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

Irina Vladimirovna Sidyakina; Сидякина Ирина Владимировна; K V Lyadov; Лядов К В; T V Shapovalenko; Шаповаленко Т В; S V Tsarenko; Царенко С В; N V Lovtsevich; Ловцевич Н В; O R Dobrushina; Добрушина О Р; I V Kaledina; Каледина И В; I V Sidyakina; Sidyakina I V; K V Lyadov; Lyadov K V; T V Shapovalenko; Shapovalenko T V; S V Tsarenko; Tsarenko S V; N V Lovtsevich; Lovtsevich N V; O R Dobrushina; Dobrushina O R; I V Kaledina; Kaledina I V

doi:10.17816/rmj37947

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

Authors: Sidyakina I.V.¹, Lyadov KV¹, Shapovalenko TV¹, Tsarenko SV¹^,2, Lovtsevich NV¹, Dobrushina OR¹, Kaledina IV², Sidyakina IV², Lyadov KV², Shapovalenko TV², Tsarenko SV², Lovtsevich NV², Dobrushina OR², Kaledina IV²
Affiliations:
1. ФГУ Лечебно-реабилитационный центр Минздравсоцразвития России
2. МГУ им. М. В. Ломоносова, Москва
Issue: Vol 17, No 5 (2011)
Pages: 9-13
Section: Articles
URL: https://journals.rcsi.science/0869-2106/article/view/37947
DOI: https://doi.org/10.17816/rmj37947
ID: 37947

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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.

Keywords

early rehabilitation of severe stroke, intracranial pressure, vasopressors, mechanical ventilation

References

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

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