БОЛЬ ПОСЛЕ ИНСУЛЬТА-МЕХАНИЗМЫ, КЛИНИЧЕСКИЕ ПРОЯВЛЕНИЯ И РЕАБИЛИТАЦИОННЫЕ ВМЕШАТЕЛЬСТВА
DOI:
https://doi.org/10.52692/1857-0011.2021.3-71.27Ключевые слова:
постинсультная боль, центральная боль, комплексный регионарный болевой синдром, боль в плече, реабилитация после инсультаАннотация
Введение. У выживших после инсульта часто могут возникать различные болевые синдромы и сопутствующие заболевания, а устранение боли остается серьезной проблемой, которая мешает программам реабилитации и Științe Medicale 39 приводит к плохим функциональным результатам. Болевые состояния можно рассматривать как сопутствующие заболевания или осложнения самого инсульта, что с точки зрения длительной реабилитации усложняет подход к пациенту, перенёсшему инсульт. Целью данного исследования было изучение основных причин боли после инсульта и возможности реабилитационных вмешательств для контроля боли после инсульта. Методология. Для поиска было задействованно несколько научных баз данных, как PubMed и Google academics, где был проведен многоцелевой поиск литературы с использованием ключевых слов “stroke”, pain”,„stroke rehabilitation”, pain” и “painful comorbidities”. Результаты. Найболее частыми типами боли, связанной с инсультом, оказались боль в плече, комплексный регионалный болевой синдром, центральная постинсультная боль и головная боль. Методы физиотерапии, двигательной терапии, терапии теплом и холодом или TENS можно рассматривать как терапевтические и реабилитационные варианты при боли в плече, боли, связанной со спастичностью или нарушениями опорно-двигательного аппарата. Выводы: Боль после инсульта - частое клиническое проявление, но также очень неоднородное, имеющее множество причин и характеристик. Методы реабилитации открывают новые горизонты и могут рассматриваться как дополнительные инструменты для лечения боли у лиц, перенесших инсульт.Библиографические ссылки
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