ꯃꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤꯅꯥ ꯅꯥꯕꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯂꯝꯕꯤ ꯆꯠꯄꯥ, ꯂꯥꯞꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯀꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯎꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯒꯦ? ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ (spasticity) ꯑꯁꯤ ꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯅꯤ, ꯅꯠꯇꯦ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫

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ꯁꯦꯂꯦꯛꯇꯤꯕ ꯗꯣꯔꯁꯦꯜ ꯔꯥꯏꯖꯣꯇꯣꯃꯤ (SDR) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯦꯂꯦꯛꯇꯤꯚ ꯗꯣꯔꯁꯦꯜ ꯔꯥꯏꯖꯣꯇꯣꯃꯤ (SDR) ꯍꯥꯌꯕꯁꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (spasticity) ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯗꯥ ꯑꯉꯥꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚ ꯐꯥꯏꯕꯔ ꯈꯔꯗꯤ ꯈꯅꯒꯠꯂꯒꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯁꯨ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯣꯏ꯫

ꯑꯗꯨꯕꯨ ꯋꯥꯈꯂꯗꯥ ꯊꯃꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯤ: ꯁꯔꯖꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯄꯨꯝꯅꯃꯛꯀꯤꯗꯃꯛ ꯆꯨꯃꯗꯦ꯫

ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (ꯁ꯭ꯄꯦꯁ꯭ꯇꯤꯁꯤꯇꯤ) ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ( CP ) ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯨꯚꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯁꯤ.ꯄꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯀꯌꯥꯗꯥ ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯁꯤꯇꯤ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯇꯅꯥ, ꯃꯁꯜ ꯈꯔꯗꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡ ꯑꯅꯤꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯗꯤꯞꯂꯦꯖꯤꯛ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯝꯐ ꯃꯔꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯀ꯭ꯕꯥꯗ꯭ꯔꯤꯞꯂꯦꯖꯤꯛ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯈꯅꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯇꯩꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯂꯩꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯁꯤꯗꯥ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚ ꯑꯃꯅꯥ ꯃꯁꯂꯗꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯨꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯣꯇꯣꯔ ꯅꯔꯚ ꯑꯃꯅꯥ ꯃꯁꯜ ꯑꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯪꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯍꯜꯂꯤ꯫

ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯥꯝꯂꯤꯕꯃꯈꯩ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤꯗꯥ ꯕ꯭ꯔꯦꯅꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯃꯁꯜ ꯈꯔꯗꯤ ꯂꯦꯞꯇꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯁ꯭ꯇꯤꯐꯦꯟꯁ (ꯁ꯭ꯄꯦꯁ꯭ꯇꯤꯁꯤꯇꯤ) ꯑꯁꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯇꯞꯄꯥ ꯑꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚ ꯔꯨꯇꯂꯦꯠꯁꯤꯡ ꯈꯛꯇꯃꯛ ꯈꯅꯒꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯀꯀꯊꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯐꯉ꯭ꯀꯁꯅꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯅꯥ ꯁ꯭ꯇꯤꯐꯦꯟꯁ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯔꯚ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗꯨꯅꯥ ꯀꯔꯤ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯝꯕꯥ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯣꯏꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡꯆꯠ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯐꯒꯠꯂꯛꯀꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ (ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ)ꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯊꯤꯡꯕꯥ ꯌꯥꯏ꯫

ꯑꯉꯥꯡ ꯑꯃꯕꯨ SDR ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

SDR ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯉꯥꯡ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯆꯨꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯀꯥꯟꯅꯕꯥ ꯄꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯗꯣꯛꯇꯔ ꯀꯌꯥꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯗꯣꯛꯇꯔ꯫	ꯃꯈꯣꯌꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯊꯕꯛ ꯑꯗꯨ꯫
ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯔ꯫	ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯂꯩꯕꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯑꯦꯁꯦꯁ ꯇꯧꯒꯅꯤ꯫
ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯁꯔꯖꯔ꯫	ꯃꯈꯣꯌꯅꯥ ꯁꯔꯨ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯑꯇꯩ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ꯫	ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (spasticity) ꯑꯃꯁꯨꯡ ꯃꯁꯂꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ꯫	ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯄꯣꯠꯆꯩ ꯁꯥꯕꯥ, ꯁꯥꯟꯅꯕꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯝꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯃꯤꯑꯣꯏ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯇꯤꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯗꯨꯅꯥ ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ. ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ, ꯐꯤꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯚꯤꯗꯤꯑꯣ ꯇꯦꯞ ꯇꯧꯏ꯫
ꯑꯇꯣꯞꯄꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯇꯅꯕꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ .
ꯁꯔꯖꯔꯤꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯀꯣꯚꯔꯤ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯟꯅꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯔ ꯑꯃꯒꯥ ꯎꯅꯕꯤꯌꯨ꯫
ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯑꯁꯤ ꯁꯥꯐꯕꯥ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯎꯅꯕꯤꯌꯨ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡꯅꯤ꯫

1. ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ: ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯂꯩꯇꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫

2. ꯏꯅꯁꯤꯁꯟ: ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯅꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫

3. ꯅꯔꯚ ꯑꯦꯛꯁꯄꯣꯖꯔ: ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ (dura)ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ "ꯎꯏꯟꯗꯣ" ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯐꯤꯕꯔꯁꯤꯡ ꯑꯗꯨ ꯑꯦꯛꯁꯄꯣꯖ ꯇꯧꯏ꯫

4. ꯅꯔꯚ ꯁꯦꯄꯥꯔꯦꯁꯟ: ꯃꯊꯪꯗꯥ ꯃꯣꯇꯣꯔ ꯅꯔꯚ ꯑꯃꯁꯨꯡ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯁꯤꯡ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩ꯫ ꯃꯣꯇꯣꯔ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯉꯥꯀꯊꯣꯀꯏ꯫

5. ꯅꯔꯚ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯏꯂꯦꯛꯠꯔꯣꯗ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯁꯤꯡꯕꯨ ꯊꯧꯅꯥ ꯍꯥꯞꯅꯕꯥ ꯏꯂꯦꯛꯠꯔꯣꯃꯥꯌꯣꯒ꯭ꯔꯥꯐꯤ (EMG) ꯀꯧꯕꯥ ꯇꯦꯛꯅꯤꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯀꯔꯝꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯁꯤꯇꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯅꯣ ꯑꯃꯁꯨꯡ ꯀꯅꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯅꯔꯚꯁꯤꯡꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

꯶.ꯅꯔꯚ ꯀꯠꯄꯥ: ꯱ .ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯐꯪꯂꯤꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯆꯥꯗꯥ ꯑꯃꯥ ꯀꯀꯊꯠꯂꯤ꯫ ꯅꯔꯚ ꯀꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯗꯒꯤ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫

7. ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯁꯨꯃꯗꯣꯀꯄꯥ: ꯅꯔꯚ ꯀꯀꯄꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯂꯦꯌꯔ ꯑꯃꯗꯒꯤ ꯂꯦꯌꯔ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯕꯦꯛ ꯀ꯭ꯂꯣꯖꯗ ꯁꯨꯇꯔ ꯇꯧꯏ꯫

8. ꯔꯤꯀꯣꯚꯔꯤ ꯔꯨꯝ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯑꯣꯕꯖꯥꯔꯚꯦꯁꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯃꯤ꯫

ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯃꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯉꯥ ꯆꯪꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯑꯗꯨꯒꯥ ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯑꯍꯥꯅꯕꯥ ꯄꯨꯡ 24-48ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯐꯃꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯍꯧꯔꯒꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯟꯇꯦꯟꯁꯤꯕ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛ ꯑꯅꯤꯃꯛꯀꯤ ꯀꯃꯤꯠꯃꯦꯟꯇ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯈꯣꯡ ꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯁꯤ.ꯄꯤ.ꯒꯤ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ (ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯗꯤꯞꯂꯦꯖꯤꯛ ꯁꯤ.ꯄꯤ.):

ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ꯫
ꯁ꯭ꯇꯥꯃꯤꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
ꯁꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯕꯦꯂꯦꯟꯁ ꯐꯒꯠꯂꯀꯄꯥ꯫
ꯑꯐꯕꯥ ꯐꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ꯫
ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯁꯤꯇꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ꯫

ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯀ꯭ꯕꯥꯗ꯭ꯔꯤꯞꯂꯦꯖꯤꯛ ꯁꯤ.ꯄꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ:

ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯉꯝꯕꯥ꯫
ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯉꯝꯕꯥ꯫
ꯍꯨꯏꯂꯆꯦꯌꯥꯔ ꯑꯃꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯣꯄꯔꯦꯠ ꯇꯧꯕꯥ ꯉꯝꯕꯥ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯀꯦꯌꯔ ꯂꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯗꯥꯏꯑꯦꯄꯔ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯄꯤꯖꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯁꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯂꯩ꯫

ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ:

ꯃꯍꯤꯛ ꯄꯛꯄ
ꯏ ꯊꯣꯀꯄꯥ꯫
ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯂꯤꯛ ꯑꯣꯏꯕꯥ꯫

ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ (ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ):

ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯍꯥꯏꯄꯔꯁꯦꯟꯁꯤꯇꯤꯚ (hyperesthesia), ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯥ ꯂꯣꯌꯅꯕꯥ꯫
ꯌꯨꯔꯤꯅꯔꯤ ꯀꯟꯠꯔꯣꯜ ꯃꯥꯡꯈꯤꯕꯥ (ꯌꯨꯔꯤꯅꯔꯤ ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁ)꯫
ꯕꯣꯋꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯃꯥꯡꯈꯤꯕꯥ (ꯕꯣꯋꯦꯜ ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁ)꯫
ꯃꯃꯥꯡꯗꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯉꯝꯕꯒꯤ ꯁꯛꯇꯤ ꯋꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯡꯈꯤꯕꯥ꯫

ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯔꯤꯁ꯭ꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ, ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯒꯅꯤ꯫ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯨꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯨꯂꯗꯥ ꯍꯦꯟꯅꯥ ꯃꯅꯤꯡꯇꯝꯕꯥ ꯑꯣꯏꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯊꯦꯔꯥꯄꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯥ 3-6 ꯐꯥꯎꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯑꯁꯣꯀꯄꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯀꯟꯠꯔꯣꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

SDR ꯍꯥꯌꯕꯁꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯈꯔꯗꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (spasticity) ꯍꯟꯊꯍꯟꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯁꯤꯡ ꯑꯗꯨ ꯈꯅꯒꯠꯂꯒꯥ ꯀꯀꯊꯕꯥ ꯌꯥꯎꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯃꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯏꯟꯇꯦꯟꯁꯤꯕ ꯑꯃꯁꯨꯡ ꯂꯣꯡ-ꯇꯔꯝ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯍꯪꯁꯤꯡ, ꯑꯀꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕ꯭ꯔꯥ? ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤ (ꯁꯦꯂꯦꯛꯇꯤꯕ ꯗꯣꯔꯁꯦꯜ ꯔꯥꯏꯖꯣꯇꯣꯃꯤ) ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ