Stroke in Younger Adults

~
5- 20% of all strokes occur in those 755
years .
.

There's a
mining concern to understand smoke in

adults due
younger
to the
negative impact on

Increasing trends in stroke incidence and productivity economic

due to the
disproportionate large
-

hospitalisations have been noted in impact

younger .

adults ,
despite the
decreasing mortality rates

of older adults . This partially reflects improved work environments have changed significantly in the

diagnosis through imaging , rather than

necessarily last 2 decades -
more technological advancements

a real increase in incidence his physical what required for mint

. so
jobs .

(George et al 2018 ) : Additionally , high mental strain anointed with

jobs
9 for both males
'
Ischaemic stroke hospitalisations has been anointed with an increased stroke risk ,

and females among younger adults aged 18 -

54 .
especially in women .
a.m

&..•
.

-
doubled for males
aged 18 -

34

'

prevalence of multiple risk factors amongst younger ( Huang et al . 2013) moved stress causes
sympathetic
-

actin takin
medullary axis
'

adults acute ischemic stroke adrenal

experiencing an has which plays a
-

nearly doubled from 2002 -

2012 . significant role in cardiovascular response and
rising
vascular accident risks .

(BogousStarsky 19871
development of atherosclerosis risk factor Predict potential ( PREP )
-

major Recovery algorithm for

=

Mitral valve prolapse and aenerialdmicn.cn accounted recovery potential

'
.

for more than half of the strokes which occured in models

including finger extension and grip strength
-

younger adults .
* less now
give the most accurate predictions .

cerebral angiography and

echocardiography recovery time and
ability to
regain motor function
-
'
are

indicated in wild to
strongly all patient's younger than 30
,
were
guide rehab

physical activity alone is considered an enenh.at

-

presenting with ischaemic stroke .

factor for improving motor functions

(Abdalla et al .
,
2018 ) + PA
-

Brain derived neurotrophic factor ( BDNF ) rise,

-

/ anointed with aerobic

activity positively influences

obesity -

Riskewfgto%f-
/ i
HTN neuroplasticity

Atherosclerosis diabetes (Huang et al .

, 2017 )

WH0 disability anenment schedule 2.0 summary

-

^
contributes through vascular
dysfunction to the scores can predict the return to work status of

development of adverse in
cerebrovascular events
working age patients with stroke

the future .
.

Younger age t ten -

serene stroke are anointed

Modifiable risk factors , account for a large part of him a better return to work outcome

stroke scores in the WHO DA52

occurrence in adults lower disability favourable
'

younger . =

return to work status , and

help in
establishing
understanding that one's occupation may
'

be a
entwine rehab strategies for return to - -
work .

related risk is
Shore an inner physician
's need to many working age patients also have children ,
-
.

address . and elderly parents

-
so RTW is crucial to minimise

elohovuic burden , and to maintain Qol .

 3112 post stroke , positive attitudes and high levels
'
-

of preserved motor performance are associated ER1W .

In each of the WHO DA52 domains , the

'

non RTW
group
-

exhibited a higher number of functional disabilities .

Additionally fatigue and depression negative

.

are

lrmtibhtors to RTW status

(Kempers 1994 )

Functional Occupations program CF0P)

'

provocationor program addresses RTW

goals for
>

all individuals with

physical disability .

'

for the
young CV A survivor , the mastery of basic

AD6 is not sulhiient

-
Instrumental ADIS ,
such as transportation ,

community activities and home maintenance

form necessary foundations for RTW .

① Education Based Approach ② self -

Instructional Approach
*
High functioning * Low
functioning

Returning to work CR1W ) can have a positive impact

on the
psychological wellbeing of the stroke survivor ,

and can fulfill many psychosocial needs .

Kersten et al 2002 found 65% of responders who were

working prior to stroke had to

give up there
job

altogether . 14 % Changed hours or

job as a result of

their stroke .

A room where the stroke survivor can

quiet complete

breaks can help to manage fatigue .

Negative Attitudes at the

employer or a
workplace
interact with the challenges
superior may adversely
faced by the smoke sunnier .