[Data bank on post-stroke patients: experience in organization and use]. / Bank dannykh postinsul'tnykh bol'nykh: opyt sozdaniia i ispol'zovaniia.

The bank of clinical data concerning restorative therapy of neurological patients was characterized. These data were included in computer program "System of management of data bank on poststroke patients" which was elaborated in the department of V.M.Bekhterev's St-Petersburg Psychoneurological Institute. Information obtained in process of answering special questionnaire formed this data bank which included social-, demographic, anamnestic, clinical-anatomical data, information about both initial functional state of the patient and its dynamics as well as therapeutic methods applied and follow-up data about the patients which entered the hospital repeatedly, 450 case reports were accumulated in the bank. Practice proved informative value of the bank's materials and its suitability for statistic analysis. Data bank may be used for scientific and statistic purposes as well for control and prognosis of efficiency of treatment of the patients with consequences of cerebral strokes.

[The results of rehabilitative treatment in diseases of the brain of a poststroke and posttraumatic nature and in diseases of the peripheral nervous system]. / Rezul'taty vosstanovitel'nogo lecheniia pri zabolevaniiakh golovnogo mozga postinsul'tnogo i posttravmaticheskogo kharaktera i perifericheskoi nervnoi sistemy.

The authors summarize 20-year experience in the aftercare of 16,088 patients with aftereffects of brain apoplexy or trauma, diseases of the peripheral nervous system. The treatment was performed in special inpatient and outpatient aftercare centres in the city of St. Petersburg. The above treatment was designed as step-by-step complex programs adjusted for individual personality, occupation, etiological and neurological characteristics, etc. Multiple modalities were employed, involving psychological, social, occupational and biological approaches. As shown by 3-5-year follow-up, the programs brought considerable clinical and social benefit.

[Rehabilitation treatment of patients with sequelae of stroke at a specialized rehabilitation center in Leningrad]. / Vosstanovitel'noe lechenie bol'nykh s posledstviiami tserebral'nogo insul'ta v usloviiakh spetsializirovannoi reabilitatsionnoi sluzhby Leningrada.

The article reviews a ten-year experience with rehabilitation of post-stroke patients accumulated at specialized in- and out-patient rehabilitation centers. The authors present the principles of structuring the recovery process, as well as the main components of rehabilitation programmes, individual methods, and their combination. The ultimate results of rehabilitation treatment are considerably better than those observed following the traditional chemo- and physiotherapy.

[System for rehabilitating patients with vascular pathology of the brain]. / Sistema reabilitatsii bol'nykh s sosudistoi patologiei mozga.

The authors have developed a rehabilitation system intended for patients with different cerebrovascular diseases. The system covers initial manifestations of insufficiency of the cerebral blood supply, transient disorders of the cerebral blood circulation, as well as acute, restorative and residual periods of the stroke. The system is being realized in territorial polyclinics, neurologic departments of city hospitals, rehabilitative inpatient centres and polyclinics. Regular medical check-ups constitute the initial and conclusive stage of the system. The system makes it possible to resolve the questions concerning the prophylaxis of stroke, as well as of its complications and recurrences. Methodologically the organization of the therapeutic process is based on principles of rehabilitation which bring together medical, social, and psychological measures. Clinical, social, and occupational outcome suggest a high efficacy of the system and advisability of its wide introduction into clinical practice.

[Use of portable biotechnological feedback devices in a system of active rehabilitative therapy in patients with post-stroke movement disorders]. / Primenenie portativnykh biotekhnicheskikh ustroistv s obratnoi sviaz'iu v sisteme aktivnoi vosstanovitel'noi terapii u bol'nykh s postinsul'tnymi dvigatel'nymi narusheniiami.

The authors present an adaptive biotraining technique employing automatic portable devices designed for post-stroke patients with secondary motor disturbances. The principal feasibility of a directed central reorganization and formation of new motoric skills in post-stroke patients with the paresis of upper extremities is demonstrated. The principles of correcting motor disturbances, developed for this cohort of patients, have enabled the authors to theoretically substantiate and introduce into clinical practice this effective method of functional therapy based on the active mobilization of brain reserves.

[Experience with the rehabilitation of stroke patients in a specialized rehabilitation polyclinic]. / Opyt reabilitatsii bol'nykh, perenesshikh insul't, v usloviiakh spetsializirovannoi reabilitatsionnoi polikliniki.

The success of treating 549 patients who had survived cerebral stroke and received a course of therapy at a specialized rehabilitation outpatient clinic has demonstrated the feasibility and efficacy of rehabilitation in outpatient conditions. Comparison of the results of treatment in the study (139 patients) and the control (100 patients) groups offers a good idea as to the social significance of such rehabilitation. 75.8% of the study patients admitted for treatment immediately after the acute stage of the disease were found capable of working (including subjects with minimal disability), whereas the corresponding figure in the control group was only 16%. A new organizational structure, a neurologic outpatient rehabilitation department, providing combined biological and psychosocial methods of treatment is discussed. The principles of the design of the therapeutic and restorative process including psycho- and physiotherapy, as well as special methods of exercise therapy and occupational therapy are presented.

[Forms and method of rehabilitation therapy and social-occupational rehabilitation of patients with the sequelae of cerebrovascular diseases]. / Formy metody vosstanovitel'noi terapii i sotsial'no-trudovoi reabilitatsii bol'nkh s posledstviiami sosudistykh zabolevanii mozga.

The authors give some data on restitutional therapy of 516 patients (400 with sequelae following strokes and 116 with transient disorders of cerebral circulation). Treatment of the first group was made in a neurological ward, the second--in a cardiological sanatorium. The programme of restitutional therapy provided the use of psychosocial and biological methods, an appeal to the personality and stage-by-stage accomplishment of rehabilitative measures. Comprehensive restitutional therapy included psychotherapy, medical-activizing regimes, medical gymnastics, massage, occupational therapy, medicinal therapy, etc. The authors elaborated differentiated complexes of rehabilitative treatment for patients with spastic hemiparesis, normal or decreased tone, as well as for patients with transient disorders of cerebral circulation in conditions of a cardiological sanatorium. The indices of effectiveness were the following: an improvement of the condition in patients after brain strokes--97.8%, in patients with transient disorders of cerebral circulation--94%.