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Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova 2003

[Conception of neurorehabilitation in post-stroke patients].

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V M Shklovskiĭ

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Abstrakt

Based on the long research and practical experience of specialized neurorehabilitation service study in different Moscow and Russian regions, the article presents the conception of post-stroke patient's neurorehabilitation. Heading by the Federal Scientific Speech Pathology and Neurorehabilitation Center, Health Care Ministry RF and Moscow Institute of Psychiatry, 108 clinico-rehabilitation settings (emergency clinics for neurosurgery and cerebrovascular pathology, to home care, and rehabilitation daily in-patient clinics and specialized units of municipal out-patients clinics) provide a specialized care in Moscow. The methodological approaches to rehabilitation of patients with the consequences of focal brain lesions have been specified. The particular attention was focused on a neurorehabilitation of the patients with dominant hemisphere lesion with higher mental and movement functions disturbances. The significance of mental and social factors in the pathogenesis of these disorders was highlighted. A system of patient's neurorehabilitation and principles of service organization in different disease stages are presented.

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