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Related Experiment Videos

Recovery after stroke--the first 3 months.

D T Wade, V A Wood, R L Hewer

    Journal of Neurology, Neurosurgery, and Psychiatry
    |January 1, 1985
    PubMed
    Summary

    Stroke recovery shows significant gains in the first two weeks, with continued improvement up to 13 weeks. Urinary incontinence and age are key factors impacting stroke patient survival and functional recovery.

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    Area of Science:

    • Neurology
    • Rehabilitation Medicine
    • Geriatric Medicine

    Background:

    • Stroke is a leading cause of long-term disability.
    • Understanding functional recovery patterns is crucial for effective patient management.
    • Early prognostic factors can guide clinical interventions.

    Purpose of the Study:

    • To investigate the trajectory of functional recovery in stroke survivors.
    • To identify key prognostic factors influencing survival and functional outcomes.
    • To inform rehabilitation strategies for post-stroke care.

    Main Methods:

    • Prospective study of 99 stroke patients over 13 weeks.
    • Assessment of five functional areas: continence, mobility, dressing, feeding, and transfers.
    • Detailed monitoring of 45 survivors with twice-weekly assessments.

    Main Results:

    • Fifty percent of functional recovery occurred within the first two weeks post-stroke.
    • Urinary incontinence between days 7-10 was a significant negative prognostic factor for survival and recovery.
    • Advanced age was the second most critical adverse prognostic factor.

    Conclusions:

    • Early urinary incontinence and advanced age predict poorer outcomes after stroke.
    • Rehabilitation therapy may benefit from a greater focus on cognitive abilities alongside physical function.
    • Hospital discharge timing should consider the cessation of functional recovery.

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