The motor activity in acute cerebral stroke based on the Performance Oriented Mobility Assessment test modified by M. T inetti (1986), functional stress tests and screening assessment of visual-spatial disorders

Objective. The article presents the survey data of 80 patients in the acute period of cerebral stroke who were treated in the department of the primary vascular center. Design and methods. Upon recommendations of the motor activity, the patients with acute stroke were screened for the presence of neglect. The choice of motor activity was based on the Performance Oriented Mobility Assessment test in the modification of M. Tinetti (1986) and the results of functional stress tests. Results. There were no complications or falls at the hospital when adequate vegetative support and a high score at Performance Oriented Mobility Assessment in the modification of M. Tinetti (1986) were present, as well as in the absence of visual-spatial inability. The patients with the significant visual-spatial neglect showed higher risk of falls, even with adequate vegetative support and postural stability. Results. We demonstrated the possibility, as well as the prognostic value of the Performance Oriented Mobility Assessment in the modification of M. Tinetti (1986) and functional stress tests along with the assessment of visual-spatial neglect in planning the early motor rehabilitation of patients with cerebral stroke. In addition, we developed an algorithm for the motor rehabilitation planning.

1. Epifanov VA, Epifanov AV, Levin OS. Rehabilitation of stroke survivors. M.: MEDpress-inform, 2014. 248 p. In Russian.

2. Kadykov AS, Shakhparonova NV. Treatment and rehabilitation of stroke survivors in rehabilitation and residual periods. M., 2014. 93 p. In Russian.

3. Koval’chuk VV. Approaches and strategies in the rehabilitation of stroke survivors. SPb, 2015. 117 p. In Russian.

4. Suslina ZA, Gulevskaya TS, Maksimova VYu, Morgunov VA. Stroke: diagnostics, treatment and prevention. M.: MEDpress-inform, 2016. 536 p. In Russian.

5. Kuznetsov AN, Vinogradov OI. Ischemic stroke. Diagnostics, treatment and prevention.. M., 2014. 131 p. In Russian.

6. Epifanov VA, Epifanov AV. Rehabilitation in neurology. M.: GEOTAR-Media, 2015. 416 p. In Russian.

7. Order of Health Care Ministry of the Russian Federation dated 29.12.2012 № 1705n “About the order of the medical rehabilitation”.. URL: https://www.rosminzdrav.ru/documents/9110‑poryadok-organizatsii-meditsinskoyreabilitatsii-utv-prikazom-ministerstva-zdravoohraneniyarossiyskoy-federatsii-ot‑29‑dekabrya‑2012‑g‑1705n. In Russian.

8. National Standard of the Russian Federation GOST R 52600.5–2008 “The protocol of the management of stroke patients”. URL: http://docs.cntd.ru/document/1200074382M., 2008. In Russian.

9. Stroke. The textbook for medical doctors. Ed. by LV Stakhovskaya, SV Kotov. M.: Meditsinskoe Informatsionnoe Agentstvo; 2013. 400 p. In Russian.

10. Yastrebtseva IP, Isanova VA, Baklushin AE, Yarchenkova LL. Stroke. Early rehabilitation. Ivanovo, 2015. 192 p. In Russian.

11. Kadykov AS, Chernikova LA, Shakhparonova NV. Rehabilitation in neurology patients. M.: MEDpress-inform; 2009. 560 p. In Russian.