Abstract
The experience of having a stroke involves changes to many activities in social, leisure and work life, and the way we interact with the world. The purpose of this chapter is to describe the changes in mind-body interactionthat affect people who have experienced a stroke. We will explain health strategies important after stroke, and describe specific mind-body problems that affect daily life: issues with movement and mobility, problems perceiving and moving in the 3-D world, problems with sensation, self-awareness, and pain. We also discuss mind-body problems with mood and emotion, social function, concentration and memory problems, and communication disorder (aphasia) and fatigue. We end the chapter describing important steps in returning to the community for stroke survivors and their families, and cultural issues.
Keywords
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Adair, J. C., & Barrett, A. M. (2011). Anosognosia. In K. M. Heilman & E. Valenstein (Eds.), Clinical neuropsychology (5th ed., pp. 198–213). New York: Oxford University Press.
Bakheit, A. M., & Roundhill, S. (2005). Supernumerary phantom limb after stroke. Postgraduate Medical Journal, 81(953), e2.
Barrett, A. M., & Foundas, A. L. (2004). Apraxia. In M. Rizzo & P. J. Eslinger (Eds.), Principles and practice of behavioral neurology and neuropsychology (pp. 409–422). Philadelphia: Saunders/Churchill Livingstone/Mosby.
Barrett, A. M., Galletta, E. E., Zhang, J., Masmela, J. R., & Adler, U. S. (2014). Stroke survivors over-estimate their medication self-administration (MSA) ability, predicting memory loss. Brain Injury, 28(10), 1328–1333.
Brodaty, H., Withall, A., Altendorf, A., & Sachdev, P. S. (2007). Rates of depression at 3 and 15 months poststroke and their relationship with cognitive decline: the Sydney Stroke Study. The American Journal of Geriatric Psychiatry, 15(6), 477–486.
Centers for Disease Control and Prevention. (2015). Stroke. Retrieved May 15, 2015, from www.cdc.gov/stroke.
Chae, J. (2010). Poststroke complex regional pain syndrome. Topics in Stroke Rehabilitation, 17(3), 151–162.
Chen, P., Hreha, K., Kong, Y., & Barrett, A. M. (2015). Impact of spatial neglect on stroke rehabilitation: Evidence from the setting of an inpatient rehabilitation facility. Archives of Physical Medicine and Rehabilitation, 96(8), 1458–1466.
Chen, P., McKenna, C., Kutlik, A. M., & Frisina, P. G. (2013). Interdisciplinary communication in inpatient rehabilitation facility: Evidence of under-documentation of spatial neglect after stroke. Disability and Rehabilitation, 35(12), 1033–1038.
Chollet, F., Tardy, J., Albucher, J. F., Thalamas, C., Berard, E., Lamy, C., et al. (2011). Fluoxetine for motor recovery after acute ischaemic stroke (FLAME): A randomised placebo-controlled trial. Lancet Neurology, 10(2), 123–130.
Clarke, P., Marshall, V., Black, S. E., & Colantonio, A. (2002). Well-being after stroke in Canadian seniors: Findings from the Canadian Study of Health and Aging. Stroke, 33(4), 1016–1021.
Dai, C. Y., Liu, W. M., Chen, S. W., Yang, C. A., Tung, Y. C., Chou, L. W., et al. (2014). Anosognosia, neglect and quality of life of right hemisphere stroke survivors. European Journal of Neurology, 21(5), 797–801.
Dalemans, R. J., de Witte, L., Wade, D., & van den Heuvel, W. (2010). Social participation through the eyes of people with aphasia. International Journal of Language & Communication Disorders, 45(5), 537–550.
Daniel, K., Wolfe, C. D., Busch, M. A., & McKevitt, C. (2009). What are the social consequences of stroke for working-aged adults? A systematic review. Stroke, 40(6), e431–e440.
De las Cuevas, C., & Sanz, E. J. (2008). Fitness to drive of psychiatric patients. Primary Care Companion to the Journal of Clinical Psychiatry, 10(5), 384–390.
Desrosiers, J., Noreau, L., Rochette, A., Bourbonnais, D., Bravo, G., & Bourget, A. (2006). Predictors of long-term participation after stroke. Disability and Rehabilitation, 28(4), 221–230.
Edwards, D. F., Hahn, M., Baum, C., & Dromerick, A. W. (2006). The impact of mild stroke on meaningful activity and life satisfaction. Journal of Stroke and Cerebrovascular Diseases, 15(4), 151–157.
Fisk, G. D., Owsley, C., & Mennemeier, M. (2002). Vision, attention, and self-reported driving behaviors in community-dwelling stroke survivors. Archives of Physical Medicine and Rehabilitation, 83(4), 469–477.
Furie, K. L., Kasner, S. E., Adams, R. J., Albers, G. W., Bush, R. L., Fagan, S. C., et al. (2011). Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: A guideline for healthcare professionals from the American heart association/American stroke association. Stroke, 42(1), 227–276.
Galletta, E. E., & Barrett, A. M. (2014). Impairment and functional interventions for Aphasia: Having it all. Current Physical Medicine and Rehabilitation Reports, 2(2), 114–120.
Gehl, C., & Paulsen, J. S. (2012). Behavioral and personality disturbances. In R. B. Daroff, G. M. Fenichel, J. Jankovic, & J. C. Mazziota (Eds.), Bradley’s neurology in clinical practice (Principles of diagnosis and management 6th ed., Vol. 1, pp. 73–91). Maryland Heights, MO: Elsevier Saunders.
Gialanella, B., Monguzzi, V., Santoro, R., & Rocchi, S. (2005). Functional recovery after hemiplegia in patients with neglect: The rehabilitative role of anosognosia. Stroke, 36(12), 2687–2690.
Gillen, G. (2015). Emotional reaction to stroke. In G. Gillen (Ed.), Stroke rehabilitation: A function-based approach (pp. 332–333). St. Louis, MO: Elsevier.
Glader, E. L., Stegmayr, B., & Asplund, K. (2002). Poststroke fatigue: A 2-year follow-up study of stroke patients in Sweden. Stroke, 33(5), 1327–1333.
Graham, J. R., Pereira, S., & Teasell, R. (2011). Aphasia and return to work in younger stroke survivors. Aphasiology, 25(8), 952–960.
Hackett, M. L., Glozier, N., Jan, S., & Lindley, R. (2012). Returning to paid employment after stroke: The psychosocial outcomes in stroke (POISE) cohort study. PLoS One, 7(7), e41795.
Hackett, M. L., Yapa, C., Parag, V., & Anderson, C. S. (2005). Frequency of depression after stroke: A systematic review of observational studies. Stroke, 36(6), 1330–1340.
Hamzat, T. K., & Kobiri, A. (2008). Effects of walking with a cane on balance and social participation among community-dwelling post-stroke individuals. European Journal of Physical and Rehabilitation Medicine, 44(2), 121–126.
Heilman, K. M., Watson, R. T., & Valenstein, E. (2011). Neglect and related disorders. In K. M. Heilman & E. Valenstein (Eds.), Clinical neuropsychology (5th ed., pp. 296–346). New York: Oxford University Press.
Hofgren, C., Esbjornsson, E., & Sunnerhagen, K. S. (2010). Return to work after acquired brain injury: Facilitators and hindrances observed in a sub-acute rehabilitation setting. Work, 36(4), 431–439.
Jaillard, A., Grand, S., Le Bas, J. F., & Hommel, M. (2010). Predicting cognitive dysfunctioning in nondemented patients early after stroke. Cerebrovascular Diseases, 29(5), 415–423.
Joller, P., Gupta, N., Seitz, D. P., Frank, C., Gibson, M., & Gill, S. S. (2013). Approach to inappropriate sexual behaviour in people with dementia. Canadian Family Physician Medecin de Famille Canadien, 59(3), 255–260.
Kauranen, T., Turunen, K., Laari, S., Mustanoja, S., Baumann, P., & Poutiainen, E. (2013). The severity of cognitive deficits predicts return to work after a first-ever ischaemic stroke. Journal of Neurology, Neurosurgery and Psychiatry, 84(3), 316–321.
Keppel, C. C., & Crowe, S. F. (2000). Changes to body image and self-esteem following stroke in young adults. Neuropsychological Rehabilitation, 10(1), 15–31.
Kim, J. S., Choi, S., Kwon, S. U., & Seo, Y. S. (2002). Inability to control anger or aggression after stroke. Neurology, 58(7), 1106–1108.
Kimchi, R. (1992). Primacy of wholistic processing and global/local paradigm: A critical review. Psychological Bulletin, 112(1), 24–38.
Kleindorfer, D., Lindsell, C., Alwell, K. A., Moomaw, C. J., Woo, D., Flaherty, M. L., et al. (2012). Patients living in impoverished areas have more severe ischemic strokes. Stroke, 43(8), 2055–2059.
Lamb, F., Anderson, J., Saling, M., & Dewey, H. (2013). Predictors of subjective cognitive complaint in postacute older adult stroke patients. Archives of Physical Medicine and Rehabilitation, 94(9), 1747–1752.
London, J. (2007). To build a fire, and other stories. New York, NY: Random House, Bantam Dell.
Lurbe-Puerto, K., Leandro, M. E., & Baumann, M. (2012). Experiences of caregiving, satisfaction of life, and social repercussions among family caregivers, two years post-stroke. Social Work in Health Care, 51(8), 725–742.
Malhotra, S., Pandyan, A. D., Day, C. R., Jones, P. W., & Hermens, H. (2009). Spasticity, an impairment that is poorly defined and poorly measured. Clinical Rehabilitation, 23(7), 651–658.
McGonigle, D. J., Hanninen, R., Salenius, S., Hari, R., Frackowiak, R. S., & Frith, C. D. (2002). Whose arm is it anyway? An fMRI case study of supernumerary phantom limb. Brain, 125(Pt 6), 1265–1274.
McNaughton, H., Feigin, V., Kerse, N., Barber, P. A., Weatherall, M., Bennett, D., et al. (2011). Ethnicity and functional outcome after stroke. Stroke, 42(4), 960–964.
Mead, G. E., Hsieh, C. F., Lee, R., Kutlubaev, M. A., Claxton, A., Hankey, G. J., et al. (2012). Selective serotonin reuptake inhibitors (SSRIs) for stroke recovery. Cochrane Database of Systematic Reviews, 11, CD009286.
Melzack, R. (1990). Phantom limbs and the concept of a neuromatrix. Trends in Neurosciences, 13(3), 88–92.
Miller, K. K., Combs, S. A., Van Puymbroeck, M., Altenburger, P. A., Kean, J., Dierks, T. A., et al. (2013). Fatigue and pain: Relationships with physical performance and patient beliefs after stroke. Topics in Stroke Rehabilitation, 20(4), 347–355.
Mohr, J. P., Grotta, J. C., Wolf, P. A., Moskowitz, M. A., Mayberg, M. R., & Von Kummer, R. (2011). Stroke: Pathophysiology, diagnosis, and management (5th ed.). New York, NY: Saunders.
Morris, J. (2009). Effects of right hemisphere strokes on personality functioning. Topics in Stroke Rehabilitation, 16(6), 425–430.
Mortensen, J. K., Johnsen, S. P., Larsson, H., & Andersen, G. (2015). Early Antidepressant Treatment and All-Cause 30-Day Mortality in Patients with Ischemic Stroke. Cerebrovascular Diseases, 40(1–2), 81–90.
Na, D. L., Adair, J. C., Williamson, D. J., Schwartz, R. L., Haws, B., & Heilman, K. M. (1998). Dissociation of sensory-attentional from motor-intentional neglect. Journal of Neurology, Neurosurgery and Psychiatry, 64(3), 331–338.
National Aphasia Association. (2014). National Aphasia Association: Supporting the Aphasia Community. Retrieved January 20, 2015 from www.aphasia.org.
National Institute of Neurological Disorders and Stroke. (2015). Retrieved January 5, 2015 from http://www.ninds.nih.gov/disorders/stroke/stroke.htm.
Navon, D. (1977). Forest before trees: The precedence of global features in visual perception. Cognitive Psychology, 9(3), 353–383.
O’Dell, M. W., Lin, C. C., & Harrison, V. (2009). Stroke rehabilitation: Strategies to enhance motor recovery. Annual Review of Medicine, 60, 55–68.
O’Donnell, M. J., Diener, H. C., Sacco, R. L., Panju, A. A., Vinisko, R., Yusuf, S., et al. (2013). Chronic pain syndromes after ischemic stroke: PRoFESS trial. Stroke, 44(5), 1238–1243.
Obembe, A. O., & Eng, J. J. (2016). Rehabilitation interventions for improving social participation after stroke: A systematic review and meta-analysis. Neurorehabilitation and Neural Repair, 30(4), 384–392.
Oh-Park, M., Hung, C., Chen, P., & Barrett, A. M. (2014). Severity of spatial neglect during acute inpatient rehabilitation predicts community mobility after stroke. PM R, 6(8), 716–722.
Ostir, G. V., Smith, P. M., Smith, D., & Ottenbacher, K. J. (2005). Functional status and satisfaction with community participation in persons with stroke following medical rehabilitation. Aging Clinical and Experimental Research, 17(1), 35–41.
Page, T., & Lockwood, C. (2003). Prevention and management of shoulder pain in the hemiplegic patient. JBI Reports, 1(5), 149–165.
Radman, N., Staub, F., Aboulafia-Brakha, T., Berney, A., Bogousslavsky, J., & Annoni, J. M. (2012). Poststroke fatigue following minor infarcts: A prospective study. Neurology, 79(14), 1422–1427.
Resnik, L., Allen, S., Isenstadt, D., Wasserman, M., & Iezzoni, L. (2009). Perspectives on use of mobility aids in a diverse population of seniors: Implications for intervention. Disability and Health Journal, 2(2), 77–85.
Riestra, A. R., & Barrett, A. M. (2013). Rehabilitation of spatial neglect. Riestra AR, Barrett AM, Handb Clin Neurol. 2013;110:347-55. doi: 10.1016/B978-0-444-52901-5.00029-0.
Rochette, A., Bravo, G., Desrosiers, J., St-Cyr Tribble, D., & Bourget, A. (2007). Adaptation process, participation and depression over six months in first-stroke individuals and spouses. Clinical Rehabilitation, 21(6), 554–562.
Rochette, A., Desrosiers, J., Bravo, G., St-Cyr-Tribble, D., & Bourget, A. (2007). Changes in participation after a mild stroke: Quantitative and qualitative perspectives. Topics in Stroke Rehabilitation, 14(3), 59–68.
Sacco, R. L., Kargman, D. E., Gu, Q., & Zamanillo, M. C. (1995). Race-ethnicity and determinants of intracranial atherosclerotic cerebral infarction. The Northern Manhattan Stroke Study. Stroke, 26(1), 14–20.
Sarno, M. T. (1981). Recovery and rehabilitation of aphasia. In M. T. Sarno (Ed.), Acquired aphasia (p. 610). New York: Academic.
Satkunam, L. E. (2003). Rehabilitation medicine: 3. Management of adult spasticity. CMAJ, 169(11), 1173–1179.
Schwoebel, J., & Coslett, H. B. (2005). Evidence for multiple, distinct representations of the human body. Journal Cognitive Neuroscience, 17(4), 543–553.
Sienkiewicz-Jarosz, H., Milewska, D., Bochynska, A., Chelmniak, A., Dworek, N., Kasprzyk, K., et al. (2010). Predictors of depressive symptoms in patients with stroke—a three-month follow-up. Neurologia i Neurochirurgia Polska, 44(1), 13–20.
Sommerfeld, D. K., & Welmer, A. K. (2012). Pain following stroke, initially and at 3 and 18 months after stroke, and its association with other disabilities. European Journal of Neurology, 19(10), 1325–1330.
Stone, S. D. (2005). Reactions to invisible disability: The experiences of young women survivors of hemorrhagic stroke. Disability and Rehabilitation, 27(6), 293–304.
Stone, J., Townend, E., Kwan, J., Haga, K., Dennis, M. S., & Sharpe, M. (2004). Personality change after stroke: Some preliminary observations. Journal of Neurology, Neurosurgery and Psychiatry, 75(12), 1708–1713.
Teo, K., Lear, S., Islam, S., Mony, P., Dehghan, M., Li, W., et al. (2013). Prevalence of a healthy lifestyle among individuals with cardiovascular disease in high-, middle- and low-income countries: The Prospective Urban Rural Epidemiology (PURE) study. JAMA, 309(15), 1613–1621.
Turner-Stokes, L., & Jackson, D. (2002). Shoulder pain after stroke: A review of the evidence base to inform the development of an integrated care pathway. Clinical Rehabilitation, 16(3), 276–298.
Vestling, M., Tufvesson, B., & Iwarsson, S. (2003). Indicators for return to work after stroke and the importance of work for subjective well-being and life satisfaction. Journal of Rehabilitation Medicine, 35(3), 127–131.
Vossel, S., Weiss, P. H., Eschenbeck, P., & Fink, G. R. (2013). Anosognosia, neglect, extinction and lesion site predict impairment of daily living after right-hemispheric stroke. Cortex, 49(7), 1782–1789.
Wolf, S. L., Winstein, C. J., Miller, J. P., Thompson, P. A., Taub, E., Uswatte, G., et al. (2008). Retention of upper limb function in stroke survivors who have received constraint-induced movement therapy: The EXCITE randomised trial. Lancet Neurology, 7(1), 33–40.
Wolfenden, B., & Grace, M. (2009). Returning to work after stroke: A review. International Journal of Rehabilitation Research, 32(2), 93–97.
Acknowledgements
The authors were funded in this work by the Kessler Foundation, the National Institutes of Health (PI: Barrett, K24 HD062647), and the Wallerstein Foundation for Geriatric Improvement. We are grateful to the many stroke survivors who shared their experiences of stroke recovery with us between 2004 and the present, helping us to include both personally and professionally relevant information in this chapter.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer-Verlag New York
About this chapter
Cite this chapter
McKenna, C., Chen, P., Barrett, A.M. (2017). Stroke: Impact on Life and Daily Function. In: Chiaravalloti, N., Goverover, Y. (eds) Changes in the Brain. Springer, New York, NY. https://doi.org/10.1007/978-0-387-98188-8_5
Download citation
DOI: https://doi.org/10.1007/978-0-387-98188-8_5
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-98187-1
Online ISBN: 978-0-387-98188-8
eBook Packages: MedicineMedicine (R0)