КЛИНИЧЕСКИЙ СЛУЧАЙ ЭФФЕКТИВНОЙ РЕАБИЛИТАЦИИ ПАЦИЕНТА С КОМОРБИДНОЙ СОСУДИСТОЙ ПАТОЛОГИЕЙ

Abstract

The problem of rehabilitation of patients with multimorbid pathology currently holds its medical and social relevance, due to the complexity of choosing an adequate treatment and predicting possible complications at the hospital stage. This is determined by the predominant monomorbid nature of clinical recommendations, as well as the difficulty of analyzing all risk factors and predicting the outcome of a comorbid disease. The article describes the case of a 60-year-old man with comorbid cerebrocardiovascular pathology, transferred from the palliative department to a rehabilitation center. The score on the Rehabilitation Routing Scale (RRS) was 5 points with a prospective regression to 6 points. As part of a multidisciplinary rehabilitation team (MDRT), the patient underwent a complex of rehabilitation measures including physical and cognitive rehabilitation, apparatus physiotherapy, speech and occupational therapy, complementary to medication. On the 21st day of rehabilitation measures, the patient's condition improved by 1.2 times in terms of RRS, 4 times according to the NIHSS stroke scale, 3 times in muscle strength according to the MRCWS, 2 times in mAS spasticity, 4 times in dysphagia, and 1,5 times in balance, Barthel Index of ADL – by 1.5 times, Rivermead Mobility Index – 3 times.