Mechanism of formation of orthopedis pathology in patients after stoke (literature review)
The review presents the basic pathophysiological mechanisms of forming of orthopedic disorders of disabled after a stroke. Primary mechanisms of motor disturbances progress are associated with the pathology of the central nervous system. Secondary mechanisms of forming pathology of the musculoskeletal system are caused by the pain, spasticity, post-stroke arthropathy with the subsequent formation of contractures, deformities of the joints and bones. Changes in statics and gait are caused by not only cerebral pathology, but progressive biomechanical disorders of statics and gait. Autonomic-trophic disorders are also have a value. Against the background of hemiparesis asymmetry of the pelvis, foot deformity and spine deformity is generated. Degenerative-dystrophic changes in joints are occurred and progress. Osteogenesis is violated.