Consilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum95155Research ArticleThe biopsychosocial model of the patient stroke: the role of environmental factors in rehabilitationShmoninA. Alangendorff@gmail.comMaltsevaM. Nnimmaria@mail.ruMelnikovaE. Vmelnikovae2002@mail.ruIvanovaG. Ereabilivanova@mail.ruI.M.Pavlov First Saint Petersburg State Medical University of the Ministry of Health of the Russian FederationV.A.Almazov Northwestern federal medical research center of the Ministry of Health of the Russian FederationClinical hospital №26N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation17022016182.1141928122021Copyright © 2016, Consilium Medicum2016The article describes the biopsychosocial model of stroke. The advantages of this model are evidence. In the article,we demonstrate the importance of environmental factors that determine the activity and participation. As the tool is proposed to use the international classification of functioning for the implementation of the biopsychosocial model of stroke (ICF). We present a set of the most important domains of ICF, which are used in the rehabilitation of stroke patients.the biopsychosocial modelrehabilitationmotivationstrokepost-stroke depressionstressmaladjustmentanxietyenvironmental conditionsбиопсихосоциальная модельреабилитацияинсультострые нарушения мозгового кровообращениямотивациястрессдезадаптациятревогасреда окружения[Gutenbrunner C at al. White book on physical and rehabilitation medicine in Europe. 2006 by Section of Physical and Rehabilitation Medicine and European Board of Physical and Rehabilitation Medicine, Union Européenne des MédecinsSpécialistes (UEMS) and Académie Européenne de Médecine de Réadaptation.][Classification of Functioning, Disability and Health (ICF). Exposure draft for comment. October 2013. Geneva: WHO.][World Health Organization. How to use the ICF: A practical manual for using the International.][Реан А.А. Психология адаптации личности. Анализ. Теория. Практика. Спб.: прайм-ЕВРОЗНАК, 2006.][Stallinga H, Roodbol P, Annema C et al. Functioning assessment versus conventional medical assessment. October 2012; Unpublished paper for the WHO-FIC Network Annual Meeting, Brasilia.][Jelsma J, Scott D. Impact of using the ICF framework as an assessment tool for students in paediatric physiotherapy: a preliminary study. Physiother 2011; 97: 47-54.][Snyman S, Goliath C, Clarke M et al. Transforming health professions education: Applying the ICF framework to equip students to strengthen health systems in an interdependent world. October 2012; Unpublished paper for the WHO-FIC Network Annual Meeting, Brasilia.][http://www.icf-core-sets.org/][Geyh S, Cieza A, Schouten J et al. ICF Core Sets for stroke. J Rehabil Med 2004; 44 (Suppl.): 135-41. PubMed PMID: 15370761.]