Unresolved issues of rehabilitation of patients with spastic hemiparesis and sensitive disorders after stroke. Description of a clinical case
- Authors: Khatkova S.E1, Nikolaev E.A1, Diagileva V.P1, Pavlova O.G2, Roshhin V.J.3, Akulov M.A4, Zakharov V.O4
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Affiliations:
- National Medical Research Center «Medical and Rehabilitation Center»
- Institute of Higher Nervous Activity and Neurophysiology of the Russian Academy of Sciences
- Institute of Biomedical Problems of the Russian Academy of Sciences
- N.N. Burdenko National Scientific and Practical Centre for Neurosurgery
- Issue: Vol 27, No 13 (2020)
- Pages: 132-141
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/312989
- DOI: https://doi.org/10.18565/pharmateca.2020.13.132-141
- ID: 312989
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Abstract
One of the main global strategies of healthcare in 21st century is medical rehabilitation. The rapidly growing number of patients, who survive after stroke, substantiates the need for the development of effective methods of assessment of disability and rehabilitation, aimed at maximal recovery of neurological impairments. In this article we present a clinical case of a young female patient with stroke, who demonstrated good recovery of motor and sensory functions. We demonstrated the importance of timely and adequate assessment of neurological impairment and delineation of treatment goals in patient with spastic paresis and sensory impairment. We also highlight the importance of diagnostics of spasticity and prevention of its further progression and minimization of its negative influence on motor recovery process of the limb. Moreover, we substantiate the need for the identification of predictors of the development of spasticity, including sensory deficit in paretic limbs, for adequate development of rehabilitation program. We provide a detailed analysis of the diagnostics of sensory impairment in limbs and approaches for recovery and rehabilitation. We demonstrate the role of botulinum toxin therapy in interdisciplinary and integrated rehabilitation programs in patients with spastic paresis and the essential role of the principle of intensity and continued self-rehabilitation in patients with spastic paresis.
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About the authors
S. E Khatkova
National Medical Research Center «Medical and Rehabilitation Center»
Email: hse15@mail.ru
E. A Nikolaev
National Medical Research Center «Medical and Rehabilitation Center»
V. P Diagileva
National Medical Research Center «Medical and Rehabilitation Center»
O. G Pavlova
Institute of Higher Nervous Activity and Neurophysiology of the Russian Academy of Sciences
V. Ju Roshhin
Institute of Biomedical Problems of the Russian Academy of Sciences
M. A Akulov
N.N. Burdenko National Scientific and Practical Centre for Neurosurgery
V. O Zakharov
N.N. Burdenko National Scientific and Practical Centre for Neurosurgery
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