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A stroke can affect many areas of functioning. Our rehabilitation treatment team addresses all major functional areas with each individual patient.
Cognition is often adversely affected by stroke, and includes things such as attention, memory, language, visual-spatial abilities, alertness, and executive skills. Some patients can be confused and restless, and have problems with insight, irritability, restlessness, poor attention, poor memory and difficulty solving everyday problems.
Cognitive changes with strokes are more likely seen with someone who has had a cerebrovascular accident on the right side of the brain. Cognitive deficits can vary from mild to severe or profound, and often show improvement as recovery progresses. Some areas of cognition may be more impaired than others.
As patients improve, they often begin to participate more meaningfully in therapies and other activities.
Cognitive deficits can sometimes be subtle. They may still include mild memory deficits, and difficulties in planning and organizing day-to-day functioning, particularly in complex activities. Rehabilitation efforts at this level are focused on teaching the patient strategies to help in these areas.
Problems communicating can range from mild to profound. Individuals with the most severe strokes are unable to communicate at first. They may sometimes have their eyes open, and appear to be awake, but may not be able to speak or respond. Having difficulty speaking or understanding words is called aphasia, and this is usually associated with strokes on the left side of the brain.
Some individuals can follow simple directions and may be able to talk using simple words or gestures, but may have difficulty finding the right words to say. Words said may not always make sense.
Patients can also experience dysarthria, in which weakness of the face, lips, tongue and larynx (voice box) can cause speech to be slurred and unintelligible.
Apraxia can also be caused by a stroke. This is a motor planning disorder that can cause the patient to know what word they want to say, but have difficulty planning the speech sounds. They may appear to be searching for a word with long delays in initiating speech.
Our speech pathologists evaluate and recommend treatment for communication and swallowing problems. Generally, as the patient improves, communication skills become more accurate.
Mobility is about movement, whether it’s going from laying down to sitting up, walking to the bathroom, or wheeling a wheelchair down the hall. In order to move the body, the brain must coordinate balance, strength, and motor control.
Mobility deficits in stroke patients are most commonly addressed by physical therapists in rehabilitation. At WakeMed, we use a variety of approaches to facilitate mobility, and we encourage the patient to use the affected side of the body as much as possible to retrain those muscles and pathways in the brain.
Areas of function that can affect mobility in a person with a stroke are:
3000 New Bern Ave.
Raleigh, NC 27610