nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-3S-89-94nnp-1139Research ArticleREVIEWSОБЗОРЫMotor function recovery in patients after ischemic strokeВосстановление двигательных функций у пациентов, перенесших ишемический инсультСтарчинаЮ. А.StarchinaYu. A.

кафедра нервных болезней и нейрохирургии лечебного факультета,

119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine, 

11, Rossolimo St., Build. 1, Moscow 119021

yul-starchina@yandex.ruФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation201924062019113SСпецвыпуск: когнитивные нарушения, цереброваскулярные заболевания8994Copyright © Starchina Y.A., 20192019Старчина Ю.А.Starchina Y.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1139

Secondary prevention of recurrent stroke and other cardiovascular diseases is of key importance for the management of a patient after ischemic stroke. Medications (antihypertensive, antiplatelet, or anticoagulant drugs and statins) are recommended for use; and a small proportion of patients should undergo surgical treatment (carotid endarterectomy); non-drug treatments (smoking cessation and alcohol abstinence, adherence to the Mediterranean diet, and increased physical activity) are of great importance. Movement disorders are seen in 80% of patients after a stroke and are the leading cause of disability. Therapeutic exercises aimed at training movements in the paretic limbs and at preventing the development of contractures are of utmost importance in post-stroke movement disorders. The use of citicoline to improve motor function recovery is discussed.

Ведущее значение в ведении пациента, перенесшего ишемический инсульт, имеет вторичная профилактика повторного инсульта и других сердечно-сосудистых заболеваний. Рекомендован прием лекарственных препаратов (антигипертензивных, антитромбоцитарных средств или антикоагулянтов, статинов) и, небольшой части пациентов, – хирургическое лечение (каротидная эндартерэктомия), большое значение имеют нелекарственные методы (отказ от курения, злоупотребления алкоголем, приверженность средиземноморской диете, увеличение физической активности). Двигательные нарушения наблюдаются у 80% пациентов после инсульта и являются ведущей причиной инвалидизации. При постинсультных двигательных расстройствах большое значение имеет лечебная гимнастика, направленная на тренировку движений в паретичных конечностях и предотвращение развития контрактур. Обсуждается использование цитиколина с целью улучшения восстановления двигательных функций.

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The authors declare that there are no conflicts of interest present.