Who faces more difficulty recovering from stroke?

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Highlights:

• A new study has found that within the year following a stroke, female participants had more difficulty than male participants with doing daily tasks.
• Daily tasks include eating, dressing, driving, and cooking.
• The differences remained even after considering age, education, and insurance.
• The study authors suggest that early and repeated checks on daily abilities after stroke, especially for female individuals, could help improve recovery.

When examining recovery during the first year after an ischemic stroke, a new study has found, for daily tasks such as eating, dressing, and driving, female participants experienced slightly worse recovery than male participants. The study was published December 17, 2025, in Neurology^®, the medical journal of the American Academy of Neurology. Ischemic stroke, the most common type of stroke, is when blood flow is blocked to part of the brain.

“Stroke is a leading cause of disability in the U.S., and with the aging population, the number of stroke survivors is growing,” said study author Chen Chen, PhD, of the University of Michigan in Ann Arbor. “Since many people live with physical, cognitive, and emotional challenges after stroke, it is important to find ways to improve recovery. Our study provides a better understanding of sex differences during stroke recovery.”

For the study, researchers identified 1,046 people who experienced their first ischemic stroke. Participants had an average age of 66. Researchers reviewed medical records and participant interviews to track their recovery at 3, 6, and 12 months after stroke. Participants were given neurological assessments, cognitive tests, and completed questionnaires about their quality of life.

Participants were also assessed on how well they completed daily tasks, both simple and more complex, such as walking, bathing, cooking, and doing housework. A score of two indicated some difficulty completing daily tasks. A score of three indicated a lot of difficulty.

For daily tasks, female participants had higher average scores than male participants, indicating poorer recovery at 3, 6, and 12 months after stroke. For example, female participants had an average score of 2.39, and male participants had an average score of 2.04 at 3 months.

Scores for female participants, but not male participants, decreased from 3 to 12 months, indicating some improvement.

After adjusting for factors such as age, race and ethnicity, education, and insurance status, researchers found female participants’ average scores were higher by 0.13, 0.10, and 0.09 at 3, 6, and 12 months, indicating poorer recovery than male participants. Chen noted the effect size was small.

While there were no sex differences in other areas of recovery, both sexes experienced improvement in neurological function, which includes communicating and performing simple movements.

“Our results suggest that early and repeated assessments of a person’s ability to do daily tasks after stroke are needed, and particularly for female individuals, in order to reduce these differences in recovery,” said Chen. “When developing new interventions, these recovery patterns should be considered. Since the differences were mainly in activities such as doing heavy housework, shopping, and carrying heavy weights, new interventions could include muscle-strengthening activities.”

A limitation of the study was that researchers did not have data on participants’ use of rehabilitation services, so they were unable to evaluate the potential impact.

The study was supported by the National Institutes of Health.

Source: News Release
American Academy of Neurology
December 17, 2025