[Individual approaches to monitoring and predicting rehabilitation recovery of stroke patients].
The article based on the results of our own research shows the importance of the development of objective options for the individual forecast to recovery of stroke patients, and control of the rehabilitation process.


METHODS
We examined 44 patients with stroke and 35 healthy volunteers as a control group. All patients and healthy volunteers underwent a neurological examination, neurophysiological testing, and extended neuropsychological survey. We evaluated the results of rehabilitation depending on the data obtained in the survey. The study had found that cognitive impairment reaching moderate severity can be regarded as a poor prognostic factor for recovery of hand function. The clear direct relationship was shown between the impaired hand (with decreased strength and agility) and severity of frontal-subcortical dysfunction, and visual-spatial disorders. We found that elongated latent periods of auditory evoked potentials, P300 latency prolongation (beyond the age norm) were inherent mainly for patients with moderate cognitive impairment with postural disorders and high risk of falls. These patients, according to our data, had almost no improvement of motor functions versus patients who had moderate cognitive impairment, in which the parameters of evoked potentials of the brain were within the age norm.


CONCLUSIONS
Evoked potentials of the brain in conjunction with the results of the extended neuropsychological testing may be an objective indicator for prediction and possibly control of the dynamics of recovery of cognitive and motor functions in the rehabilitation of stroke patients.
A N
AN
Razumov
E A
EA
Mel'nikova
D016022:Case-Control Studies; D003072:Cognition Disorders / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D009043:Motor Activity / Q000502:physiology*; D064926:Neurophysiological Monitoring / Q000379:methods*; D009483:Neuropsychological Tests; D011379:Prognosis; D020127:Recovery of Function / Q000502:physiology*; D020521:Stroke / Q000150:complications / Q000503:physiopathology / Q000523:psychology; D000071939:Stroke Rehabilitation