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Clinical Medicine (Russian Journal)

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Long-term complications of stroke and outpatient rehabilitation

https://doi.org/10.30629/0023-2149-2026-104-1-57-61

Abstract

Effects of a stroke are very diverse. Depending on the nature and localization of brain damage a wide range of neurological disorders may be observed, including motor, speech, cognitive and psychoemotional disorders. Stroke rehabilitation requires the participation of a team of specialists, including doctors, paramedical personnel, speech therapists, psychologists and specialists in therapeutic gymnastics and physiotherapy. The main principles of rehabilitation are early onset, comprehensiveness and adequacy of rehabilitation measures, active participation in the rehabilitation process of the patient and his relatives. Medical rehabilitation of patients with a history of stroke should be carried out with an intensity commensurate with the expected benefit and tolerability of the rehabilitation measures.

About the Authors

G. E. Roytberg
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Grigory E. Roytberg — Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Head of the 
Department of Therapy, General Medical Practice and Nuclear Medicine of the Institute of Continuous Education and Professional Development

Moscow



I. D. Slastnikova
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Irina D. Slastnikova — Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Therapy, General Medical Practice and Nuclear Medicine of the Institute of Continuous Education and Professional Development

Moscow



O. O. Sharkhun
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Olga O. Sharkhun — Doctor of Medical Sciences, Professor of the Department of Therapy, General Medical Practice and Nuclear Medicine of the Institute of Continuous Education and Professional Development

Moscow



References

1. Drapkina O.M., Kontsevaya A.V., Kalinina A.M., Avdeev S.M., Agaltsov M.V., Alexandrova L.M. et al. 2022 Prevention of chronic non-communicable diseases in the Russian Federation. National guidelines. Cardiovascular Therapy and Prevention. 2022;21(4):3235. (In Russ.). DOI: 10.15829/1728-8800-2022-3235

2. Malyavin AG, Tanashyan MM, Adasheva TV, Antonova KV, Maksimova MYu. An interdisciplinary approach to assessing the risk of cerebrovascular accidents. Resolution of the Expert Council of the Russian Scientifi c Medical Society of Therapists. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(9):96–99. (In Russ.). DOI: 10.17116/jnevro202412409196

3. Early rehabilitation after stroke. Jan Merholz; translated from English; edited by Professor G.E.Ivanova. 2nd ed. Moscow: MEDpress-inform, 2019:248. (In Russ.).

4. Domashenko M.A., Akhmadullina D.R. Secondary Stroke Prevention and Post-stroke Rehabilitation in Ambulatory Care. Nervnyte bolezni. 2020;1:36–44. (In Russ.). DOI: 10.24411/2226-0757-2020-12150

5. Pandyan A.D., Hermens H.J., Conway B.A. Neurorehabilitation. Spasticity and contractures in clinical practice and research. Translated from English. edited by E.V. Kostenko, S.E. Khatkova. Geotar-Media, 2021:336. (In Russ.).

6. Krasavina D.A., Orlova O.R., Eremin S.A. The main aspects of rehabilitation for stroke patients. Home self-rehabilitation complex. A practical guide. Saint Petersburg. Special Edition, 2022:167. (In Russ.).

7. Secondary prevention in patients with acute cerebrovascular accident. Methodological recommendations for outpatient practitioners /Comp. Glezer M.G. M. LLC «Medikom», 2021:20. (In Russ.).

8. Zhivolu pov S.A., Samartsev I.N. Early Diagnosis and Rational Treatment of Cerebrovascular Diseases as Part of Contemporary Strategy of Primary and Secondary Stroke Prevention. Nervnyte bolezni. 2022;2:28–37. (In Russ.). DOI: 10.24412/2226-0757-2022-12822

9. Zakharov V.V., Martynova O.O. Cognitive evaluation in diagnosis and diff erential diagnosis of chronic cerebral vascular diseases. Etff ektivnaya farmakoterapiya. 2022;18(15):18–26. (In Russ.). DOI: 10.33978/2307-3586-2022-18-15-18-26

10. Martynov A.I., Tanashyan M.M., Malyavin A.G., Bogolepova A.N., Borovkova N.Y., Eliseeva L.N. et al. Resolution of the expert council. Possibilities of neuroprotective therapy in patients with arterial hypertension and cognitive disorders. Terapiya. 2023;9(10):148–158. (In Russ.). DOI: 10.18565/therapy.2023.10.148–158

11. Epifanov V.A., Epifanov A.V., Glazkova I.I. and others. Medical and social rehabilitation of patients after stroke. GEOTAR-Media, 2021:352. (In Russ.).

12. Stroke: modern diagnostic and treatment technologies. A guide for doctors. Third edition, expanded and revised. Edited by Piradova M.A., Tanashyan M.M., Maksimova M.Y. MEDpress-inform, 2018:360. (In Russ.).

13. Shishkova V.N. The Choice of Modern Neuroprotective Therapy Considering Basic Needs of Patients with Cerebral Small Vessel Disease. Nervnyte bolezni. 2023;(3):74–80. (In Russ.). DOI: 10.24412/2226-0757-2023-13010

14. Martynov A.I., Vertkin A.L., Danilov A.B. Consensus for the management of patients with chronic ischemia of the brain for therapists and general practitioners. Terapiya. 2020;6(7):15–21 (In Russ.). DOI: 10.18565/therapy.2020.7.14-21

15. Tanashyan M.M., Raskurazhev A.A., Kornilova A.A. Cerebro vas cular diseases and personalized prevention. Russian Journal of Preventive Medicine. 2021;24(2):76–81. (In Russ.). DOI: 10.17116/profmed20212402176


Review

For citations:


Roytberg G.E., Slastnikova I.D., Sharkhun O.O. Long-term complications of stroke and outpatient rehabilitation. Clinical Medicine (Russian Journal). 2026;104(1):57-61. (In Russ.) https://doi.org/10.30629/0023-2149-2026-104-1-57-61

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)