Clinical and functional status of disabled persons with hemiparesis in different periods of stroke

Authors:

Kornienko Lyudmila Vasilievna — PhD in Medical sciences (Cand. Med. Sci.), senior researcher of the Department of medical and social and vocational rehabilitation, Novokuznetsk Scientific and Practical Centre for Medical and Social Expertise and Rehabilitation of Disabled Persons, 7 Malaya Street, 7654055 Novokuznetsk, Russian Federation; e-mail: root@reabil-nk.ru.

Zhatko Olga Valerievna — junior researcher of the Laboratory for the development of automated systems on rehabilitation, Novokuznetsk Scientific and Practical Centre for Medical and Social Expertise and Rehabilitation of Disabled Persons, 7 Malaya Street, Kemerovo Region, 7654055 Novokuznetsk, Russian Federation, e-mail: root@reabil-nk.ru.

Filatov Evgeny Valerievich — PhD in Medical sciences (Cand. Med. Sci.), head of the Department of neurosurgery, Novokuznetsk Scientific and Practical Centre for Medical and Social Expertise and Rehabilitation of Disabled Persons, 7 Malaya Street, 7654055 Novokuznetsk, Russian Federation, e-mail: root@reabil-nk.ru.

Annotation:

Introduction. There is still no consensus on the recovery periods after stroke. Assessment of the clinical and functional status of disabled persons with hemiparesis is important for the adequate correction of rehabilitation measures.

Aim. To perform a comparative analysis of the clinical and functional status of disabled persons with hemiparesis in late recovery and residual periods of the acute cerebral circulation disorder with a view to optimize the post-stroke rehabilitation.

Materials and methods. We examined 469 disabled persons with hemiparesis in the late recovery period or the residual period of stroke. We assessed neurological disorders (the degree of spasticity, the strength of the muscles of paretic limbs), activities of daily living, functional independence, disabilities and the cognitive status.

Results. Muscle strength in the paretic lower limb, mobility, daily activity, and degree of independence in disabled people with hemiparesis in the residual period were significantly higher than in patients in the late recovery period. At the same time, direct correlations between cognitive status indicators and the level of functional independence and its motor component, the Rivermead index, and the inverse relationship with the Rankin scale were established.

Discussion. The data obtained indicate that in disabled people with hemiparesis in the residual period of stroke, readaptation to existing defects occurs, which has an impact on the restoration of personal and social status. The results of rehabilitation after stroke are influenced not only by the degree of motor disorders, but also by the state of cognitive functions.

Conclusion. For adequate correction of post-stroke rehabilitation in the late recovery and residual periods, it is advisable to take into account the level of cognitive impairment.

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