The Rehabilitation of Younger Stroke Patients
www.ebrsr.com
Key Points
The incidence rate of young stroke patients varies considerably due to differing population
demographics surveyed.
Approximately one third of young stroke victims suffered a stroke of unknown etiology.
Hypertension, arteriovenous ma
lformations, ruptured aneurysms, or a combination of these
factors are the most common causes for hemorrhagic strokes in young individuals.
The majority of strokes in young patients are ischemic.
Patients under 30 experience more uncommon etiologies. Pote
ntial causes of young strokes are
likely due to genetic factors or pre
-
existing conditions/diseases that increase the risk of strokes.
Modifiable risk factors for stroke include smoking, hypertension, hyperlipidemia, diabetes mellitus,
excessive alcohol co
nsumption, drug use, oral contraceptive use in women, and migraine with aura
in young females.
Non
-
modifiable risk factors for stroke include family history, patent foramen ovale, age, race,
mitral
-
valve prolapse, and pregnancy/postpartum in young females.
Young stroke patients have a better recovery and prognosis when compared to older stroke
patients.
Young stroke rehabilitation differs when compared to the typical older stroke rehab because of a
better likelihood of neurological recovery and unique
social issues.
Improved recovery of young stroke patients tends to put less stress on caregivers; however,
struggles are often associated with changes in relationships and difficulty adjusting post
-
stroke.
Institutionalization is required infrequently in y
oung stroke patients and is generally associated with
severe stroke and poor or limited social support.
Vocational issues are often neglected in young stroke patients’ rehabilitation.
Vocational issues in young patients are influenced by job type, cognitiv
e ability, functional recovery
and stroke severity.
Young patients post
-
stroke tend to have unique psychosocial and supportive needs rather than
specific health concerns.
Dr. Robert Teasell
Parkwood Institute, 550 Wellington Road, London, Ontario, Canada, N6C 0A7
Phone: 519.685.4000 ● Web:
www.ebrsr.com
● Email:
Robert.Teasell@sjhc.london.on.ca
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