Life after stroke: a special series from Cochrane UK

Sarah Chapman introduces #LifeAfterStroke, Cochrane UK’s special series of blogs, and other material, that will include Cochrane evidence, ongoing research and the perspectives of stroke survivors, researchers and health professionals on life after stroke.

I doubt you need me to tell you that stroke is common. In England alone, every year, around 100,000 people will have a stroke. When we first thought about having this special series, stroke was a priority for the Department of Health. Their ten-year National Stroke Strategy ended in December 2017 and, whilst it led to real improvements, including large reductions in stroke deaths, there’s still so much to do. Following a campaign by The Stroke Association, it was confirmed in Parliament in December that the government has committed to a new national plan for stroke, which is being developed by NHS England together with The Stroke Association. Great news. You can read The Stroke Association’s campaign report here.

In this series, we will be sharing some of the things that stroke survivors have told us matters to them; highlighting Cochrane evidence about stroke interventions, and flagging up new research and opportunities for involvement. We’ll be hearing from stroke survivors, health professionals and researchers in guest blogs throughout March, and this page on Evidently Cochrane will be updated as we go through, with our mini infographics (blogshots) and links to podcasts and all the blogs.

What matters to you?

We are rightly hearing more and more about the importance of using precious resources wisely and avoiding research waste. One example of work that can help direct research funding to the questions people most want answered is that done by the James Lind Alliance Priority Setting Partnerships (PSPs). Patients, carers and health professionals work together with researchers to establish identify and prioritise questions that research needs to address. You can see the top 10 priorities for stroke research from the Stroke in Scotland PSP here, and we’ll be linking to these as we go through the series.

We asked people on Twitter to tell us what matters most to them about life after stroke. We heard from a Speech and Language Therapist who wanted to hear more about recovery after six months and the key factors in this recovery. Stroke survivors and carers or relatives who are part of the ASPIRE Communication Groups (@ASPIRECommsgrps), support groups for people living with communication difficulties after stroke, tweeted us their photos and suggestions. These and other stroke survivors told us about wanting to know about available support – for themselves and for carers; new treatments and technologies; how to improve things that had become a struggle – writing, hearing, speech… They wanted to know how to reduce fatigue; to become stronger; and how to avoid having another stroke. They are looking for hope and for inspiration, examples of things other stroke survivors have done that they have found helpful. @PaulaSmejka, whose husband is a stroke survivor, said she’d like to see ‘how to’ films showing stroke survivors completing tasks one-handed, and also tips for supporting communication.

life after stroke

Mohan wants help for his young daughter to understand about his stroke, and tips for communication while waiting for speech and language therapy

Paula also raised the issue of how help stroke survivors find meaning and purpose in their lives after stroke, and I think this will resonate with many people. I’m always humbled to see how many people, amidst the disaster of a life-changing illness, find new ways to channel their skills and energies, and to use their new experiences, to help others – whether that’s through raising awareness, fundraising, or participation in research.

An opportunity to get involved in stroke research

There’s a call right now for people affected by stroke to join this Service User Review Panel. Among other things, panel members influence how research funds are used and advise researchers as they develop their projects. Do take a look if you think this might be for you.

What’s coming up on the blog?

Some of you may have read a previous Evidently Cochrane blog in which Annette Dancer, a stroke survivor, gives a powerful account of what living with dysarthria (unclear speech) after stroke is like for her, and researcher and Speech and Language Therapist Claire Mitchell writes about their research on treatments for dysarthria. Claire and Annette are working together on research into the feasibility of a computer programme for helping people with dysarthria, and they have written a new blog on why working together, with their different expertise, makes for better research. We’ll also have Annette’s story of regaining confidence and on the surreal side of life after stroke. Another stroke survivor, Caroline Carus, writes about the impact of stroke, “a sideswipe across what my life had been”, in her blog “I miss me…”. This is a compelling piece of writing; don’t miss it.

We have some great blogs on evidence and practice from allied health professionals, as well as Claire’s, with blogs on occupational therapy for stroke by Rose Peel, on physical rehabilitation by physiotherapist Mike Smith, and from another physiotherapist, Julie Duncan Millar, who decided to do something (with the help of people affected by stroke) to improve research into upper limb rehabilitation. We also hear from neuropsychologist Marta Bienkiewicz about cognitive rehabilitation after stroke, making a plea for better research.

We’ll be publishing blogs each Tuesday and Thursday from 6th March and sharing lots of relevant evidence summaries on social media throughout the month. Do join in the conversation, by leaving comments on the blogs or talking to us on Twitter @CochraneUK @SarahChapman30 @CochraneStroke #LifeAfterStroke.

Thank you to everyone who tweeted us their suggestions, including the members of @ASPIRECommsgrps:

Things that matter to this carer, Irene, include access to support groups for stroke survivors and carers, and avoiding a second stroke.


life after stroke

“New therapies should be well advertised. New technology to assist communication.”


life after stroke

Things that matter to this stroke survivor include mobility, hearing, writing, fatigue, balance…”


life after stroke

Steve says “knowing about other support post therapy e.g. upper limb clinic I attended 2 years post stroke. #localknowledge #nationalknowledge”

Sarah Chapman has nothing to disclose.


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Sarah Chapman

About Sarah Chapman

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Sarah's work as a Knowledge Broker at Cochrane UK focuses on disseminating Cochrane evidence through social media, including Evidently Cochrane blogs, blogshots and the ‘Evidence for Everyday’ series for nurses, midwives, allied health professionals and patients. A former registered general nurse, Sarah has a particular interest making evidence accessible and useful to practitioners and to others making decisions about health. Before joining Cochrane, Sarah also worked on systematic reviews for the University of Oxford and the Royal College of Nursing Institute, and obtained degrees in History from the University of Oxford and in the history of women’s health and illness in early modern England (MPhil., University of Reading).

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