Rehabilitation afrer a stroke: goals, types. Prognosis and prevention of disease recurrence

Rehabilitation after a stroke

The number of people who have suffered a stroke reaches 2-3% of the entire population per year. The mortality rate is high, especially in the case of a hemorrhagic stroke. It accounts for 30-35% of all cases of this disease. The problem of rehabilitation after a stroke requires considerable effort. The task of doctors is to contribute to the acceleration of the body's self-healing process with all available possibilities. In Kyiv, rehabilitation after a stroke is carried out by medical institutions of a neurological profile - both public and private.

Recovery after a stroke in our clinic includes:

medical measures (therapeutic methods);
psychological recovery;
social adaptation;
pedagogical rehabilitation complex.

You can find complete information about the work of our rehabilitation center after a stroke in Kyiv by visiting the Dobrobut.com portal.

Restorative measures should begin as early as possible, be carried out systematically and for a long time, in the fullness of all the necessary complex. The active help of relatives and the patient's willingness to heal are important.

Rehabilitation of patients after a stroke is based on the body's ability to self-restore, reorganize neurons (brain cells) and restore connections between brain departments. The size of the stroke center and its location are of great importance.

Drug rehabilitation course after a stroke

The main goal of the recovery period is to return the patient's lost motor functions, speech, to eliminate the development of possible complications from the internal organs. Psychological and social adaptation is a separate task.

After the end of inpatient treatment, patients are recommended to continue using nootropic drugs for a long time. They should be prescribed in courses of several months (from three to six), with breaks of 1-2 months. Sometimes they are taken for years. The doctor selects the drug and determines the duration of use. Treatment and rehabilitation after a stroke with this group of drugs can alleviate and eliminate mental problems and speech disorders.

As a result of the residual effects of the disease, many patients develop depressive states. In difficult situations, psychological methods must be supplemented with the appointment of antidepressants. This is done by an experienced psychiatrist who has experience of daily observation of such patients in a rehabilitation clinic after a stroke. It is very important to immediately choose the necessary drug. The number of antidepressants is very large, which is why a specialist with a narrow profile is needed for their appointment.

Medications that support the heart, respiratory system and other organs are prescribed according to the indications.

Elimination of movement disorders

Physical rehabilitation after a stroke in Kyiv and other cities is based on kinesitherapeutic measures, since 80% of patients have paresis and paralysis, problems with coordination.

The main tasks of physical therapy:

full or partial restoration of movement capabilities;
formation of self-care skills;
elimination of imbalances.

Physical therapy (passive and active) is performed by experienced instructors. The effect is supplemented by electrical stimulation of the muscles. The method of biological feedback helps to involve the patient himself in the healing process, especially during rehabilitation after an ischemic stroke.

Exercise is practiced from the first days of the onset of the disease in the form of passive exercises performed by methodologists or supervisors. Gymnastics for the rehabilitation of the hand after a stroke consists of working out the full range of movements of the affected body parts. Gradually, the patient is connected to active work. At the same time, the first successes for many patients are of great psychological importance. Persistent and regular exercises improve and consolidate the effect. Paresis and paralysis gradually disappear. Patients get the opportunity to do even subtle manipulations - shave, work with scissors, needle and thread. With the help of specialists, and then independently, the patient learns to get out of bed and walk with a cane. Rehabilitation after a hemorrhagic stroke requires more patience and time.

Language methods of rehabilitation after a stroke

Approximately 30% of stroke patients develop a pathology of sound reproduction and understanding of people around them. In this case, speech therapists (aphasiologists) and specialists in neuropsychology are connected to restore lost opportunities. The methods of speech rehabilitation after a stroke are taught by relatives, who are explained the importance of constant verbal contact with the sick person. A common mistake of loved ones is the idea that the patient who suffered a stroke does not understand them. They are recommended special literature containing a set of proven exercises.

The course of rehabilitation after a stroke must be carried out with the cooperation of specialists from all areas. This significantly improves the prognosis.

Psychosocial readaptation

Psychological rehabilitation methods after a stroke are necessary to eliminate the negative consequences of long-term immobilization, problems of perception and understanding of the surrounding world, memory disorders. Psychologists help the patient's relatives to create the necessary psychological climate in which the patient will not feel useless.

The main goal of psychotherapy is to maintain optimism and the desire to recover. In this regard, the best method is rational persuasion. Many patients are prescribed hypnotherapy.

Social rehabilitation after a stroke in Ukraine includes the formation of the right attitude to the existing condition and physical capabilities. The patient is recommended and selected activities that are within his power and will bring moral satisfaction.