Long-term recovery patterns after a stroke differ in different functional domains and vary by patient age, stroke severity, and stroke type, a new study shows. NeuroTwitter MedTwitter
The researchers, led by Seyoung Shin, MD, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea, explain that a thorough understanding of long-term functional outcomes after stroke is important for setting suitable management plans and correctly informing patients and their families about prognoses.
They analyzed data from a cohort of 4443 patients who underwent repeated functional assessments for 60 months after their stroke.Overall, functional scores showed significant improvement in most domains until 12 or 18 months after stroke onset and then plateaued and declined after 30 months.
In the chronic stage of stroke, on the other hand, functional decline occurred beginning 30 months after onset, which suggests that maintenance care strategies are of utmost importance at that time, they add. "These findings emphasize that older patients with stroke should be monitored closely for possible functional deterioration in the chronic stage," the researchers say.
She added:"This has implications for post-stroke rehabilitation and the duration over which such interventions may continue to optimize functional recovery. It also implies limits on ultimate recovery, especially at higher age, although it is not known whether efforts to maintain functional plateaus may be effective."
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