Issue 23-6, 2024

Review

https://doi.org/10.38025/2078-1962-2024-23-6-100-110

Visual Impairment in Stroke Patients: a Two-Part Review. Part II — Rehabilitation Methods

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1,* ORCIDTatyana V. Marfina, 1 ORCIDTatiana V. Konchugova,1 ORCIDTatiana V. Apkhanova,1 ORCIDDetelina B. Kulchitskaya,, 1 ORCID Anastasiya A. Mukhina

1 National Medical Research Center for Rehabilitation and Balneology, Moscow, Russia


ABSTRACT

INTRODUCTION. The search and development of optimal rehabilitation programs for patients who have suffered acute cerebrovascular accident (OMNA) is an urgent problem of modern medicine. The development of scientific and technical capabilities leads to the active introduction of the latest technologies at different stages of medical rehabilitation of cerebral stroke. This article is the second part of a two-part review devoted to the problem of visual impairment in patients with acute cerebrovascular accident, which provides an overview of the methods of rehabilitation of patients in this category.
MAIN CONTENT OF THE REWIEW. This overview of rehabilitation methods for patients with impaired visual functions who have undergone OMNA is based on publications in international and domestic databases OpenAlex, Scilit, Lens, PubMed, Cyberleninka and eLibrary available for analysis by 15.08.2024, with a search depth of mainly 15 years. As a result of the search, 66 articles on a given topic were reviewed. In addition, 6 sources dated from an earlier period (1989–2005) were used, as they contain the necessary information within the framework of this review. The rehabilitation methods considered in the review correspond to the accepted basic strategies for restoring impaired visual functions, including those caused by cerebral stroke. Two main strategies include the use of optical devices to adapt to the environment and training of intact structures of the visual analyzer aimed at compensating for lost functions. The third strategy is aimed at increasing the processing of visual information in areas of residual vision.
CONCLUSION. The variety of types of visual disorders, the degree of influence on the quality of life of stroke patients, necessitates the search and development of optimal rehabilitation programs. This will significantly expand the choice of recovery options after a cerebral stroke in this category of patients.


KEYWORDS: stroke, post-stroke visual impairment, rehabilitation methods, vision recovery

FUNDING: The authors declare no external funding in the conduct of the study.

CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

FOR CITATION:

Marfina T.V., Konchugova T.V., Apkhanova T.V., Kulchitskaya D.B., Mukhina A.A. Visual Impairment in Stroke Patients: a Two-Part Review. Part II — Rehabilitation Methods. Bulletin of Rehabilitation Medicine. 2024; 23(6):100-110. https://doi.org/10.38025/2078-1962-2024-23-6-100-110 (In Russ.).

FOR CORRESPONDENCE:

Tatyana V. Marfina, E-mail: marfinatv@nmicrk.ru


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