If you have problems with movement and certain activities, such as getting washed and dressed, you may also receive help from an occupational therapist. The physiotherapist can teach you both simple exercises you can do at home.
At first, these may be simple goals, such as picking up an object.Īs your condition improves, more demanding long-term goals, such as standing or walking, will be set.Ī careworker or carer, such as a member of your family, will be encouraged to become involved in your physiotherapy. The physiotherapist will work with you by setting goals. Physiotherapy will often involve several sessions a week, focusing on areas such as exercises to improve your muscle strength and overcome any walking difficulties. Many people also experience extreme tiredness (fatigue) in the first few weeks after a stroke, and may also have difficulty sleeping, making them even more tired.Īs part of your rehabilitation, you should be seen by a physiotherapist, who'll assess the extent of any physical disability before creating a treatment plan. Strokes can cause weakness or paralysis on one side of the body, and can result in problems with co-ordination and balance. Stroke Association: problems with memory and thinking (cognitive problems).This may happen immediately after a stroke or it may develop some time later. The damage a stroke causes to your brain also increases the risk of developing vascular dementia. Most cognitive functions will return with time and rehabilitation, but you may find they do not return to the way they were before. There are many ways to compensate for any loss of cognitive function, such as using memory aids, diaries and routines to help plan daily tasks. You can be taught a wide range of techniques that can help you relearn disrupted cognitive functions, such as recovering your communication skills through speech and language therapy. praxis – the ability to carry out skilled physical activities, such as getting dressed or making a cup of teaĪs part of your treatment, each one of your cognitive functions will be assessed, and a treatment and rehabilitation plan will be created.executive function – the ability to plan, solve problems and reason about situations.spatial awareness – having a natural awareness of where your body is in relation to your immediate environment.One or more cognitive functions can be disrupted by a stroke, including: Stroke Association: emotional changes after a strokeĬognitive is a term that refers to the many processes and functions the brain uses to process information.These problems may settle down over time, but if they're severe or last a long time, GPs can refer people for expert healthcare from a psychiatrist or clinical psychologist.įor some people, medicines and psychological therapies, such as counselling or cognitive behavioural therapy (CBT) may help.ĬBT is a therapy that aims to change the way you think about things to produce a more positive state of mind. There should also be a regular review of any problems of depression and anxiety, and psychological and emotional symptoms generally. This includes the impact on relationships with other family members and any sexual relationship. You'll receive a psychological assessment from a member of your healthcare team soon after your stroke to check if you're experiencing any emotional problems.Īdvice should be given to help you deal with the psychological impact of stroke. anxiety – where people experience general feelings of fear and anxiety, sometimes with moments of intense, uncontrolled feelings of anxiety (anxiety attacks)įeelings of anger, frustration and bewilderment are also common.depression – many people experience intense bouts of crying, feel hopeless and withdraw from social activities.
Two of the most common psychological problems that can affect people after a stroke are: National Institute for Health and Care Excellence (NICE): stroke rehabilitation in adults.
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