PAIN AND INCREASED MUSCLE TONE AFTER A STROKE AS REDUCTION FACTORS FOR REHABILITATION POTENTIAL. A MULTIDISCIPLINARY APPROACH TO THE MANAGEMENT OF PATIENTS
The features of multidisciplinary management of stroke patients with pain and increased muscular tone are revealed. The reasons, risk factors, diagnostics and therapy of pain syndromes are discussed. The characteristic of main types of a muscular spasticity of stroke patients and the purposes of rehabilitation at each of them is provided. Physical and medicine methods of rehabilitation and features of various techniques of physiotherapy, such as proprioceptive neuromuscular facilitation and Bobath concept are discussed in details.
Elmira O. Amanova 1, http://orcid.org/0000-0003-3418-7996
Vitalii V. Kovalchuk 2,3, http://orcid.org/0000-0002-1004-2162
Timur I. Minnullin 3, http://orcid.org/0000-0001-8985-4878
Talgat N. Khaibullin 4, http://orcid.org/0000-0003-1886-0538
1 International Kazakh-Turkish University, Turkestan, Kazakhstan;
2 Center for medical rehabilitation SPB PHI “N.A. Semashko city hospital №38”,
Saint Petersburg, Russia;
3 Saint Petersburg state university, Medical faculty, Saint Petersburg, Russia;
4 Semey State Medical University, Semey, Republic of Kazakhstan
1. Вознюк И.А., Провоторов В.А. Динамика восстановления двигательных расстройств у пациентов с ишемическим полушарным инсультом // Журнал неврологии и психиатрии им. С.С. Корсакова. Инсульт (приложение к журналу). Спецвыпуск. 2007. С. 278.
2. Дамулин И.В. Спастичность после инсульта // Русский медицинский журнал. 2005. № 7. С. 3-7.
3. Камаева О.В. Программы домашней реабилитации для лечения спастичности руки: Материал для врача: диалог с пациентом. СПб, 2014. - 34 с.
4. Каракулова Ю.В. О патогенетических механизмах формирования головных болей напряжения // Журнал неврологии и психиатрии им. С.С. Корсакова. 2006. №7. С.52-56.
5. Ковальчук В.В. Оценка эффективности и безопасности Мидокалма в раннем восстановительном периоде инсульта // Журнал неврологии и психиатрии им. С.С. Корсакова. 2013. №4. С. 35-40.
6. Ковальчук В.В., Богатырева М.Д., Миннуллин Т.И. Современные аспекты реабилитации больных, перенесших инсульт // Журнал неврологии и психиатрии им. С.С. Корсакова. 2014. №6. С. 101-105.
7. Костенко Е.В. Лечебная физкультура при постинсультной спастичности: Пособие для врачей. – М.: РНИМУ им. Н.И. Пирогова, 2010. – 34 с.
8. Ahmad E.L., Brashear A., Cherney L. et al. A Stroke Recovery Guide. – USA, CO: National Stroke Association, 2010. – 76 p.
9. Bobalh В., Bobath K. Die Motorlsche Entwicklung bei Zerebralparesen. – Stuttgart: Thieme, 1983. – 84 s.
10. Brunnstrom S. Movement Therapy in Hemiplegia: A Neurophysiological Approach. – New York: Harper & Row, 1970.
11. Knott M. & Voss D. Proprioceptive neuromuscular facilitation: Patterns and Techniques. – New York: Harper & Row, Hoeber Medical Division, 1956.
12. Mayer N.H. Spasticity and the stretch reflex // Muscle & Nerve. 1997. Vol. 20. Suppl. 6. – P. S1-S13.
13. Warlow C.P., Dennis M.S., van Gijn J. et al. Stroke. A practical guide to management. – London: Blackwell Science, 1997. 664 р.
14. Winkler P.A. Assessment tools in the management of spasticity: Perspective from physical therapy // Physiology and Management of Spasticity / Ed. By C.O’Brien. – Deerfield: Discovery International, 1996. P. 3-14.
15. Young R.R. Spasticity: a review // Neurology. 1994. Vol. 44 (suppl. 9). – P. S12-S20.
References:
1. Voznyuk I.A., Provotorov V.A. Dinamika vosstanovleniya dvigatel'nykh rasstroystv u patsientov s ishemicheskim polusharnym insul'tom [The dynamics of the recovery movement disorders in patients with ischemic hemispheric stroke]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. Insul't (prilozhenie k zhurnalu). Spetsvypusk. [Journal of Neurology and Psychiatry n.a. S.S.Korsakoff's). Special issue]. 2007, 278 p. [in Russian]
2. Damulin I.V. Spastichnost' posle insul'ta [Spasticity after stroke]. Russkiy meditsinskiy zhurnal [Russian Medical Journal]. 2005. №7. pp.3-7. [in Russian]
3. Kamaeva O.V. Programmy domashney reabilitatsii dlya lecheniya spastichnosti ruki: Material dlya vracha: dialog s patsientom [Program Home Rehabilitation for the treatment of spasticity of hands: Material for the physician: a dialogue with the patient]. SPb, 2014. 34 p. [in Russian]
4. Karakulova Yu.V. O patogeneticheskikh mekhanizmakh formirovaniya golovnykh boley napryazheniya [On the pathogenetic mechanisms of formation of tension headaches]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [Journal of Neurology and Psychiatry n.a. S.S.Korsakoff's]. 2006. №7. pp. 52-56. [in Russian]
5. Koval'chuk V.V. Otsenka effektivnosti i bezopasnosti Midokalma v rannem vosstanovitel'nom periode insul'ta [Efficacy and safety Mydocalm in the early recovery phase of stroke]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [Journal of Neurology and Psychiatry n.a. S.S.Korsakoff's]. 2013. №4. pp. 35-40. [in Russian]
6. Koval'chuk V.V., Bogatyreva M.D., Minnullin T.I.. Sovremennye aspekty reabilitatsii bol'nykh, perenesshikh insul't [Modern aspects of rehabilitation of patients with stroke]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [Journal of Neurology and Psychiatry n.a. S.S.Korsakoff's]. 2014. №6. pp. 101-105. [in Russian]
7. Kostenko E.V. Lechebnaya fizkul'tura pri postinsul'tnoy spastichnosti: Posobie dlya vrachey [Therapeutic exercises with poststroke spasticity: A handbook for physicians]. M.: RNIMU im. N.I. Pirogova, 2010. – 34 p. [in Russian]
8. Ahmad E.L., Brashear A., Cherney L. et al. A Stroke Recovery Guide. – USA, CO: National Stroke Association, 2010. – 76 p.
9. Bobalh В., Bobath K. Die Motorlsche Entwicklung bei Zerebralparesen. Stuttgart: Thieme, 1983. – 84 p.
10. Brunnstrom S. Movement Therapy in Hemiplegia: A Neurophysiological Approach. – New York: Harper & Row, 1970.
11. Knott M. & Voss D. Proprioceptive neuromuscular facilitation: Patterns and Techniques. – New York: Harper & Row, Hoeber Medical Division, 1956.
12. Mayer N.H. Spasticity and the stretch reflex. Muscle & Nerve. 1997. Vol. 20. Suppl. 6. P. S1-S13.
13. Warlow C.P., Dennis M.S., van Gijn J. et al. Stroke. A practical guide to management. – London: Blackwell Science, 1997. – 664 р.
14. Winkler P.A. Assessment tools in the management of spasticity: Perspective from physical therapy. Physiology and Management of Spasticity / Ed. By C.O’Brien. – Deerfield: Discovery International, 1996. – P. 3-14.
15. Young R.R. Spasticity: a review. Neurology. 1994. Vol. 44 (suppl. 9). P. S12-S20.
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Аманова Э.О., Ковальчук В.В., Миннуллин Т.И., Хайбуллин Т.Н. Боль и повышение мышечного тонуса после инсульта как факторы снижения реабилитационного потенциала. Мультидисциплинарный подход к ведению пациентов / / Наука и Здравоохранение. 2016. №6. С. 112-122. Amanova E.O., Kovalchuk V.V., Minnullin T.I., Khaibullin T.N. Pain and increased muscle tone after a stroke as reduction factors for rehabilitation potential. A multidisciplinary approach to the management of patients. Nauka i Zdravookhranenie [Science & Healthcare]. 2016, 6, pp. 112-122. Аманова Э.О., Ковальчук В.В., Миннуллин Т.И., Хайбуллин Т.Н. Инсультан кейінгі ауыру және бұлшық ет тонусын көтеру оңалту әлеуетін төмендету факторлары ретінде. Науқастарды жүргізуге мультидисциплинарлы әдіс / / Ғылым және Денсаулық сақтау. 2016. №6. Б. 112-122.Related publications:
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