Modern approaches to the management of early rehabilitation period after ischemic stroke



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Ischemic stroke (IS) is a form of acute cerebral circulatory failure (ACBF), the pathogenesis of which is based on occlusion of the head or neck arteries supplying blood to the brain, which leads to ischemia and, as a consequence, to the death of cortical areas of the brain and the development of focal neurological disorders. This disease remains one of the leading causes of death and disability in the world. According to the latest statistical data, about 16.9 million cases of IS are registered annually and this figure is steadily increasing, especially in connection with the increase in life expectancy of the population. The present review is devoted to the analysis of modern approaches to the management of early rehabilitation period after IS, which remains one of the leading causes of disability and mortality in the world. The authors analyze the pathophysiological basis of the early rehabilitation period, including the role of neuroplasticity, neuroinflammation, and interhemispheric cortical reorganization. Special attention is paid to innovative rehabilitation methods such as robotic technology, transcranial magnetic stimulation, virtual reality and cell therapy. The efficacy of these techniques is reviewed based on data from randomized controlled trials and meta-analyses. The results demonstrate significant improvement in functional outcomes with early initiation of rehabilitation programs and combined use of traditional and innovative techniques.

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作者简介

Airat Galimov

Bashkir State Medical University, Ufa, Russia

Email: galimovajrat457@gmail.com
ORCID iD: 0000-0003-4403-0204

MD, Cand. Sci. (Medicine), Associate Professor

俄罗斯联邦, Ufa, Russia

Natalya Stenkina

Bashkir State Medical University, Ufa, Russia

Email: beep.boy.official@gmail.com
ORCID iD: 0009-0003-8060-8947
俄罗斯联邦, Ufa, Russia

Ekaterina Gaikina

Ulyanovsk State University, Ulyanovsk, Russia

Email: kategaikina2002@gmail.com
ORCID iD: 0009-0002-3512-7186
俄罗斯联邦, Ulyanovsk, Russia

Elvina Shafikova

Bashkir State Medical University, Ufa, Russia

Email: elvinrose01@icloud.com
ORCID iD: 0009-0001-1361-0866
俄罗斯联邦, Ufa, Russia

Anastasia Bashirova

Bashkir State Medical University, Ufa, Russia

Email: nastena_bashirova@bk.ru
ORCID iD: 0009-0002-3172-7395
俄罗斯联邦, Ufa, Russia

Aidar Yapparov

Bashkir State Medical University, Ufa, Russia

Email: aidaripparov40@gmail.com
ORCID iD: 0009-0008-2739-1124
俄罗斯联邦, Ufa, Russia

Adel Amirkhanyan

Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russia

Email: adel.amirkhanyan@bk.ru
ORCID iD: 0009-0008-6716-6167
俄罗斯联邦, Voronezh, Russia

Maksim Rozhkov

Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russia

Email: maksim.rozhkov.03@bk.ru
ORCID iD: 0009-0000-8202-6762
俄罗斯联邦, Voronezh, Russia

Nikita Morozov

Bashkir State Medical University, Ufa, Russia

Email: n.morozov82@yandex.ru
ORCID iD: 0009-0006-9285-1970
俄罗斯联邦, Ufa, Russia

Nazgul Davletbaeva

Bashkir State Medical University, Ufa, Russia

Email: davletbaeva.2002@inbox.ru
ORCID iD: 0009-0003-7761-1766
俄罗斯联邦, Ufa, Russia

Nargiza Gimranova

Bashkir State Medical University, Ufa, Russia

Email: nargizagimra2001@gmail.com
ORCID iD: 0009-0002-3984-6591
俄罗斯联邦, Ufa, Russia

Rosalia Yamgurova

Bashkir State Medical University, Ufa, Russia

Email: rozalia.yamgurova02@mail.ru
ORCID iD: 0009-0006-6668-2261
俄罗斯联邦, Ufa, Russia

Dilbar Shagiakhmetova

Bashkir State Medical University, Ufa, Russia

Email: shagiahmetovadilbar@yandex.ru
ORCID iD: 0009-0003-0574-0833
俄罗斯联邦, Ufa, Russia

Ildar Sultanmuratov

Bashkir State Medical University, Ufa, Russia

Email: avya_vyayv_14@mail.ru
ORCID iD: 0009-0005-9619-0869
俄罗斯联邦, Ufa, Russia

Anastasia Reshetnikova

Bashkir State Medical University, Ufa, Russia

编辑信件的主要联系方式.
Email: anastasia63372@gmail.com
ORCID iD: 0009-0005-7550-6000
俄罗斯联邦, Ufa, Russia

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