POST-STROKE PAIN SYNDROMES: CLINICAL ASPECTS, DIAGNOSTIC CRITERIA, FEATURES OF THERAPY AND REHABILITATION MEASURES
https://doi.org/10.21518/2079-701X-2017-17-63-71
Abstract
The article is devoted to the topical problem of post-stroke pain syndromes, which are a frequent complication after a stroke. Pain after a stroke is associated with psychoemotional disorders, cognitive dysfunction, dysfunction, impaired quality of life and limited opportunities for medical rehabilitation. The review of clinical aspects, risk factors of development of post-stroke pain, features of therapy and rehabilitation measures of the most common pain syndromes after a stroke is presented. The data of own observation of 1317 patients who have suffered a stroke are given. The effectiveness of lornoxicam in the complex program of medical rehabilitation of stroke patients with myofascial pain syndrome of lumbar localization and pain in the shoulder was demonstrated.
Conclusions: In order to improve the effectiveness of the rehabilitation process, optimize the quality of life and function after a stroke, it must be taken into account that the pain is a frequent complication after a stroke and identify patients at high risk of its development. Timely and adequate therapy of PBS with the inclusion of effective and safe NSAIDs in rehabilitation programs contributes to the improvement of functional outcomes after a cerebral stroke.
About the Author
E. V. Kostenko
Pirogov Russian National Research Medical University; Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of Moscow Healthcare Department
Russian Federation
Russian Federation
MD
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For citations:
Kostenko EV. POST-STROKE PAIN SYNDROMES: CLINICAL ASPECTS, DIAGNOSTIC CRITERIA, FEATURES OF THERAPY AND REHABILITATION MEASURES. Meditsinskiy sovet = Medical Council. 2017;(17):63-71. (In Russ.) https://doi.org/10.21518/2079-701X-2017-17-63-71
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