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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Medical and Social Expert Evaluation and Rehabilitation</journal-id><journal-title-group><journal-title xml:lang="en">Medical and Social Expert Evaluation and Rehabilitation</journal-title><trans-title-group xml:lang="ru"><trans-title>Медико-социальная экспертиза и реабилитация</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1560-9537</issn><issn publication-format="electronic">2412-2092</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">678665</article-id><article-id pub-id-type="doi">10.17816/MSER678665</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Научные обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Maintaining long-term outcomes after rehabilitation in stroke patients: literature review</article-title><trans-title-group xml:lang="ru"><trans-title>Поддержка долгосрочных результатов после реабилитации пациентов с инсультом: описательный обзор литературы</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0567-7515</contrib-id><contrib-id contrib-id-type="spin">8701-3486</contrib-id><name-alternatives><name xml:lang="en"><surname>Islamgulov</surname><given-names>Almaz Kh.</given-names></name><name xml:lang="ru"><surname>Исламгулов</surname><given-names>Алмаз Ханифович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>assistant</p></bio><bio xml:lang="ru"><p>ассистент</p></bio><email>aslmaz2000@rambler.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-3381-5446</contrib-id><name-alternatives><name xml:lang="en"><surname>Zinnatullin</surname><given-names>Robert R.</given-names></name><name xml:lang="ru"><surname>Зиннатуллин</surname><given-names>Роберт Русланович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>robert_zinnatullin@bk.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-9016-6444</contrib-id><name-alternatives><name xml:lang="en"><surname>Kabataeva</surname><given-names>Aiana A.</given-names></name><name xml:lang="ru"><surname>Кабатаева</surname><given-names>Аяна Алмазовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>akabataeva01@gmail.com</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-0027-3506</contrib-id><name-alternatives><name xml:lang="en"><surname>Khalikova</surname><given-names>Regina F.</given-names></name><name xml:lang="ru"><surname>Халикова</surname><given-names>Регина Фларидовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>89610492121@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-3478-7821</contrib-id><name-alternatives><name xml:lang="en"><surname>Krasheninnikov</surname><given-names>Vladislav A.</given-names></name><name xml:lang="ru"><surname>Крашенинников</surname><given-names>Владислав Андреевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>krashenvlad@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-1757-6471</contrib-id><name-alternatives><name xml:lang="en"><surname>Faritov</surname><given-names>Askar N.</given-names></name><name xml:lang="ru"><surname>Фаритов</surname><given-names>Аскар Ниязович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>Faritov.askar@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-7738-0642</contrib-id><name-alternatives><name xml:lang="en"><surname>Sibikina</surname><given-names>Anastasia I.</given-names></name><name xml:lang="ru"><surname>Сибикина</surname><given-names>Анастасия Ивановна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>aska906423@gmail.com</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-9756-9291</contrib-id><name-alternatives><name xml:lang="en"><surname>Shekhtmester</surname><given-names>Angelina M.</given-names></name><name xml:lang="ru"><surname>Шехтместер</surname><given-names>Ангелина Марковна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>Angelina-mark33@mail.ru</email><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-1280-3341</contrib-id><name-alternatives><name xml:lang="en"><surname>Ramazanov</surname><given-names>Shirvani R.</given-names></name><name xml:lang="ru"><surname>Рамазанов</surname><given-names>Ширвани Русланович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>sirvaniramazanov@gmail.com</email><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-8295-787X</contrib-id><name-alternatives><name xml:lang="en"><surname>Narly</surname><given-names>Anastasia</given-names></name><name xml:lang="ru"><surname>Нарлы</surname><given-names>Анастасия</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>nastya.narly@mail.ru</email><xref ref-type="aff" rid="aff6"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-1839-7952</contrib-id><name-alternatives><name xml:lang="en"><surname>Tagirova</surname><given-names>Patimat M.</given-names></name><name xml:lang="ru"><surname>Тагирова</surname><given-names>Патимат Магомедмурадовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>misspatya.02@mail.ru</email><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-9545-4800</contrib-id><name-alternatives><name xml:lang="en"><surname>Akhmadieva</surname><given-names>Regina R.</given-names></name><name xml:lang="ru"><surname>Ахмадиева</surname><given-names>Регина Рустэмовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>regina.ahmadieva.01@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-2564-694X</contrib-id><name-alternatives><name xml:lang="en"><surname>Orlova</surname><given-names>Diana S.</given-names></name><name xml:lang="ru"><surname>Орлова</surname><given-names>Диана Сергеевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>diana_orlova18@mail.ru</email><xref ref-type="aff" rid="aff7"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-2511-0271</contrib-id><name-alternatives><name xml:lang="en"><surname>Shakhnazarova</surname><given-names>Irina V.</given-names></name><name xml:lang="ru"><surname>Шахназарова</surname><given-names>Ирина Вячеславовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><email>shakhnazarova.02@mail.ru</email><xref ref-type="aff" rid="aff7"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Bashkir State Medical University</institution></aff><aff><institution xml:lang="ru">Башкирский государственный медицинский университет</institution></aff><aff><institution xml:lang="zh"></institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Bashkir State Medical University</institution></aff><aff><institution xml:lang="ru">Башкирский государственный медицинский университет</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Ryazan State Medical University named after academician I.P. Pavlov</institution></aff><aff><institution xml:lang="ru">Рязанский государственный медицинский университет им. академика И.П. Павлова</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">Dagestan State Medical University</institution></aff><aff><institution xml:lang="ru">Дагестанский государственный медицинский университет</institution></aff></aff-alternatives><aff-alternatives id="aff6"><aff><institution xml:lang="en">N.I. Pirogov Russian National Research Medical University (Pirogov University)</institution></aff><aff><institution xml:lang="ru">Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский университет)</institution></aff></aff-alternatives><aff-alternatives id="aff7"><aff><institution xml:lang="en">Rostov State Medical University</institution></aff><aff><institution xml:lang="ru">Ростовский государственный медицинский университет</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2025-05-27" publication-format="electronic"><day>27</day><month>05</month><year>2025</year></pub-date><pub-date date-type="pub" iso-8601-date="2025-09-28" publication-format="electronic"><day>28</day><month>09</month><year>2025</year></pub-date><volume>28</volume><issue>1</issue><issue-title xml:lang="en">Medical and Social Expert Evaluation and Rehabilitation</issue-title><issue-title xml:lang="ru">Медико-социальная экспертиза и реабилитация</issue-title><fpage>25</fpage><lpage>38</lpage><history><date date-type="received" iso-8601-date="2025-04-18"><day>18</day><month>04</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-04-23"><day>23</day><month>04</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Эко-Вектор</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2028-09-28"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref></license></permissions><self-uri xlink:href="https://rjmseer.com/1560-9537/article/view/678665">https://rjmseer.com/1560-9537/article/view/678665</self-uri><abstract xml:lang="en"><p> </p><p>The relevance of the stroke problem is determined by a significant increase in global morbidity and mortality, especially in developing regions of the world. Despite significant medical advances in recent decades, the burden of stroke continues to increase, posing a serious threat to the health of the planet’s population. Stroke is one of the leading causes of death and disability, having a significant impact on the quality of life of patients and the economy of countries. Over the past decades, a twofold increase in the number of cases of the disease has been noted, with the greatest number of fatalities and sufferers occurring in low- and middle-income countries. Separately, an alarming trend of increasing stroke rates among young population groups is emphasized, which indicates the need to expand preventive measures and improve the quality of specialized care. Russia also faces a high burden due to stroke: the annual number of new cases is increasing, and the mortality rate remains one of the highest among all diseases. The study confirms a significant difference in the incidence of strokes between men and women, reveals a high risk of early strokes in men and emphasizes the importance of taking into account the specifics of various population subgroups when developing a prevention and treatment strategy. International data confirm the trend of increasing strokes even in developed countries such as the United States and China, where there has been a significant increase in the number of fatalities and new cases. This circumstance requires the development of innovative approaches to the diagnosis, treatment and prevention of strokes, as well as intensified efforts to reduce lifestyle and environmental risks. Thus, the problem of combating stroke is of particular importance, since it affects almost all aspects of public health and has a significant impact on the development of national health systems.</p> </abstract><trans-abstract xml:lang="ru"><p>Актуальность проблемы инсульта определяется значительным ростом глобальной заболеваемости и смертности, особенно в развивающихся регионах мира. Несмотря на значительные достижения медицины последних десятилетий, бремя инсульта продолжает увеличиваться, представляя серьёзную угрозу здоровью населения планеты. Инсульт является одной из основных причин смерти и инвалидности, оказывая значительное влияние на качество жизни пациентов и экономику стран. За последние десятилетия отмечено двукратное увеличение числа случаев заболевания, причём наибольшее количество погибших и страдающих приходится на население стран с низкими и средними доходами. Отдельно подчёркивается тревожная тенденция роста частоты инсультов среди молодых групп населения, что свидетельствует о необходимости расширения профилактических мер и повышения качества оказания специализированной помощи.</p> <p>Россия также сталкивается с высокой нагрузкой вследствие инсульта: ежегодное число новых случаев увеличивается, а уровень смертности остаётся одним из наиболее высоких среди всех заболеваний. Проведённое исследование подтверждает значительную разницу в частоте инсультов между мужчинами и женщинами, выявляет высокий риск ранних инсультов у мужчин и подчёркивает важность учёта специфики различных популяционных подгрупп при разработке стратегии профилактики и лечения. Международные данные подтверждают тенденцию увеличения числа инсультов даже в развитых странах, таких как США и Китай, где наблюдался значительный рост количества смертельных исходов и новых случаев заболевания. Это обстоятельство требует разработки инновационных подходов к диагностике, лечению и профилактике инсультов, а также активизации усилий по снижению рисков, связанных с образом жизни и окружающей средой.</p> <p>Таким образом, проблема борьбы с инсультом приобретает особую значимость, поскольку затрагивает практически все аспекты общественного здоровья и оказывает существенное влияние на развитие национальных систем здравоохранения.</p></trans-abstract><kwd-group xml:lang="en"><kwd>stroke</kwd><kwd>stroke rehabilitation</kwd><kwd>psychosocial well-being</kwd><kwd>long-term outcomes after stroke</kwd><kwd>self-management support</kwd><kwd>family-centered approach</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>инсульт</kwd><kwd>реабилитация после инсульта</kwd><kwd>психосоциальное благополучие</kwd><kwd>долгосрочные результаты после инсульта</kwd><kwd>поддержка самоуправления</kwd><kwd>семейно-ориентированный подход</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>GBD 2019 Stroke Collaborators. 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