Rate, degree, and predictors of recovery from disability following ischemic stroke

Abstract

Half of patients with disabling ischemic stroke recovered within 18 months, and recovery was greatest within 6 months. Significant predictors of recovery included the severity of the index stroke and no history of ischemic stroke, peripheral artery disease, or diabetes.

Subjective health complaints predict functional outcome six months after stroke

“…The most dominant finding is that the severity of neurological or functional disability immediately after the stroke has a major influence 3, 4, 5, 6, 7, 8, 9, 28, 29. This has been demonstrated universally and it is also a main finding in our study.…”

“…This has been demonstrated universally and it is also a main finding in our study. In addition higher age,3, 5, 8, 9 female sex,5, 19, 21, 22, 23, 24, 25, 26, 27 prior cerebrovascular disease,3, 5, 8 peripheral artery disease,7 arm paresis,5 diabetes,5, 7 fever,5 TOAST‐classification 4, 28 and infarct location,5, 6, 28 among others, have been reported to be negative predictors. The main results in our study thus are consistent with previous findings, emphasising especially stroke severity and prior cerebrovascular disease in addition to age and sex.…”

“…The degree of disability and reduced functional capacity after stroke is aetiologically multifactorial. The severity of the initial neurologic affection has been established as a main determinant, and some other variables as sex, age, previous cerebrovascular disease and previous peripheral artery disease are frequently reported to be important predictors,3, 4, 5, 6, 7, 8, 9 but more specific knowledge about other possible predictive factors is needed in order to optimise stroke outcome.…”

The predictive value of selected functional and clinical parameters in stroke rehabilitation

“…in mRS) gradual improvement in the performance of activities of daily living and in the range of movement may take from 6 months to up to one and a half year after the stroke. However, the greatest improvement was achieved during the first 6 months [5].…”

Cortical Neurogensis in Adult Brains After Focal Cerebral Ischemia

“…Nevertheless, spontaneous neurological improvement of various degrees occurs in the majority of poststroke patients. It starts from days after stroke, maximizes in the first 3 months, and may last up to 18 months (Hankey et al 2007;Twitchell 1951). The pathophysiological mechanisms responsible for the poststroke spontaneous neurological improvement are sparsely understood.…”