Factors Influencing the Choice of Rehabilitation Measures for a Disabled Person with Consequences of Acute Stroke



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Abstract

Background. Acute stroke (AS) is accompanied by a wide range of long-term dysfunctions and disabilities, which necessitates an individual approach to forming an optimal complex of rehabilitation activities for a disabled person with consequences of AS in order to use rationally the available resources and to increase the effectiveness of rehabilitation.

Aim. To analyze and summarize the literature data on factors influencing the choice of rehabilitation interventions for stroke patients and to propose an algorithm for the formation of a personalized complex of rehabilitation measures for persons with disabilities due to AS.

Results. The analysis of literature data allowed us to identify the factors that complicate the rehabilitation of disabled people with the consequences of AS and determine their rehabilitation potential; the main factor was the cognitive status and the secondary ones were age, the level of motor disorder, the presence of aphasia and the psychoemotional state. These factors (pre-coded into the corresponding ICF categories) were used in the algorithm for assigning a disabled person with the consequences of AS to a certain rehabilitation group to form a set of rehabilitation measures. We suggest instruments to assess the categories and criteria of assigning the disabled person to a rehabilitation group.

Our algorithm makes it possible to set a realistic rehabilitation goal and to form an adequate complex of rehabilitation activities that matches the disabled person’s abilities. Disabled persons without any cognitive disorders are assumed to have a high rehabilitation potential and a good rehabilitation prognosis, which makes it possible to set an ambitious rehabilitation goal and to use any rehabilitation methods available while preferring active ones.

Conclusion. We developed an algorithm to form rehabilitation groups of disabled persons with consequences of AS which provides an individual approach to selecting an optimal complex of rehabilitation activities that is adequate to the abilities of a specific disabled person.

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About the authors

Olga I. Khokhlova

Novokuznetsk Scientific and Practical Centre for Medical and Social Evaluation and Rehabilitation of Disabled Persons, Ministry of Labour and Social Protection of the Russian Federation

Email: hohlovaoliv@rambler.ru
ORCID iD: 0000-0003-3069-5686
SPIN-code: 2386-7820
Scopus Author ID: 8671455000
ResearcherId: AAS-3498-2020

Ph.D., leading researcher at the department of medical, social and vocational rehabilitation

Russian Federation, 654055, Russian Federation, Kemerovo region, Novokuznetsk, Malaya street, 7

Elena M. Vasilchenko

Novokuznetsk Scientific and Practical Centre for Medical and Social Evaluation and Rehabilitation of Disabled Persons, Ministry of Labour and Social Protection of the Russian Federation

Email: root@reabil-nk.ru
ORCID iD: 0000-0001-9025-4060
SPIN-code: 8910-2615
Scopus Author ID: 57190665151
ResearcherId: AAP-8840-2020

Ph.D., associate professor, сhief researcher at the department of medical, social and vocational rehabilitation

Russian Federation, 654055, Russian Federation, Kemerovo region, Novokuznetsk, Malaya street, 7

Yana A. Denisova

Novokuznetsk Scientific and Practical Centre for Medical and Social Evaluation and Rehabilitation of Disabled Persons, Ministry of Labour and Social Protection of the Russian Federation

Author for correspondence.
Email: root@reabil-nk.ru
ORCID iD: 0009-0005-7670-7701
SPIN-code: 3338-2163

Scientific Secretary

Russian Federation, 654055, Russian Federation, Kemerovo region, Novokuznetsk, Malaya street, 7

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