medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2024-12-7-14medalphabet-3815Research ArticleСтатьиКлинические и патофизиологические особенности постинсультных болевых синдромов, современные лечебно-реабилитационные аспектыPost-stroke pain syndrome: clinical, pathophysiological characteristics and modern rehabilitation managementhttps://orcid.org/0000-0003-0353-553XПетроваЛ. В.PetrovaL. V.

Петрова Людмила Владимировна, к. м. н., врач-невролог, старший научный сотрудник, зав. отделом медицинской реабилитации

Москва

Petrova Liudmila V., PhD Med, neurologist, senior researcher, head of Dept of Medical Rehabilitation

Moscow

ludmila.v.petrova@yandex.ruhttps://orcid.org/0000-0003-0629-9659КостенкоЕ. В.KostenkoE. V.

Костенко Елена Владимировна, д. м. н., профессор, врач-невролог, главный научный сотрудник; профессор кафедры неврологии

Москва

Kostenko Elena V., DM Sci (habil.), professor, neurologist, chief researcher; professor at Dept of Neurology

Moscow

https://orcid.org/0000-0003-3727-6302НахраповД. И.NakhrapovD. I.

Нахрапов Дмитрий Игоревич, к. м. н., врач-невролог, научный сотрудник

Москва

Nahrapov Dmitry I., PhD Med, neurologist, researcher

Moscow

https://orcid.org/0009-0002-9095-9911ЖдановаС. Г.ZhdanovaS. G.

Жданова Софья Геннадьевна, врач-невролог, зав. отделением неврологии филиала № 3

Москва

Zhdanova Sofja G., neurologist, head of Neurology Dept of branch No. 3

Moscow

ГАУЗ «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины им С. И. Спасокукоцкого» ДЗМРоссияMoscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine named after S. I. SpasokukotskyRussian FederationГАУЗ «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины им С. И. Спасокукоцкого» ДЗМ; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н. И. Пирогова»РоссияMoscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine named after S. I. Spasokukotsky; N.I. Pirogov Russian National Research Medical UniversityRussian Federation202412082024012Неврология и психиатрия (2)714Copyright © Петрова Л.В., Костенко Е.В., Нахрапов Д.И., Жданова С.Г., 20242024Петрова Л.В., Костенко Е.В., Нахрапов Д.И., Жданова С.Г.Petrova L.V., Kostenko E.V., Nakhrapov D.I., Zhdanova S.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/3815

Актуальность. Боль является распространенным осложнением после инсульта и связана с депрессией, когнитивной дисфункцией и снижением качества жизни. Постинсультный болевой синдром по-прежнему недостаточно диагностируется и не получает должного лечения, несмотря на доказательства того, что эффективное лечение боли может улучшить функции и качество жизни. В статье освещены вопросы эпидемиологии, патогенеза, методов клинической оценки и факторов риска развития постинсультной боли. Представлен обзор литературы, касающейся наиболее распространенных постинсультных болевых синдромов: центральной постинсультной боли, комплексного регионарного болевого синдрома, мышечно-скелетной боли, включая боль в плече, боли, связанной со спастичностью и головной боли. Проанализированы современные методы лечения.Заключение. В интересах оптимизации реабилитации пациента, перенесшего инсульт, улучшения его качества жизни и функциональных возможностей клиницисты должны знать о боли как о распространенном осложнении после инсульта, выявлять пациентов с наибольшим риском, детализировать наличие и характеристики боли, а также знать о вариантах коррекции постинсультных болевых синдромов.

Background. Pain is a common complication after stroke and is associated with the presence of depression, cognitive dysfunction, and impaired quality of life. It remains underdiagnosed and undertreated, despite evidence that effective treatment of pain may improve function and quality of life. The article highlights the issues of epidemiology, pathogenesis, methods of clinical assessment and risk factors for the development of post-stroke pain. A review of the literature on the most common post-stroke pain syndromes including central post-stroke pain, complex regional pain syndrome, musculoskeletal pain, shoulder pain, pain associated with spasticity and headache is presented. Modern management of the pain is analyzed.Conclusion. In the best interests of optimizing the rehabilitation of a stroke patient, improving his quality of life and function after stroke, clinicians should be aware of pain as a common complication after stroke, identify those patients at highest risk, detail the presence and characteristics of pain, and also be aware of options for correcting post-stroke pain syndromes.

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The authors declare that there are no conflicts of interest present.