may include memory loss and challenges in focusing and processing information. 

If these experiences emulate what you have been going through, the Aviv Clinics team is here to offer research-backed guidance on your road to recovery. Health is the most crucial element in your life. The time to commit to it is now. 

Below you’ll find information on the impact a stroke has on your body and the five stages of stroke recovery. The intention? Ensuring you find a customized medical program to help you get back to optimal health. 

What Happens to the Brain During a Stroke?

When a stroke occurs, blood cannot get to parts of the brain, meaning oxygen and nutrients cannot adequately nourish brain cells. 

Thus, two things can happen: 

  1. Arteries become blocked (an ischemic stroke). 
  2. Arteries break/rupture (a hemorrhagic stroke)

In either case, a stroke damages areas of the brain. These impacts can manifest in cognitive, physical, and even emotional symptoms. 

types of stroke


How the Brain Recovers from a Stroke – The 5 Support Stages:

Studies illustrate the brain can reorganize and adapt in response to injury. But this process isn’t as clear-cut as you’d hope. 

The reality is each person carries unique symptoms and medical histories. So finding a clinic that can offer a customized post-stroke recovery plan is key. The right treatment plan will include one or a combination of these post-stroke rehab therapies.

The good news: The Aviv Medical Program provides a post-stroke recovery treatment program that can combine cognitive, physical training, dietary coaching, and Hyperbaric Oxygen Therapy sessions, even years after the incident. It is never too late to enhance your recovery.



The five support stages to post-stroke recovery: each stage represents a milestone that gets you closer to gaining back your previous capabilities. 

1. Thinking, Memory, and Perception Training

Thinking, memory, and perception are vital in day-to-day communication and activities. Not to mention, they are what makes each of us creative and unique. So when up to half of stroke survivors experience cognitive impairments, addressing them is critical. 

This is where a neuropsychologist can step in. Neuropsychologists assess the connection between someone’s brain and their potential to participate in daily activities. 

Neuropsychologists typically begin with an assessment that measures memory, learning, and processing speed. They then use this data to craft a rehabilitation plan.

2. Communication and Language Training

Human connection plays a vital role in happiness and good health. It’s what helps us build empathy and relationships. So when this is taken away via aphasia—a disorder that affects your ability to understand or express speech—communicating and connecting with loved ones becomes challenging. 

Stroke patients with aphasia are often referred to speech-language pathologists (SLPs). SLPs help individuals relearn communication and language techniques such as: 

  • Controlling mouth/throat muscles 
  • Engaging in cognitive language exercises  
  • Pronouncing specific words
  • Formulating sentences or expressing information

Studies illustrate early speech intervention often leads to improved communication skills within a 12- and 26-week timeframe

3. Exercise and Mobility Training

Those undergoing physical challenges may work with a physical therapist (PT) who helps them relearn and regain physical activities. 

Exercise and mobility training with a PT may include: 

  • Movement exercises such as walking, sitting, standing, lying down, and switching from one type of movement to another
  • Balance and breathing techniques

These help patients reacquire motor skills and return to their daily routines. Studies show consistent PT minimizes the risk of hospital readmission among post-stroke patients. 

4. Nutritional Training

Nutritional training can be beneficial in post-stroke recovery for the following reasons: 

  • Some patients are unable to swallow well after a stroke. Their appetite might also diminish. These conditions can impact patients’ weight and nutritional intake. 
  • Patients may have physical issues (for example, being unable to control their arms and/or hands) that make eating and drinking difficult.

Dieticians can address those concerns and provide recommendations based on your needs to: 

  • Improve your health
  • Minimize the risk of having another stroke

5. Hyperbaric Oxygen Therapy (HBOT)

Decades of research prove the benefits of using HBOT in post-stroke recovery. HBOT is a therapy process where patients are prescribed time in an oxygen chamber, breathing in 100% oxygen.

HBOT boosts oxygen in the body and promotes brain cell rehabilitation, which can result in:

  • Regained speech
  • Recovered ability to read and/or write
  • Restored motor function
  • Return to independence in performing daily activities

Stroke Recovery Story: Keren Trabelsi

A holistic treatment plan that addresses the mind and body is key to successful recovery. It offers a more effective and long-term recovery plan. Former Aviv Clinics patient Keren Trabelsi is a true testament to this. 

Keren underwent an ischemic stroke, causing paralysis on the left side of her body. Also, cognitive issues made daily tasks difficult, which did not make her feel as capable as she had been before. 

Fortunately, Keren found the Aviv Medical Program. Aviv provided a personalized treatment plan that encompassed many of the phases discussed above. 

Thirteen months later, she can walk comfortably, type with her left hand again, and engage in cognitive activities (i.e., crossword puzzles, Sudoku, etc.).

“[The Aviv Medical Program is] like driving a Ferrari on the road to recovery versus driving like an old beaten-up car….”

Watch Keren’s post-stroke recovery story; 


Stay educated on stroke by joining our on demand webinar.
Recovering After a Stroke: Is it ever too late?



Post-Stroke Recovery: 4 Tips to Keep in Mind

To ensure the most successful post-stroke recovery, stay mindful of the following: 

1. Several Factors Influence Recovery  

What recovery looks like and how long it takes is different for everyone due to reasons such as:

  • Where in the brain the stroke happened
  • How much of the brain was affected
  • The survivor’s will and motivation to get better
  • The level of caregiver support
  • The quantity and quality of the recovery program

2. Repetitive Practice Is Key

“Carefully directed, well-focused, repetitive practice” is key to any neurorehabilitation program. It’s the same concept as if you were to learn a new skill like a musical instrument. Repetitive practice effectively retrains your brain. 

3. Recurrent Stroke Prevention Should be Approached with Vigilance 

Patients and healthcare professionals should be especially vigilant in preventing another stroke—roughly one in four stroke patients have had a stroke in the past.

Stroke prevention requires: 

  • Starting treatment right away
  • Keeping the following conditions under control, as they can put you at higher risk for another stroke: 
    • High blood pressure
    • Heart disease
    • High cholesterol
    • Diabetes

4. Measuring Progress Matters

The type of therapy and frequency are important factors to consider during recovery. Working with a medical staff that captures and tracks data is critical to your success. 

For example, the Aviv Medical Program tracks analytics to provide a detailed report of your health and progress. 

The information gathered from a variety of scientifically-advanced analytical tools (including an in-depth high resolution MRI of your brain stroke) allows our clinical team to make customized adjustments and give you precisely what you need to elevate the quality of your life. 

Post-Stroke Recovery: 2 Key Signs of Healing

If you find your post-stroke recovery journey is slightly different, don’t stress about it. Everyone is different; thus, timelines and progress will vary. Regardless, there are two signs of recovery you can expect:

  • There is improvement within three months and beyond: Although everyone recovers at a different pace, the first three months are generally when patients see and feel the most improvement. That’s why it’s more effective to begin a stroke recovery program quickly.  
  • Independence is improving: After a stroke, you may depend on others to help you carry out daily tasks such as getting dressed, bathing, or eating. With the right post-stroke treatment plan, you’ll start to rely less on others and perform those tasks independently again. 

Seek Stroke Treatment in Florida

Our team proudly assists a variety of clients, crafting an individualized plan for each patient.

If you or your loved one has undergone a stroke, contact Aviv Clinics. We’ll put you in touch with our medical team, who conducts the best stroke rehab center in Florida.