Multidisciplinary neurorehabilitation programs for stroke survivors: impact on hypertension, depression, and quality of life

As the prevalence of stroke and disabling sequelae is massive, the present research sought to identify the effects of multidisciplinary neurorehabilitation programs on improving hypertension, reducing depressive symptoms, and improving the quality of life of Uzbekian stroke survivors. The research was conducted as a clinical trial with two intervention and control groups. Participants (n=100) were randomly divided into two groups, and the intervention group underwent comprehensive neurorehabilitation interventions including physiotherapy, psychological counseling, blood pressure control training, and social activities for 6 months. Data were collected using standardized quality of life questionnaires (SF-36), Beck Depression Inventory (BDI), and routine blood pressure readings. The results presented a significant decrease in systolic (15±6 mmHg) and diastolic (8±4 mmHg) blood pressure levels in the intervention group compared to the control group. In addition, depression scores in the intervention group decreased by 40% on average, while this modification was minimal in the control group. In quality of life indicators, there were significant improvements, especially in physical function and mental health (p < 0.05). This study confirms that multidisciplinary neurorehabilitation programs are of first priority in the treatment not only of secondary stroke complications, but also in the improvement of mental health and social adaptation of patients in the cultural context of Uzbekistan. It is recommendable to incorporate these interventions into routine treatment regimens in this country's health care system.