(New recommendation) There are insufficient data to recommend restric- tions on the use of statins in ICH patients (Class IIb; Level of Evidence C). (Unchanged from the previous guideline) Hemphill et al Management of Spontaneous ICH 2049 Rehabilitation and Recovery Knowledge of differences in the natural history of recovery patterns and prognosis for residual disability and function- ing between ICH and ischemic stroke is complicated by the lower rate of ICH compared with ischemic stroke and the lumping of subarachnoid hemorrhage and ICH together in many studies. There are also problems associated with the insensitivity of many of the outcome measures used in rehabilitation to allow detection of clinically meaning- ful differences between groups. Even so, there is grow- ing evidence that patients with ICH make slightly greater and faster gains in recovery than patients with ischemic In general, recovery is more rapid in the first few weeks but may continue for many months after ICH,28,316 with approximately half of all survivors remaining dependent on others for activities of daily living.30 However, patients vary in their speed and degree of recovery, and there is no hard rule as to when recovery ends. Cognition, mood, motivation, and social support all influence recovery, and it is difficult to separate intrinsic from adaptive recovery. 