DOI: 10.24075/brsmu.2019.038


Problems of medical rehabilitation in patients after a transient ischemic attack

Kostenko EV, Eneeva MA, Kravchenko VG
About authors

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russia

Correspondence should be addressed: Elena V. Kostenko
Baumanskaya 70, Moscow, 105007; еur.liam@85oknetsok

About paper

Author contribution: Kostenko EV — study conception and design, data analysis and interpretation, manuscript revision; Eneeva MA — study design, data analysis and interpretation, manuscript draft; Kravchenko VG — data analysis and interpretation, manuscript draft.

Received: 2019-05-24 Accepted: 2019-06-07 Published online: 08.06.2019

The efficacy of rehabilitation in post-TIA patients still remains a clinical challenge, considering the combined burden of the primary disease and comorbidities. The aim of this study was to provide a rationale for introducing psychological counseling into post-TIA rehabilitation programs after studying the presentations of cognitive and emotional impairments developed after this cerebrovascular event. We analyzed in- and outpatient medical records of 351 participants (the mean age was 58.6 ± 2.2 years) who had experienced a TIA. Data was collected from forms 0.25/y and 003/y, medical/social questionnaires and also included MMSE and HADS scores. We found that CI and MD ranked second after cardiovascular diseases among the comorbidities in post-TIA patients (186.8 cases per 100 patients). We conclude that rehabilitation of post-TIA patients should involve a multidisciplinary team of experts including a psychotherapist or a clinical psychologist who will provide psychological counselling.

Keywords: cognitive impairment, transient ischemic attack, neuropsychological disorders, mood disorders, medical rehabilitation