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Post-Stroke Brain Health Monitoring and Optimization: A Narrative Review.

Eric L Stulberg1, Perminder S Sachdev2,3, Anne M Murray4,5

  • 1Department of Neurology, University of Utah, Salt Lake City, UT 84112, USA.

Journal of Clinical Medicine
|December 9, 2023
PubMed
Summary

Optimizing post-stroke brain health is crucial for survivors

Keywords:
brain healthcognitive impairmentrecoveryrehabilitationstroke

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Area of Science:

  • Neuroscience
  • Public Health
  • Gerontology

Background:

  • Stroke survivors often face long-term physical, cognitive, and psychological disabilities due to poor post-stroke brain health.
  • Suboptimal brain health post-stroke necessitates greater focus from healthcare professionals and researchers.

Purpose of the Study:

  • To define post-stroke brain health.
  • To review modifiable factors (vascular, lifestyle, psychosocial) for improving post-stroke brain health.
  • To provide clinical recommendations for managing post-stroke brain health.

Main Methods:

  • Narrative review utilizing an open-timeframe search of PubMed, Scopus, and Web of Science databases.
  • Synthesis of existing research on factors influencing post-stroke brain health.
  • Development of clinical recommendations based on four key domains: cognition, psychosocial health, physical functioning, and vascular health.

Main Results:

  • Identified modifiable vascular, lifestyle, and psychosocial factors crucial for optimizing post-stroke brain health.
  • Established clinical recommendations for monitoring and managing post-stroke brain health across key transition points.
  • Highlighted future research directions, including remote monitoring, neuromodulation, and addressing health inequities.

Conclusions:

  • Post-stroke brain health is a critical, evolving field requiring integrated clinical and research attention.
  • Evidence-based strategies focusing on cognition, psychosocial well-being, physical function, and vascular health are essential for stroke survivors.
  • Future research should explore innovative interventions and address disparities to improve long-term outcomes.