Sex differences Research has indicated that women are more likely to be left<unk>  dominant, and men are more likely to be<unk><unk>  dominant. Because of this, women recover faster from left<unk><unk> , and men are more likely to recover faster from<unk><unk><unk> . Men who have suffered a<unk><unk>  stroke also have significantly better rehabilitation outcomes than men who suffer a left<unk>  stroke. Recovery of functional abilities is often greater in male stroke survivors than females, especially in the area of activities of daily living. Neglect Left neglect is common in patients recovering from<unk><unk><unk>  as the<unk><unk>  controls the left half of the body. The presence and severity of neglect has been shown to influence functional outcomes as well as length of rehabilitation after a stroke. Patients with neglect for peripersonal space (space within reach), are likely to recover most during the first 10 days after a stroke, but further improvements from 6 months to 1 year post onset are unlikely. However, the prognosis for patients with neglect for personal body space or neglect for far space is much better. These types of neglect are more likely to recover completely or almost completely after 6 months post onset. Although there may be some lasting effects of neglect of varying degrees based on the type, many patients with neglect are likely to improve over time (Appelros et al., 2004). Functional outcomes The Functional Independence Measure (FIM) is often used to determine the functional skills a patient has at various times after their<unk><unk> . Research has indicated that patients with more severe neglect are less likely to make functional improvements than patients with less severe neglect based on FIM scores. Additionally, patients with any level of neglect tend to have reduced functional cognitive and communication skills than patients without neglect (Cherney et al., 2001). Rehabilitation Patients with neglect have been shown to need rehabilitation longer than patients who suffered from<unk><unk><unk>  that did not result in neglect. On average, patients with neglect stayed in inpatient rehabilitation facilities one week longer, and this length of stay did not differ for patients with more or less severe neglect (Cherney et al., 2001). Anosognosia Anosognosia is a lack of awareness or understanding of the loss of function caused by the<unk>  injury and is common in individuals who have suffered a<unk><unk>  stroke. Because patients with anosognosia may be unaware of their deficits, they may be less likely to seek treatment once they are released from the hospital. The lack of proper treatment could lead to higher levels of dependency later on. In order to make functional recovery gains,<unk><unk>  stroke survivors should receive rehabilitation services, so patients with anosognosia should be encouraged to seek out additional treatment. However, due to the anosognosia, these patients often report a higher perceived quality of life than other<unk><unk>  stroke survivors because of the unawareness of the resulting deficits (Daia et al., 2014). Those with<unk><unk><unk>  may confabulate, or make up stories to help explain what is going on in their minds compared to what is actually occurring in the outside world. For example, one patient who had<unk><unk><unk>  was in a wheelchair and kept putting his left hand in the spokes. When the nurse asked him to stop, he looked down and said, “that’s not my hand.” Since the<unk><unk>  controls motor functioning for the left side of the body, the patient did not recognize the actions of his own hand and made up a story to explain what was going on. This often occurs because what is actually happening to them is deeply disturbing so their minds need a way to cope. Patients with smaller lesions often recover faster from anosognosia than patients with larger lesions resulting in anosognosia (Hier et al., 1983). Other influences Age: Younger patients typically recover faster than older patients, especially with regards to prosopagnosia (difficulty recognizing faces) Size of lesion: Patients with smaller lesions typically recover faster from neglect and hemiparesis (unilateral body weakness) than patients with larger lesions (Hier et al., 1983).
Right hemisphere brain damage
Frontal lobe injury
symptom of Intracerebral hemorrhage
symptom of Epidural hematoma
Cervical spinal stenosis
symptom of Brain tumor
Basal ganglia disease
symptom of Vertebral artery dissection