Comorbidity background and rehabilitation potential among the cerebral stroke patients

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Abstract

Stroke is one of the most significant social problems due to the high incapacitation rates among the patients. The rehabilitation of the patients in the older age group with stroke consequences is complicated by the fact that they almost always have a comorbidity background, influencing the efficiency of restoring the lost functions and the possibilities of using any technologies of medical rehabilitation. Comorbidity makes its contribution to the development of repeated stroke and plays a significant role when drafting the rehabilitation program. The review analyzes the data from scientific literature on the effects of concomitant diseases on the rehabilitation potential of patients after a past acute cerebrovascular accident. An analysis was carried out for the literature data using three data bases (PubMed, MEDLINE and eLIBRARY) for the period from 2000 until 2025 with 435 scientific articles analyzed, and for the detailed analysis, 35 publications were selected that meet the inclusion criteria. Based on the analysis conducted, various options were presented for evaluating the rehabilitation potential and for interpreting the evaluation results with taking into consideration the effect of various diseases, most frequently seen in patients with acute cerebrovascular accident. A discussion is presented on the necessity of compiling a single unified method of determining the rehabilitation potential. The analysis of literature data has shown that evaluating the comorbidity is one of the important components of the rehabilitation potential in the patient after the stroke. Determining the most significant factors shaping the rehabilitation potential in such patients is a top priority task determining the choice of rehabilitation therapy tactics and its efficiency.

About the authors

Boris B. Polyaev

Federal Center of Brain Research and Neurotechnologies

Author for correspondence.
Email: polyaev@fccps.ru
ORCID iD: 0000-0002-7032-257X
SPIN-code: 6714-0595

MD, PhD, Assistant Professor

Russian Federation, 1 Ostrovityanova st, bldg 10, Moscow, 117513

Galina E. Ivanova

Federal Center of Brain Research and Neurotechnologies

Email: reabilivanova@mail.ru
ORCID iD: 0000-0003-3180-5525
SPIN-code: 4049-4581

MD, PhD, Professor

Russian Federation, Moscow

Mariya A. Bulatova

Federal Center of Brain Research and Neurotechnologies

Email: inface@mail.ru
ORCID iD: 0000-0002-7510-7107
SPIN-code: 5864-7146

MD, PhD

Russian Federation, Moscow

Olga V. Fuchizhi

Federal Center of Brain Research and Neurotechnologies

Email: fuchiji.o@fccps.ru
ORCID iD: 0000-0002-7446-0929
SPIN-code: 8374-2841
Russian Federation, Moscow

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