Stroke Awareness Month: Quality of life after stroke is possible

Posted: Published on May 21st, 2012

This post was added by Dr Simmons

Guest Columnist

Every day in the United States, more than 2,000 people suffer a stroke. Stroke is also the leading cause of long-term disability in this country, and remains of particular concern in the South, where higher rates of stroke and stroke mortality persist.

MANY OF US may know a loved one, a friend, a co-worker or a public figure who has suffered a stroke. And we wonder: What will life be like now for this person? Will he or she ever work again? Will he or she ever live independently again?

Stroke, after all, is a brain injury. A clot forms in a vessel of the brain, blocking the flow of blood to brain cells. These cells die and, as a result, abilities housed in that part of the brain are lost.

But these abilities are not necessarily lost forever. Care after stroke is dependent upon two things.

First is getting the stroke patient to the hospital as soon as possible if you suspect a stroke. Treatment given within the first three hours of stroke onset can bust the clot and help patients regain more function, more quickly.

Second is ensuring that patients begin stroke rehabilitation as soon as they are stable, often as soon as 24 or 48 hours after stroke. The ability of our brains to relearn and adapt, even after stroke, is known as neuroplasticity. It is possible for our brains to learn again how to walk, talk, reach and grasp after stroke, using different parts of the brain to cover for cells that have been lost.

Stroke recovery, however, does take time, and it also takes tremendous, continued effort on the part of the patient, their families and their rehab team. The typical continuum of care for stroke patients is the emergency room, then stabilization in an acute care hospital. Inpatient rehabilitation then begins almost immediately, ensuring patients have three hours of focused therapy daily, under the guidance of a rehabilitation physician, so they can begin relearning function as soon as possible.

STUDIES HAVE shown that the key to neuroplasticitys success is for patients to repeat, repeat, repeat, to retrain the brain. A dedicated rehabilitation center ensures that patients receive more therapy in a short amount of time to help them meet their goals.

Outpatient care follows, where therapy continues. Other studies have found that stroke patients can continue to regain abilities a year or more after stroke, so it is important that patients and families remain focused. Psychological and social support also is vital during this time.

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Stroke Awareness Month: Quality of life after stroke is possible

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