Kutlubaev M A, Akhmadeeva L R
GBUZ 'Respublikanskaja klinicheskaja bol'nitsa im. G.G. Kuvatova', ul. Dostoevskogo, 132, Ufa, Rossijskaja Federatsija, 450005.
GBOU VPO 'Bashkirskij gosudarstvennyj meditsinskij universitet' Minzdrava Rossii, Ufa.
Vopr Kurortol Fizioter Lech Fiz Kult. 2015 Jan-Feb;92(1):46-50. doi: 10.17116/kurort2015146-50.
Early mobilization is an important prerequisite for the successful recovery after stroke. However, it is unclear at present how early mobilization should be started after stroke. Three randomized controlled trials were devoted to the comparison of the effectiveness and safety of very early (within the first day after stroke) and early (within two days after stroke) mobilization. The meta-analysis of the results of these studies did not reveal any advantages of very early mobilization over early mobilization. One randomized control study was designed to compare the consequences of mobilization within 3 and 7 days after stroke. It has demonstrated that earlier mobilization is associated with fewer complications and does not exert negative effect on cerebral haemodynamics. A number of observational studies confirmed the positive effect of early mobilization on the outcome of stroke. It is concluded that it may be justified to start mobilization on the second day after stroke provided there are no contraindications to such modality. The practicability of very early mobilization remains to be elucidated.
早期活动是中风后成功康复的重要前提。然而，目前尚不清楚中风后应多早开始早期活动。三项随机对照试验致力于比较极早期（中风后第一天内）和早期（中风后两天内）活动的有效性和安全性。对这些研究结果的荟萃分析未发现极早期活动相对于早期活动有任何优势。一项随机对照研究旨在比较中风后3天和7天内进行活动的后果。结果表明，更早进行活动与更少的并发症相关，且对脑血流动力学没有负面影响。多项观察性研究证实了早期活动对中风预后的积极作用。得出的结论是，如果没有这种方式的禁忌症，在中风后第二天开始活动可能是合理的。极早期活动的实用性仍有待阐明。
