Thank-you for reaching out to use on EnableMe. Re-learning to stand and walk after a stroke is a great goal. In the early stages of stroke recovery it is very normal to feel fatigued particularly when actively working towards return to walking. Leg weakness, reduced sensation or feeling in the leg and neglect are common after stroke, which often makes walking even more of a challenge.
Building strength on the affected leg and improving sensory awareness on the left side are important for achieving a safe walking pattern after a stroke. The balance between exercise with good rest is important to facilitate recovery and neuroplasticity. Understanding what triggers your friends fatigue and coming up with a management plan can be helpful. An occupational therapist and physiotherapist will be able to work with your friend to encourage the right balance between physical activity and rest. You can access an occupational therapist and physiotherapist through the local GP. The GP can complete a chronic disease management plan so that you have access to these therapies in the community. The therapists can provide advice on how you might practice building strength on the affected arm and leg while managing the effects of fatigue the following day. Walking will improve as your friend develop better awareness and strength over time. Some strategies might include exercises that still help to build strength and improve awareness eg. Standing practice without significantly impacting fatigue, breaking up your therapy days so you have a rest day in between, trying a supportive ankle foot orthosis for increased support on the left leg, ensuring sufficient nutritional intake and structured rest breaks during the day.
Neglect or sensory changes is common after stroke. Improving sensory awareness and attention to the left side can improve with as your friend builds strength over time. Keep persisting with therapy and exercises, as they will make a difference over time. I’ve included a link here to enableme about sensory changes and neglect after stroke.
You are also welcome to call us on StrokeLine on 1800 787 653 if you would like more individualised support.
Carol, Physiotherapist, StrokeLine
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