Rehabilitation of patients who have suffered a hemorrhagic stroke

Objective: to study the features of rehabilitation measures in patients who have suffered hemorrhagic stroke, analyze the main stages of rehabilitation and substantiate the importance of various restorative treatment methods. Materials and methods. A literature review on rehabilitation of patients after hemorrhagic stroke was conducted. The main directions of restorative treatment were reviewed: therapeutic exercise, massage, physiotherapy, speech rehabilitation and social-psychological support. The results of clinical studies on the effectiveness of various rehabilitation methods at specialized medical institutions were studied. Results. Hemorrhagic stroke is characterized by high mortality (more than 50% of cases) and development of serious complications in surviving patients. Comprehensive rehabilitation includes early initiation of measures, individual approach, complexity and continuity of treatment. Therapeutic exercise showed effectiveness in restoring motor functions in 77.3–83.3% of patients. Physiotherapeutic methods (magnetic therapy, transcranial direct current stimulation, laser therapy) increase rehabilitation effectiveness up to 82%. Speech rehabilitation for various types of aphasia provides improvement of indicators by 20–40%. Socialpsychological support facilitates patient adaptation to new living conditions. Conclusion. A comprehensive approach to rehabilitation after hemorrhagic stroke, including medical technologies, physical activity and psychological support, significantly increases chances for successful recovery. Early initiation of rehabilitation measures, individualized programs and family participation in the recovery process are key factors for successful rehabilitation.