Safety of rehabilitation in patients in the acutest and acute periods of severe and very severe stroke

Abstract


Initiation of rehabilitation measures is traditionally delayed in a group of patients with severe and very severe stroke out of fear that the somatic and neurological statuses will worsen. Examination of 258 patients has demonstrated the safety of early rehabilitation measures on observing a number of conditions. The level of consciousness should be kept in mind in patients with brain structure dislocation. Rehabilitation is possible in lucidity if the neurological status is continuously observed. In clouded consciousness to sopor and coma, physical rehabilitation can be done, only by invasively monitoring intracranial pressure. Vasopressor use and mechanical ventilation are not a contraindication to rehabilitation in patients with stroke. Extended invasive hemodynamic monitoring should be used when arterial hypotension episodes remain.

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