Rehabilitation treatment in patients with cerebral stroke

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Abstract

Introduction. Treatment and rehabilitation of ischemic stroke patients is an important medical and social problem.

The purpose of the study is to compare effectiveness of different complex rehabilitation methods for improving patient functional abilities and social adaptation.

Materials and methods. 114 patients, aged 61.1 ± 10.7 years, in early and late rehabilitation period of ischemic stroke were examined. Group I (n = 73, age 63.2 ± 10.9) was represented by the patients that received conventional rehabilitation treatment ambulatory or in neurological department with additional biological feedback; patients of group II (n = 41, aged 60.4 ± 10.3) received ambulatory conventional rehabilitation treatment.

Results. There was no significant difference in the patients’ age of groups I and II. The most frequent stroke location in the middle cerebral artery in the II group patients was in the right hemisphere (p < 0.05). The improvement of damaged function was revealed in both groups. Clinical scale data on discharge indicated more severe manifestations in the I group patients. In the main group, the restriction of daily activity in women was more pronounced than in men (p < 0.05).

Conclusions. Rehabilitation treatment in post-stroke patients led to functional improvement. Clinical manifestations in the patients that require rehabilitation in hospital, were more severe in comparison with ambulatory rehabilitated group. Data on more pronounced disturbances in activities of daily living in women compared to men require further study.

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About the authors

Nataliya M. Tertyshnaya

North-Western State Medical University n.a. I.I. Mechnikov; Medical Rehabilitation Center “Health-XXI century”

Email: nataliyatertishnaia@gmail.com

аспирант кафедры неврологии им. акад. С.Н. Давиденкова

Russian Federation, Saint Petersburg; Taganrog

Vitalii V. Goldobin

North-Western State Medical University n.a. I.I. Mechnikov

Author for correspondence.
Email: Vitalii.Goldobin@szgmu.ru

заведующий неврологическим отделением № 1 (12-2) д.м.н. доцент

Russian Federation, Saint Petersburg

Elena G. Klocheva

North-Western State Medical University n.a. I.I. Mechnikov

Email: Elena.Klocheva@szgmu.ru

д.м.н. профессор

Russian Federation, Saint Petersburg

Anastasiya S. Lobzina

North-Western State Medical University n.a. I.I. Mechnikov

Email: Anastasiya.Lobzina@szgmu.ru

к.м.н. ассистент кафедры неврологии им. акад. С.Н. Давиденкова

Russian Federation, Saint Petersburg

Galina G. Agbaii

North-Western State Medical University n.a. I.I. Mechnikov

Email: Galina.Agbaii@szgmu.ru

врач-невролог неврологического отделения № 1 (12-2)

Russian Federation, Saint Petersburg

Victoriya V. Artsimovich

North-Western State Medical University n.a. I.I. Mechnikov

Email: viktoria241230@gmail.com
Russian Federation, Saint Petersburg

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Copyright (c) 2021 Tertyshnaya N.M., Goldobin V.V., Klocheva E.G., Lobzina A.S., Agbaii G.G., Artsimovich V.V.

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