A post-stroke rehab unit has opened at the Filatov City Clinical Hospital of Moscow’s Department of Healthcare. It receives patients after surgery, including those who have undergone a thrombectomy from the clinic’s neurological department and other city hospitals. Twenty patients can simultaneously undergo rehabilitation at the unit.
Filatov Hospital is part of the city's post-stroke rehab network. Now it has everything it needs to provide full medical aid to patients with cerebral circulation disorders: from urgent thrombectomies to rehabilitation including the restoration of speech and motor functions, as well as psychological help.
“Over 2,000 people are treated at the clinic for acute CVA every year,” said Moscow Government Minister and Head of the Department of Healthcare Alexei Khripun.
He added that of 29 vascular centres that are part of the post-stroke and post-heart attack recovery, six have departments for rehabilitating patients with central nervous system disorders. Apart from Filatov, these are clinics named after Vikenty Veresayev, Viktor Vinogradov, Leonid Vorokhobov (Clinic Hospital No. 67) and Sergei Yudin. Patients can undergo rehab in these hospitals after a stroke and also after cerebrocranial injuries, operations on extracting benign tumours on the cerebrospinal axis and inflammatory central nervous system disorders.
Patients can undergo both treatment and two stages of post-stroke rehabilitation in the new unit at Filatov Hospital. To increases the chances for recovery, it is necessary to start rehabilitation procedures as soon as possible. All patients are attended by a neurologist, speech language therapist, remedial therapy instructor, psychologist and physical therapist.
In the first stage, within days of a stroke, patients perform basic physical exercises. In the second stage specialists work on restoring memory, speech and sensory functions and adapt patients to physical loads. Patients also receive psychological counselling.
The new unit has a device that gives biological feedback for restoring the function of the hands, which is continuously monitoring the physiological indicators of the patient in real time. It also has a set of fitness machines for restoring the movement of paralysed limbs, fine motor skills and coordination in patients. The unit also has other equipment for upgrading the quality of these patients’ lives.
On the average, post-stroke rehab lasts 14 days but can be extended to 21 days depending on the condition of patients and the dynamics of their recovery.
After release from the rehab unit patients are in for a third stage of in-house procedures. They continue to engage in remedial exercise and undergo a course on physiotherapy in an outpatient clinic near their home.
It is easier to prevent strokes and heart attacks rather than treat them. In all, 97 schools for preventing strokes and heart attacks are now operating. In these schools patients will receive recommendations for exercise and diet, take stress tests to determine their current condition, receive any required medicines and register for prophylactic procedures, to name a few. Teachers at these schools are experienced physicians from medical disease prevention and health centres at city outpatient clinics that have passed special training courses. Patients can register for classes following annual physical or prophylactic medical exams or they can do this at the disease prevention centres in their outpatient clinics.
In addition, Moscow has a network of postheart attack and stroke rehab network. It is based on 29 multi-purpose hospitals under this programme. Quick medical assistance can enable doctors to save lives and reduce the negative consequences of cardiovascular diseases.