Wednesday, April 10, 2024

Fatigue After Stroke Recovery Time

Must Read

See How Other Survivors Are Doing At Different Stages

Fatigue after stroke

Its worth repeating that every stroke is different and therefore every recovery is different. Where one survivor is at the 5-year mark will differ greatly from others.

Still, it can be motivating to see how others are doing at different moments in their own unique stroke recovery timelines.

Below are some great examples of survivors pushing for recovery years after stroke. These are videos from our very own FitMi home therapy users, who submitted videos to help others see how much they have progressed:

Leaving The Hospital After A Stroke

Your care team will formulate a discharge plan that will depend on your level of functional impairment. After the hospital stay, you might continue your rehabilitation:

  • In an inpatient rehabilitation unit or independent rehabilitation facility, if you can benefit from being monitored by a physician and can tolerate three hours of therapy per day
  • At a subacute rehabilitation facility, if you require a slower course of rehabilitation with one to two hours of therapy daily
  • At home with visits to an outpatient rehabilitation clinic as needed

You dont have to be at 100% health to return home after a stroke, says Pruski. If you can perform most of your regular daily activities in your home environment and/or you have family support to assist with these activities, you can go home.

Rehabilitation Effects Of Fatigue

  • 1Qiushi Academy for Advanced Studies, Zhejiang University, Hangzhou, China
  • 2Key Laboratory of Biomedical Engineering of Ministry of Education, Zhejiang Provincial Key Laboratory of Cardio-Cerebral Vascular Detection Technology and Medicinal Effectiveness Appraisal, College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou, China
  • 3Department of Endocrinology, The Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
  • 4Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, ShaTin, Hong Kong
  • 5Department of Biomedical Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong

Background: Traditional rehabilitation with uniformed intensity would ignore individual tolerance and introduce the second injury to stroke survivors due to overloaded training. However, effective control of the training intensity of different stroke survivors is still lacking. The purpose of the study was to investigate the rehabilitative effects of electromyography -based fatigue-controlled treadmill training on rat stroke model.

Also Check: Can You Put A Chair On An Anti Fatigue Mat

Who Is Affected By Post

People have different levels of fatigue, from mild to severe. It can happen after any type of stroke, and you can have severe fatigue after a relatively mild stroke or a TIA. Even if you have made a full physical recovery, or your stroke was some time ago, fatigue can still be a problem. Fatigue can start immediately after a stroke, and often improves over time, but it can also appear sometime later.

Post-stroke fatigue may be more common among older people and women. It is not caused by depression and anxiety, although its possible for someone with depression or low mood to also have post-stroke fatigue. Many people describe fatigue as the most difficult and upsetting problem they have to cope with after a stroke. You may not feel able to engage fully in rehabilitation because you feel so tired. It can affect your ability to regain your independence in day-to-day life, and it can be difficult to return to work or to socialise and enjoy everyday activities. It can also affect your quality of life and relationships, as family and friends may not understand how genuinely exhausted you feel on a daily basis.

Driving After A Stroke

Fatigue linked to stroke recovery

If you have had a stroke or TIA, you can not drive for 1 month. Whether you can return to driving depends on what long-term disabilities you may have and the type of vehicle you drive.

It’s often not physical problems that can make driving dangerous, but problems with concentration, vision, reaction time and awareness that can develop after a stroke.

Your GP can advise you on whether you can start driving again 1 month after your stroke, or whether you need further assessment at a mobility centre.

Recommended Reading: How To Heal Adrenal Fatigue Fast

Fitmi Is Beloved By Survivors And Used In Americas Top Rehab Clinics

Many therapists recommend using FitMi at home between outpatient therapy visits and they are amazed by how much faster patients improve when using it.

Its no surprise why over 14,000 OTs voted for FitMi as Best of Show at the annual AOTA conference and why the #1 rehabilitation hospital in America, Shirley Ryan Ability Lab, uses FitMi with their patients.

This award-winning home therapy device is the perfect way to continue recovery from home. Read more stories and reviews by clicking the button below:

Do you have these 25 pages of rehab exercises?

Get a free copy of our ebook 15 Things Every TBI Survivor Must Know.

Electromyography Mean Power Frequency Drop Rate During Treadmill Training

In this work, the fatigue level was monitored through the EMG MPF drop rate during treadmill training in both the FOR-T and FAT-C groups. The representative trials on the MPF drop rates paired with EMG signals obtained in the FOR-T and FAT-C groups are shown in Figures 5A,B, respectively. Figure 6 shows the daily MPF drop rates of both the hind limbs in the FOR-T and FAT-C groups. Table 1 summarizes the mean values and 95% confidence intervals of the MPF drop rates in Figure 6 and the results of two-way ANOVA with effect sizes , concerning the factors of timepoint and group. The probabilities for the MPF drop rate varying over the time in each group and those for the intergroup comparison on each different timepoints analyzed by one-way ANOVA are also included in Table 1.

Figure 5. Representative trials of the MPF drop rate during treadmill training in the FOR-T group and FAT-C groups. The red lines were real-time MPF drop rates. The gray parts were EMG thumbnails, and the amplitude around ±0.5 mV stood for scuttle, while the amplitude around 0 mV represented the 3 min rest. The black line was the MPF threshold for the FAT-C group.

Table 1. Comparison of the MPF drop rate with respect to the independent factors of the time point and group.

Don’t Miss: Is Fatigue A Sign Of Pregnancy

Be Prepared For Changed Behaviour

Someone who’s had a stroke can often seem as though they have had a change in personality and appear to act irrationally at times.

This is the result of the psychological and cognitive impact of a stroke.

They may become angry or resentful towards you. Upsetting as it may be, try not to take it personally.

It’s important to remember they’ll often start to return to their old self as their rehabilitation and recovery progresses.

My Husband Is Getting Better And Better

Fatigue and Energy Conservation after Stroke

My name is Monica Davis but the person who is using the FitMi is my husband, Jerry. I first came across FitMi on Facebook. I pondered it for nearly a year. In that time, he had PT, OT and Speech therapy, as well as vision therapy.

I got a little more serious about ordering the FitMi when that all ended 7 months after his stroke. I wish I hadnt waited to order it. He enjoys it and it is quite a workout!

He loves it when he levels up and gets WOO HOOs! It is a wonderful product! His stroke has affected his left side. Quick medical attention, therapy and FitMi have helped him tremendously!

Monica & Jerrys FitMi review

Don’t Miss: Is Fatigue A Symptom Of Ms

Getting Support For Post

If you struggle with post-stroke fatigue, reach out for help from your medical team.

Your doctor may be able to adjust your medication if fatigue is listed as a side effect of any current prescriptions.

If you have demanding secondary effects, like post-stroke pain or paralysis, your therapist might be able to help. For example, they can try electrical stimulation to see if it helps accelerate recovery.

Ultimately, you should experiment with as many treatments as possible until you find something that helps you. Remember to pace yourself and rest when you need it. Good luck!

Different Fatigue Patterns Led To The Differences In Both Symmetry Index And Motor Function Recovery

Both the FAT-C and FOR-T groups showed negative values of SI at the beginning of rehabilitation and increasing trends along with rehabilitation interventions . However, only the FAT-C group achieved significant balance improvement in the late stage of rehabilitation . The negative values of SI represented more usage in the UN hind limb and the imbalance of hind limbs post-stroke. The motor deficits were also observed in the behavioral scores . The increasing trend of SI implied a more balanced usage of hind limbs and accompanied by the recovery of beam balance function . The increase of SI paired with motor function recovery was also observed in previous studies .

Also Check: Does Skin Cancer Cause Fatigue

Stroke Recovery Timeline: How Long Does It Take To Recover

Courtney Maher, OTR/L Flint Rehab

How long does it take to recover from a stroke? This is a common question from both survivors and caregivers, and the answer is complicated.

Your stroke recovery timeline will look different from other survivors because the rate of recovery is unique to everyone.

Although its impossible to tell exactly how long it takes to recover from a stroke, this article will provide an overview of some common patterns and milestones.

Use the links below to jump straight to any section:

Factors That Impact Your Unique Stroke Recovery Time

Tired After a Stroke? Understanding Post

If youre eager to understand more about your potential stroke recovery timeline, there are two factors worth digging into: the size and location of the stroke.

Regarding size, if a stroke is mild, the brain damage may be minimal and, as a result, recovery often occurs faster. When a stroke is considered massive , recovery may take longer and require intensive work.

Regarding location, a stroke can affect many different areas of the brain. This complicates recovery outlook because different areas of the brain control different functions. Therefore, depending on the area of the brain that was damaged, the secondary effects will vary.

For instance, a stroke in the left hemisphere may impair language . But an individual with a right hemisphere stroke may have completely different secondary effects.

As you can imagine, the differences in the size and location of a stroke have profound implications on every individuals stroke recovery timeline. Additionally, your age and overall health prior to the stroke can affect the recovery timeline. Generally speaking, the younger you are and the healthier and more active you were prior to your stroke, the faster your recovery will be.

As you proceed with recovery and rehabilitation, it can help to understand what to expect and what milestones may occur. We will discuss this next.

Recommended Reading: Diseases That Cause Joint Pain And Fatigue

How Dispatchhealth Can Help

Post-stroke fatigueand other things youre dealing with as you recover from a strokecan make it tough to return to daily life. Whereas, before the stroke, traveling to the urgent care clinic or emergency room for a problem like the flu or a sprained ankle was no problem, nows a different story. If youre too fatigued to travel to the doctor, DispatchHealth can help. We provide in-home medical care for people who have had a stroke and are too tired to get behind the wheel of a car. Our qualified medical professionals can be at your doorstep within a few hours.

We accept most major medical insurance carriers, including Medicare and Medicaid, and we also offer an affordable flat rate for uninsured patients. All you have to do is to request care. Fatigue is difficult enough to manage without having to deal with crowded waiting rooms when you need medical attentionwere standing by to provide the care you need within the comfort of your own home.

Diagnostic Criteria And Psf Awareness

A major limitation of existing fatigue PROMs is the lack of clear diagnostic criteria. The stroke survivors in this study experienced fatigue in the early phase after stroke, similar to observations made by health professionals. Both stroke survivors and health professionals described how PSF interfered with the rehabilitation process. Nevertheless, both patients and health professionals interpreted PSF during this stage as a normal response, and did not necessarily recognize it as a significant problem. This is in agreement with a previous study reporting that fatigue first became evident during hospital admission, but the impact on role loss was not realized until after discharge . In contrast, the case definition for PSF developed by Lynch et al. contains individual criteria for detecting PSF during hospitalization, as the authors acknowledge PSF in the early phase to be important. In addition, a longitudinal observational study found that having PSF in the early phase after a stroke was an independent risk factor for poor physical health 18months after stroke . These prior studies highlight the importance of assessing and diagnosing PSF in the early phase after stroke.

Read Also: Early Symptoms Of Chronic Fatigue Syndrome

What Are These Woo Hoos About

FitMi is like your own personal therapist encouraging you to accomplish the high repetition of exercise needed to improve.

When you beat your high score or unlock a new exercise, FitMi provides a little woo hoo! as auditory feedback. Its oddly satisfying and helps motivate you to keep up the great work.

In Jerrys photo below, you can see him with the FitMi pucks below his feet for one of the leg exercises:

What You Can Do

7 Tips to Improve Neuro Fatigue After Stroke

After a stroke, you can take a number of positive steps to cope with fatigue-related issues, including:

  • Ask your physician or therapists how you can keep or regain your energy
  • Plan rest time as fatigue is a genuine stroke symptom, and you will tire more easily
  • Dont overdo it
  • Learn what foods, exercises or lifestyle habits can help you regain strength
  • Be careful to stand up or get out of bed slowly, because you can get dizzy from the sudden change in blood pressure
  • Communicate with your caregivers about your levels of fatigue, and make sure they understand how you are feeling
  • Get in touch with your local stroke advocacy group

Don’t Miss: Does Irregular Heartbeat Cause Fatigue

Motor Recovery And Residual Disability

Patients who feel that they have not made a full recovery are significantly more likely to be fatigued than those who make a full recovery. However, in patients with excellent neurological and neuropsychological recovery, as in patients with minor stroke or TIA, post-stroke fatigue may be the only persisting sequela, which may severely limit a complete recovery of their previous level of functioning. Even if the prevalence of fatigue after a minor stroke is usually higher than after TIA, fatigue can also be present after a transient neurological deficit. In these cases, the influence of additional depressive and anxious factors on the impact of fatigue should be addressed . However, Winward et al. have described that patients with minor stroke reported significantly higher levels of fatigue at 6-month follow-up than those with TIA and this difference was independent of measured potential confounders for fatigue, including anxiety, depression, recent life events, relevant blood tests, and medication this suggests that an excess of fatigue in patients with minor stroke indicates a causal association between fatigue and cerebrovascular accident. Although fatigue can be related to increased physical efforts associated with severe neurological deficits, the presence of fatigue in stroke patients with little or no motor deficit suggests that this excess of fatigue, compared with TIA patients, is most likely attributable to central mechanisms.

Stroke Recovery Timeline: What You Need To Know

How long does it take to recover from a stroke? This is a typical inquiry from the survivors and caregivers. In fact, the stroke recovery timeline is a little bit complicated. Sometimes, the process can be gradual and uncertain, and different individuals recover in various ways. Sydney-based facelift surgeon Dr. Alan Evans can help treat and fix specific side effects of stroke. Also, treatment may vary depending on the symptoms. This article will help you know what to expect after you or a loved one experiences a stroke.

How long does it take to recover from a stroke? This is a typical inquiry from the survivors and caregivers. In fact, the stroke recovery timeline is a little bit complicated. Sometimes, the process can be gradual and uncertain, and different individuals recover in various ways. Sydney-based facelift surgeon Dr. Alan Evans can help treat and fix specific side effects of stroke. Also, treatment may vary depending on the symptoms. This article will help you know what to expect after you or a loved one experiences a stroke.

You May Like: Upper Back Pain And Fatigue

Check Your Medication For Side Effects

Sometimes fatigue is a side effect of certain medication. Check to see if fatigue is listed as a side effect on any of your medications. If so, talk to your doctor. They may be able to switch medications, or offer other ways to improve fatigue.

Even if youre fairly certain your medication is contributing to your fatigue, always talk with your doctor before making any medication changes.

How Long Does It Take To Recover From A Stroke

90. Stroke Fatigue and Thyroid

A stroke occurs when the supply of blood in the brain is compromised either by a clogged artery or burst artery .

When this happens, the affected area of the brain does not receive enough oxygen-rich blood. This is why swift treatment is essential to stop the stroke, restore blood flow in the brain, and save a life.

How long it takes to recover from a stroke depends on many different factors, such as the size and location of the stroke, as well as your age and overall health prior to the stroke. The speed of treatment also has an effect on recovery outlook.

Generally speaking, recovery tends to occur faster for minor strokes than for strokes that impacted larger areas of the brain. Its impossible to tell, though. For this reason, experts are often found saying, Every stroke is different, therefore every recovery will be different.

Also Check: Anti Fatigue Memory Foam Kitchen Mat

More articles

Popular Articles