Stroke, Vol 15, 1039-1044, Copyright © 1984 by American Heart Association
M Kotila, O Waltimo, ML Niemi, R Laaksonen and M Lempinen
The recovery from stroke of 154 survivors out of 255 stroke patients was
analyzed. The outcomes documented were: discharge from hospital, activities
of daily living (ADL) and return to work. A clear improvement in
neurological and neuropsychological deficits was seen from the acute stage
to three months, and this continued to twelve months, but to a lesser
degree. 69% and 78% respectively, of the patients were at home three and
twelve months after stroke. Independence in ADL increased from 32% acutely
to 62% and 68% by three and twelve months, respectively. Of those gainfully
employed prior to stroke, 55% had returned to work after twelve months. As
a group, SAH patients seemed to recover better, but, for those that could
be age- matched with infarction patients, there was no difference in
outcome. Old age, acute stage hemiparesis, impairment of intelligence and
memory, visuoperceptual deficits, nonadequate emotional reactions, and
living alone all had a major negative influence on outcome. This study
suggests that neurological and neuropsychological deficits, as well as
emotional reactions, influence the outcomes after stroke, and all should be
taken into consideration in prognosis.
ARTICLES
The profile of recovery from stroke and factors influencing outcome
This article has been cited by other articles:
 |
|
 |
|
  K. Daniel, C. D.A. Wolfe, M. A. Busch, and C. McKevitt What Are the Social Consequences of Stroke for Working-Aged Adults?: A Systematic Review Stroke, June 1, 2009; 40(6): e431 - e440. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Cramer, W. J. Koroshetz, and S. P. Finklestein The Case for Modality-Specific Outcome Measures in Clinical Trials of Stroke Recovery-Promoting Agents Stroke, April 1, 2007; 38(4): 1393 - 1395. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Snaphaan and F.-E. de Leeuw Poststroke Memory Function in Nondemented Patients: A Systematic Review on Frequency and Neuroimaging Correlates Stroke, January 1, 2007; 38(1): 198 - 203. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Lotze, J. Markert, P. Sauseng, J. Hoppe, C. Plewnia, and C. Gerloff The role of multiple contralesional motor areas for complex hand movements after internal capsular lesion. J. Neurosci., May 31, 2006; 26(22): 6096 - 6102. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Hackett, C. Yapa, V. Parag, and C. S. Anderson Frequency of Depression After Stroke: A Systematic Review of Observational Studies Stroke, June 1, 2005; 36(6): 1330 - 1340. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A Olofsson, S-O Andersson, and B Carlberg 'If only I manage to get home I'll get better'-Interviews with stroke patients after emergency stay in hospital on their experiences and needs Clinical Rehabilitation, April 1, 2005; 19(4): 433 - 440. [Abstract] [PDF]
|
|
|
|
|
|
J.K. McGill, L. Gallagher, H.V.O. Carswell, E.A. Irving, A.F. Dominiczak, and I.M. Macrae Impaired Functional Recovery After Stroke in the Stroke-Prone Spontaneously Hypertensive Rat Stroke, January 1, 2005; 36(1): 135 - 141. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Perk and K. Alexanderson Chapter 8. Sick leave due to coronary artery disease or stroke Scand J Public Health, October 1, 2004; 32(63_suppl): 181 - 206. [Abstract] [PDF]
|
|
|
|
 |
|
 E. A. Fridman, T. Hanakawa, M. Chung, F. Hummel, R. C. Leiguarda, and L. G. Cohen Reorganization of the human ipsilesional premotor cortex after stroke Brain, April 1, 2004; 127(4): 747 - 758. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Pyoria, P. Era, and U. Talvitie Relationships Between Standing Balance and Symmetry Measurements in Patients Following Recent Strokes (<=3 Weeks) or Older Strokes (>=6 Months) Physical Therapy, February 1, 2004; 84(2): 128 - 136. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Desrosiers, F. Malouin, D. Bourbonnais, C. L Richards, A. Rochette, and G. Bravo Arm and leg impairments and disabilities after stroke rehabilitation: relation to handicap Clinical Rehabilitation, June 1, 2003; 17(6): 666 - 673. [Abstract] [PDF]
|
|
|
|
|
|
M. Patel, C. Coshall, A. G Rudd, and C. D. Wolfe Natural history of cognitive impairment after stroke and factors associated with its recovery Clinical Rehabilitation, February 1, 2003; 17(2): 158 - 166. [Abstract] [PDF]
|
|
|
|
|
|
H. E. Andersen, K. Eriksen, A. Brown, K. Schultz-Larsen, and B. H. Forchhammer Follow-up services for stroke survivors after hospital discharge-a randomized control study Clinical Rehabilitation, June 1, 2002; 16(6): 593 - 603. [Abstract] [PDF]
|
|
|
|
|
|
C L Watkins, M J Leathley, J M Gregson, A P Moore, T L Smith, and A K Sharma Prevalence of spasticity post stroke Clinical Rehabilitation, May 1, 2002; 16(5): 515 - 522. [Abstract] [PDF]
|
|
|
|
 |
|
 F. d. N. A. P. Shelton, B. T. Volpe, and M. Reding Motor Impairment as a Predictor of Functional Recovery and Guide to Rehabilitation Treatment After Stroke Neurorehabil Neural Repair, September 1, 2001; 15(3): 229 - 237. [Abstract] [PDF]
|
|
|
|
|
|
D. K Sommerfeld and M. H von Arbin Disability test 10 days after acute stroke to predict early discharge home in patients 65 years and older Clinical Rehabilitation, May 1, 2001; 15(5): 528 - 534. [Abstract] [PDF]
|
|
|
|
|
|
E. Chemerinski, R. G. Robinson, and J. T. Kosier Improved Recovery in Activities of Daily Living Associated With Remission of Poststroke Depression Stroke, January 1, 2001; 32(1): 113 - 117. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Kim and S. Choi-Kwon Poststroke depression and emotional incontinence: Correlation with lesion location Neurology, May 9, 2000; 54(9): 1805 - 1810. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. C. Johnston, A. F. Connors Jr, D. P. Wagner, W. A. Knaus, X.-Q. Wang, and E. C. Haley Jr A Predictive Risk Model for Outcomes of Ischemic Stroke Stroke, February 1, 2000; 31(2): 448 - 455. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Wozniak, S. J. Kittner, T. R. Price, J. R. Hebel, M. A. Sloan, and J. F. Gardner Stroke Location Is Not Associated With Return to Work After First Ischemic Stroke Stroke, December 1, 1999; 30(12): 2568 - 2573. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Di Carlo, M. Lamassa, G. Pracucci, A. M. Basile, G. Trefoloni, P. Vanni, C. D. A. Wolfe, K. Tilling, S. Ebrahim, and D. Inzitari Stroke in the Very Old : Clinical Presentation and Determinants of 3-Month Functional Outcome: A European Perspective Stroke, November 1, 1999; 30(11): 2313 - 2319. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. D. Bushnell, B. G. Phillips-Bute, D. T. Laskowitz, J. R. Lynch, V. Chilukuri, and C. O. Borel Survival and outcome after endotracheal intubation for acute stroke Neurology, April 1, 1999; 52(7): 1374 - 1374. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Berrouschot, H. Barthel, R. von Kummer, W. H. Knapp, S. Hesse, and D. Schneider 99mTechnetium-Ethyl-Cysteinate-Dimer Single-Photon Emission CT Can Predict Fatal Ischemic Brain Edema Stroke, December 1, 1998; 29(12): 2556 - 2562. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Pohjasvaara, A. Leppavuori, I. Siira, R. Vataja, M. Kaste, and T. Erkinjuntti Frequency and Clinical Determinants of Poststroke Depression Stroke, November 1, 1998; 29(11): 2311 - 2317. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Chang and A. E. Mackenzie State Self-Esteem Following Stroke Stroke, November 1, 1998; 29(11): 2325 - 2328. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Li, N. Jiang, C. Powers, M. Chopp, and B. B. Johansson Neuronal Damage and Plasticity Identified by Microtubule-Associated Protein 2, Growth-Associated Protein 43, and Cyclin D1 Immunoreactivity After Focal Cerebral Ischemia in Rats • Editorial Comment Stroke, September 1, 1998; 29(9): 1972 - 1981. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Kotila, H. Numminen, O. Waltimo, and M. Kaste Depression After Stroke : Results of the FINNSTROKE Study Stroke, February 1, 1998; 29(2): 368 - 372. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Pohjasvaara, T. Erkinjuntti, R. Vataja, and M. Kaste Comparison of Stroke Features and Disability in Daily Life in Patients With Ischemic Stroke Aged 55 to 70 and 71 to 85 Years Stroke, April 1, 1997; 28(4): 729 - 735. [Abstract] [Full Text]
|
|
|
|
|
|
D. W. Desmond, J. T. Moroney, M. Sano, and Y. Stern Recovery of Cognitive Function After Stroke Stroke, October 1, 1996; 27(10): 1798 - 1803. [Abstract] [Full Text]
|
|
|
|
|
|
N. E. Alexis, W. D. Dietrich, E. J. Green, R. Prado, and B. D. Watson Nonocclusive Common Carotid Artery Thrombosis in the Rat Results in Reversible Sensorimotor and Cognitive Behavioral Deficits Stroke, December 1, 1995; 26(12): 2338 - 2346. [Abstract] [Full Text]
|
|
|
|
|
|
S. Mori, S. Sadoshima, S. Ibayashi, M. Fujishima, and K. Iino Impact of Thalamic Hematoma on Six-Month Mortality and Motor and Cognitive Functional Outcome Stroke, April 1, 1995; 26(4): 620 - 626. [Abstract] [Full Text]
|
|
|
|
|
|
A.-L. Ohlsson and B. B. Johansson Environment Influences Functional Outcome of Cerebral Infarction in Rats Stroke, April 1, 1995; 26(4): 644 - 649. [Abstract] [Full Text]
|
|
|
|
|
|
H. Henon, O. Godefroy, D. Leys, F. Mounier-Vehier, C. Lucas, P. Rondepierre, A. Duhamel, and J. P. Pruvo Early Predictors of Death and Disability After Acute Cerebral Ischemic Event Stroke, March 1, 1995; 26(3): 392 - 398. [Abstract] [Full Text]
|
|
|
|
|
|
D. A. Gelber, B. Josefczyk, D. Herrman, D. C. Good, and S. J. Verhulst Comparison of Two Therapy Approaches in the Rehabilitation of the Pure Motor Hemiparetic Stroke Patient Neurorehabil Neural Repair, January 1, 1995; 9(4): 191 - 196. [Abstract] [PDF]
|
|
|
|
|
|
D. C. Good Treatment Strategies for Enhancing Motor Recovery in Stroke Rehabilitation Neurorehabil Neural Repair, January 1, 1994; 8(4): 177 - 186. [Abstract] [PDF]
|
|
|
|
|
|
S. Saeki, H. Ogata, T. Okubo, K. Takahashi, and T. Hoshuyama Impact of factors indicating a poor prognosis on stroke rehabilitation effectiveness Clinical Rehabilitation, May 1, 1993; 7(2): 99 - 104. [Abstract] [PDF]
|
|
|
|
|
|
H. Ring, M. Feder, and L. Rahmani The outcome of a second stroke: the impact on hemispheric functioning Clinical Rehabilitation, May 1, 1992; 6(2): 145 - 151. [Abstract] [PDF]
|
|
|
|
 |
|
 R. M. Parikh, R. G. Robinson, J. R. Lipsey, S. E. Starkstein, J. P. Fedoroff, and T. R. Price The Impact of Poststroke Depression on Recovery in Activities of Daily Living Over a 2-Year Follow-up Arch Neurol, July 1, 1990; 47(7): 785 - 789. [Abstract] [PDF]
|
|
|
|
|
|
C. Lang, T. Berendes, W. Sauerbrei, P. Bartelsen, and B. Neundorfer Is Aphasia a Significant Prognostic Factor for the Recovery of Function After Ischemic Stroke Causing Hemiparesis? Neurorehabil Neural Repair, January 1, 1989; 3(4): 177 - 186. [Abstract] [PDF]
|
|