Rehabilitation after a stroke: what therapist needs to know
- 00:00:22
Introduction to the topic of rehabilitation after a stroke, the relevance of the problem
- 00:02:08
Stroke statistics in Russia
- 00:05:42
The main pathogenetic types of stroke
- 00:08:28
5 Main Risk Factors for Stroke
- 00:13:19
The concept of neurorehabilitation
- 00:18:10
Stroke periods and rehabilitation periods
- 00:23:45
Three-stage system of medical rehabilitation
- 00:30:33
Mexidol in clinical guidelines
- 00:35:08
The results of the study of Epic
- 00:45:52
Mexidol application scheme
Veronika Nikolaevna Shishkova , Doctor of Medical Sciences, Professor of the Department of Outpatient Therapy at the Vladimirsky Moscow Regional Scientific Research Institute (MONIKI), Professor of the Department of Neuropsychology and Pathopsychology at the Vygotsky Institute of Psychology at the Russian State University for the Humanities.
Announcement:
The lecture examines key aspects of post-stroke rehabilitation that are relevant for primary care physicians.
Key points:
- Epidemiology: In Russia, > 130 thousand strokes are registered annually, 90% of which are ischemic. Up to 85% of patients experience movement disorders, speech disorders and cognitive deficits.
- Economic burden: the cost of treating one case reaches 1–1.5 million rubles, including long-term care and loss of ability to work.
- The main risk factors: arterial hypertension, atherosclerosis, diabetes mellitus, obesity and smoking are the key triggers of atherothrombotic and lacunar strokes.
Modern approaches to rehabilitation:
- Three-stage model:
- Stage 1: Early rehabilitation in hospital (first 21 days).
- Stage 2: specialized centers (up to 3-6 months).
- Stage 3: Outpatient observation (up to 12 months).
- The role of drug therapy: the drug Mexidol (ethylmethylhydroxypyridine succinate)
- Improves the restoration of neurological functions.
- Reduces the risk of recurrent stroke by 5 times in patients with hypertension.
- Corrects cognitive and emotional disorders (depression, anxiety).
- Practical recommendations:
- Scheme of application of Mexidol:
- 14 days intravenously at 500 mg/day → 2 months orally (Mexidol Forte 250 mg × 3 times a day).
- Optimally, 2 courses per year.
- Scheme of application of Mexidol:
- The Importance of a Multidisciplinary Approach: Combination of Medication, Physical Rehabilitation and Psychological Support.
Rehabilitation after an insult: what a therapist needs to know
- 00:00:22
Introduction to the topic of rehabilitation after a stroke, the relevance of the problem
- 00:02:08
Stroke statistics in Russia
- 00:05:42
The main pathogenetic types of stroke
- 00:08:28
5 Main Risk Factors for Stroke
- 00:13:19
The concept of neurorehabilitation
- 00:18:10
Stroke periods and rehabilitation periods
- 00:23:45
Three-stage system of medical rehabilitation
- 00:30:33
Mexidol in clinical guidelines
- 00:35:08
The results of the study of Epic
- 00:45:52
Mexidol application scheme