Yuma Sun

4 steps for life after a stroke

The first three months after a stroke are especially critical

- By Family Features Photos courtesy of Getty Images

In the weeks and months immediatel­y following a stroke, an early rehabilita­tion program offers the best possible recovery outcomes. While each patient’s journey may be different, starting the path toward rehabilita­tion as soon as it’s medically safe allows stroke survivors to mitigate the lasting effects.

According to the American Stroke Associatio­n, a division of the American Heart Associatio­n, each year, approximat­ely 800,000 people in the United States have a stroke. About 4 in 5 people who suffer a stroke will survive, but the majority have some degree of physical impairment or disability.

Early Interventi­on

The first three months after a stroke are especially critical. Although recovery may continue for years after a stroke, this golden time in the immediate aftermath of a stroke is when the brain is most able to adjust to the damage done by the stroke so the survivor can learn new ways to do things.

“There is a critical period of neuroplast­icity, which is the brain’s ability to create new connection­s where there has been damage from a stroke,” said Elissa Charbonnea­u, M.S., D.O., chief medical officer of Encompass Health and an American Stroke Associatio­n volunteer. “The early period after a stroke is crucial for helping the brain to establish those connection­s again.”

Customized Rehabilita­tion

Once a stroke survivor’s medical condition is stabilized and he or she is ready to leave the hospital, post-stroke rehabilita­tion can help restore function and teach new ways to complete everyday tasks. Rehabilita­tion may take place in an inpatient facility, skilled nursing facility, long-term acute care facility or nursing home. Outpatient clinics and home health agencies can also provide rehabilita­tive care in certain circumstan­ces.

One patient’s rehab journey might include therapy to improve balance, strength or mobility, while another might need speech or other therapies. A rehabilita­tion designed for the individual is critical.

Support for Your Journey

Following a stroke, your medical team will likely help connect you with a local rehabilita­tion center where you can find experts to guide your rehabilita­tion and recovery. Other resources, including the American Stroke Associatio­n, provide resources for stroke rehab and recovery including step-by-step videos for stroke survivors and caregivers.

One patient’s rehab journey might include therapy to improve balance, strength or mobility, while another might need speech or other therapies. A rehabilita­tion designed for the individual is critical.

These tools help answer your questions, explain what to expect and address practical concerns like how to approach daily living tasks such as grocery shopping, doing laundry and meal preparatio­n.

Preventing a Recurrence

After a first stroke, 1 in 4 survivors will have another. Although some risk factors, like age, gender and family history, are beyond control, survivors have the power to reduce that risk by working with a doctor.

Simple habits like eating healthfull­y, moving more and taking medication­s as prescribed can help your brain and reduce your risk of a repeat stroke. Controllin­g conditions like high blood pressure, diabetes and sleep apnea also reduce your risk of having another stroke.

Find additional recovery tips, including advice from stroke survivors, caregivers and health care profession­als, at stroke. org/recoveryti­ps.

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