After Stroke

Stroke Rehabilitation

Recovery and rehabilitation are import aspects of stroke treatment. In some cases, undamaged areas of the brain may be able to perform functions that were lost when the stroke occurred.

Rehabilitation includes physical therapy, speech therapy, and occupational therapy. Physical therapy involves using exercise and other physical means (e.g., massage, heat) to help patients regain the use of their arms and legs and prevent muscle stiffness in patients with permanent paralysis.

Speech therapy helps patients regain the ability to speak. Occupational therapy helps patients regain independent function and relearn basic skills (e.g., buttoning a shirt, preparing a meal, bathing).

Stroke Prognosis

Prognosis depends on the type of stroke, the degree and duration of obstruction or hemorrhage, and the extent of brain tissue death. Most stroke patients experience some permanent disability that may interfere with walking, speech, vision, understanding, reasoning, or memory.

Approximately 70% of ischemic stroke patients are able to regain their independence and 10% recover almost completely. Approximately 25% of patients die as a result of the stroke. The location of a hemorrhagic stroke is an important factor in the outcome, and this type generally has a worse prognosis than ischemic stroke.

Publication Review By: Stanley J. Swierzewski, III, M.D.

Published: 02 Jan 2000

Last Modified: 25 May 2011