{"id":16983,"date":"2020-07-06T16:01:05","date_gmt":"2020-07-06T14:01:05","guid":{"rendered":"https:\/\/neurologiaclinica.es\/recovery-after-stroke-is-there-a-window-of-time\/"},"modified":"2025-04-17T12:41:24","modified_gmt":"2025-04-17T10:41:24","slug":"recovery-after-stroke-is-there-a-window-of-time","status":"publish","type":"post","link":"https:\/\/neurologiaclinica.es\/en\/recovery-after-stroke-is-there-a-window-of-time\/","title":{"rendered":"Recovery after stroke: Is there a window of time?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Traditionally it has been considered that recovery, or improvement of the sequelae after a stroke, occurs most significantly during the first three months, and that after six months it is unlikely that changes will be observed. However, in recent years we have seen several studies that have shown that up to one in four patients continue to improve up to twelve months and that this improvement can be facilitated by some rehabilitation therapies.  (1,2)<\/p>\n\n<p class=\"wp-block-paragraph\">A prospective study of 1,135 patients in the United Kingdom (Oxford) who suffered an ischemic stroke has recently been published. It was evaluated what percentage of them continued to improve between three and twelve months after the stroke and whether this late improvement was related to functional status at five years.  (3)<\/p>\n\n<p class=\"wp-block-paragraph\">It was observed that between three and twelve months, 28% of the patients continued to improve on the Rankin scale, which measures the degree of dependence of the person in daily activities. Of these patients, in one out of three, improvement was observed after six months.   <\/p>\n\n<p class=\"wp-block-paragraph\">When the evolution at five years was compared, it was seen that mortality and the risk of admission to socio-health centers was lower in those who had had a late improvement compared to those who had not progressed after three months after the stroke.  <\/p>\n\n<p class=\"wp-block-paragraph\">Therefore, the first year after stroke is the window of time in which neurological rehabilitation should be promoted. Early and intensive rehabilitation treatment has been associated with better functional recovery. <\/p>\n\n<ol class=\"wp-block-list\" type=\"1\"><li>Ganesh A, Luengo-Fernandez R, Wharton RM, et al. Time course of evolution of disability and cause-specific mortality after ischemic stroke: implications for trial design. J Am Heart Assoc 2017; 6:pii:e005788.  <\/li><li>Wolf SL, Winstein CJ, Miller JP, et al. Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the excite randomized clinical trial. JAMA 2006; 296:2095-104.  <\/li><li>Ganesh A, Luengo-Fernandez R, Rothwell P.M. late functional improvement and 5-year poststroke outcomes: a population-based cohort study. J Neurol Neurosurg Psychiatry 2020; 0:1-9. <\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Traditionally it has been considered that recovery, or improvement of the sequelae after a stroke, occurs most significantly during the first three months, and that after six months it is unlikely that changes will be observed. However, in recent years we have seen several studies that have shown that up to one in four patients [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":16218,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[569,557],"tags":[689,618,690,691,683,692,693],"class_list":["post-16983","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-neurology","category-neuro-rehabilitation","tag-drariva-en","tag-ictus-en","tag-neurorehabilitation-en","tag-neurorehabilitation-ruber","tag-ruber-neurology","tag-stroke-recovery","tag-stroke-rehabilitation"],"_links":{"self":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/posts\/16983","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/comments?post=16983"}],"version-history":[{"count":1,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/posts\/16983\/revisions"}],"predecessor-version":[{"id":16984,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/posts\/16983\/revisions\/16984"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/media\/16218"}],"wp:attachment":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/media?parent=16983"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/categories?post=16983"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/tags?post=16983"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}