Post -stroke rehabilitation and prevention of re -stroke

Time codes:

Fedin Anatoly Ivanovich - MD, Honorary Professor, Head of the University Clinic of Neurology FGAOU in RNMMU named after N.I. Pirogov of the Ministry of Health of Russia, the scientific director of the Clinic of Rehabilitation in Khamovniki, Honored Doctor of the Russian Federation.

Natalya Aleksandrovna Suponeva -MD, professor, corresponding member of the Russian Academy of Sciences, head. department of neurorebilitation and physiotherapy of the scientific center of neurology (FGBNU NCN).

Announcement:

In the new issue of the Neurology Plus program, Professor Anatoly Ivanovich Fedin and a corresponding member of the Russian Academy of Sciences, Professor Natalya Aleksandrovna Suponeva consider modern approaches to rehabilitation after stroke and prevention of repeated cases, including pharmacological support.

The relevance of the discussion is due to the fact that each 4th stroke is repeated, and 60% of patients become disabled, but early rehabilitation significantly improves the prognosis.

The key aspects of rehabilitation include:

  • Early beginning-the first 3-6 months are critical for recovery.
  • Multidisciplinary approach - a team of doctors, kinesitherapists, speech therapists and psychologists.
  • Technologies: robotic mechanotherapy, transcranial magnetic stimulation, exoskeletons.

The prevention of re -stroke includes control of blood pressure (target values ​​are individual), antitrombotic therapy (aspirin, clopidogrel), statins for hyperlipidemia, anticoagulants for patients with atrial fibrillation.

Conclusion: complex rehabilitation + individual prevention = maximum restoration and reduction in the risk of re -stroke.

THE INFORMATION IS INTENDED FOR HEALTHCARE AND PHARMACEUTICAL PROFESSIONALS. THIS INFORMATION IS NOT INTENDED AS A SUBSTITUTE FOR MEDICAL ADVICE.

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