Excessive daytime sleepiness (EDS) is a prevalent symptom among stroke survivors. This symptom is an independent risk factor for stroke and may reduce stroke survivors' quality of life, cognitive functioning, and daytime functional performance.
Immediately following a stroke, due to the damage inflicted, needs rest. While sleeping, the brain is healing, which is the process of reorganizing and figuring out how to turn itself back on. Brain reorganization takes a lot of rest, so during early post-stroke, sleeping a lot is encouraged.
Regarding the duration of fatigue after stroke, acute fatigue can last up to 6 months, whereas the chronic type can persist in 40% of patients after 2 years. Another study reported fatigue to be still present in one-third of patients up to 6 years after stroke onset.
Many stroke survivors experience overwhelming fatigue, both physically and mentally. Symptoms can include difficulty with self-control, emotions and memory. Some report feeling tired even after a good night's sleep. Others say they feel tired when they perform a task requiring physical or mental focus.
It takes about three months after the stroke for neuroplasticity to return to a more normal state. After that, a survivor can still work on regaining function and practice for improvement, but those improvements may come at a slower pace.”
Stroke impacts the brain, and the brain controls our behavior and emotions. You or your loved one may experience feelings of irritability, forgetfulness, carelessness or confusion. Feelings of anger, anxiety or depression are also common.
Even after surviving a stroke, you're not out of the woods, since having one makes it a lot more likely that you'll have another. In fact, of the 795,000 Americans who will have a first stroke this year, 23 percent will suffer a second stroke.
Although just 10% of people fully recover from a stroke, 25% have only minor impairments and 40% have moderate impairments that are manageable with some special care.
Cognitive problems are usually worst during the first few months after a stroke, but they can and do get better. They're likely to improve most quickly over the first three months, as this is when your brain is at its most active, trying to repair itself.
1–3 Months Post-Stroke
“The first three months after a stroke are the most important for recovery and when patients will see the most improvement,” says Raghavan. During this time, most patients will enter and complete an inpatient rehabilitation program, or make progress in their outpatient therapy sessions.
A stroke can cause several long-term problems, such as memory loss, loss of movement, muscle weakness, or speech problems. People who have had a stroke are also more likely to have another later in life.
Two-thirds of stroke survivors have a condition known as sleep-disordered breathing (SDB), which is characterized by abnormal breathing patterns that interrupt your sleep during the night. As a result of SDB, you may be very sleepy during the day and have more difficulty concentrating or solving problems.
Abstract. Background: The practice of 24 hours of bed rest after acute ischemic stroke thrombectomy is common among hospitals, but its value compared to shorter periods of bed rest is unknown.
Don't Overdo Physical Activity
However, overexerting energy and pushing the body too far can cause injuries that slow down the stroke recovery process. If your loved one gets hurt by taking on too much physical activity, he or she could also injure parts of the body that weren't affected by the stroke.
Few patients recover fully and most are left with some disability, but the majority exhibit some degree of spontaneous recovery. Doctors and scientists don't fully understand how this happens, because the brain does not grow new cells to replace the ones damaged by the stroke.
Stroke seems to run in some families. Several factors may contribute to familial stroke. Members of a family might have a genetic tendency for stroke risk factors, such as an inherited predisposition for high blood pressure (hypertension) or diabetes.
Driving after a stroke
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.
There is no safe number of strokes a person can have, and no set limit on how many someone can have before a stroke is fatal. The more strokes an individual has, the higher the likelihood of lasting damage or death. One in four people who have had a stroke will have another.
As you begin to recover, you might feel that your behaviour changes or improves. You may start feeling better physically and emotionally. But some changes will be long term. You are still the same person, but a stroke may change the way you respond to things.
Changes in your emotions and to your personality are common after stroke. It's very normal to experience strong emotions after stroke, however these emotional reactions usually get better with time. Longer-term emotional and personality changes can be very challenging.
Common post-stroke physical problems include: Weakness, paralysis, and trouble with balance or coordination. Pain, numbness, or burning and tingling feelings. Fatigue, which may continue after you return home.
For this reason, the 60 minutes after the onset of stroke symptoms are known as “the golden hour.” If treatment can be initiated within this brief window, the patient's outcome is likely to be better.