Characteristics of post-stroke fatigue may include: overwhelming tiredness and lack of energy to perform daily activities; abnormal need for naps, rest, or extended sleep; more easily tired by daily activities than pre-stroke; unpredictable feelings of fatigue without apparent reason.
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.
Let your family know post-stroke fatigue can be overwhelming. Try to eat healthy and exercise to prevent other health problems that also can affect your energy level. Talk to your physical therapist to understand fitness, balance disorders, uncoordinated movement and walking related to fatigue.
Fatigue is one of the most common effects of stroke. It can make you feel unwell and like you're not in control of your recovery. The signs of fatigue are not always obvious to other people and so they may not understand how you are feeling.
The Role of Sleep in Stroke Recovery
Quality sleep has many benefits, especially for stroke survivors. Getting a good night's sleep supports neuroplasticity, the brain's ability to restructure and create new neural connections in healthy parts of the brain, allowing stroke survivors to re-learn movements and functions.
The most rapid recovery usually occurs during the first three to four months after a stroke, but some survivors continue to recover well into the first and second year after their stroke. Some signs point to physical therapy.
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.
After six months, improvements are possible but will be much slower. Most stroke patients reach a relatively steady state at this point. For some, this means a full recovery. Others will have ongoing impairments, also called chronic stroke disease.
Some people regain full use of their arm in the weeks after a stroke. Many others still have some weakness, pain, or other problems with their arm. You may continue to benefit from arm therapy. Your medical team can tailor your treatment plan to your needs.
Rehabilitation can help
Rehabilitation therapy can also help you relearn basic skills and increase your strength, flexibility and endurance. Over time, if you follow your rehabilitation therapy, your physical and medical condition will improve, making fatigue less of an issue.
The practice of ≥24 hours of bed rest after acute ischemic stroke thrombolysis is common among hospitals, but its value compared to shorter periods of bed rest is unknown.
Recovery time after a stroke is different for everyone—it can take weeks, months, or even years. Some people recover fully, but others have long-term or lifelong disabilities.
Can I fly after a stroke? People often ask when it is safe to fly after a stroke. It is probably best to avoid flying for the first two weeks. This is the time when your problems are likely to be most severe and other conditions related to your stroke may come up.
Walking outside or on a treadmill, stationary cycling, recumbent cross training and many other forms of exercise that get your heart pumping are extremely beneficial for stroke recovery.
Unfortunately, blood thinners can reduce the risk of clot-related stroke only to increase the risk of stroke related to bleeding and blood vessel rupture. To prevent unwanted complications from blood thinners, patients may need to make lifestyle and adjustments moving forward.
There are significant cognitive and physical disabilities in the second recurrent ischemic stroke as compared to the first-ever one, and the second stroke tend to be more dangerous and carry more disability.
Some people have strokes without realizing it. They're called silent strokes, and they either have no easy-to-recognize symptoms, or you don't remember them. But they do cause permanent damage in your brain. If you've had more than one silent stroke, you may have thinking and memory problems.
No two strokes are the same. Some people may feel more like themselves within just a few days, without any lasting physical or cognitive issues. But for others, it may take several months to heal or adjust to any long-term effects.
The short answer is yes; the brain can heal after acute trauma from a stroke or brain injury, although the degree of recovery will vary. The reason the brain can recover at all is through neuroplasticity, sometimes referred to as brain plasticity.
While the brain normally uses 20% of your total energy, that percentage increases during stroke recovery. This means the brain has less energy left to keep you alert and awake. Aside from helping the brain heal, deep sleep also offers other, fantastic benefits to stroke survivors.
While exercise is necessary for good health and recovery after stroke, it's important for patients to avoid overexercising. Pushing the body too hard can potentially result in regression or exacerbate conditions like post-stroke fatigue.
After a stroke, it is important to start making aerobic exercise part of your routine. Physical inactivity is a risk factor for stroke, so exercising can help prevent a recurrent stroke. In addition to physical benefits, aerobic exercise has been found to promote cognitive recovery in stroke survivors.