scholarly journals Features of medical rehabilitation of patients who have suffered an ischemic stroke and have a history of obstructive chronic disorders of the respiratory system without exacerbation.

2021 ◽  
Vol 19 (5) ◽  
pp. 299-304
Author(s):  
Svetlana N. Vygovskaya ◽  
Alexey A. Voropaev ◽  
Tatyana V. Konchugova ◽  
Elena M. Styazhkina
Keyword(s):  
Ischemic Stroke ◽  
Respiratory System ◽  
Cerebral Circulation ◽  
Recovery Period ◽  
Medical Rehabilitation ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Standard Drug ◽  
Rehabilitation Programs ◽  
Late Recovery

Background. To date, the study of respiratory function in the clinic is limited, as a rule, to the determination of bronchial conduction indicators, as well as bronchodilation tests, which at the present stage is insufficient for a deep assessment of the functional state of patients with chronic obstructive pulmonary disease. Aims. The development of personalized medical rehabilitation programs for patients who have undergone ischemic stroke at various stages of rehabilitation, including spa. Materials and methods. The article considers the effectiveness of the new method of treating neurological disorders in patients suffering from acute cerebral circulation disorder and having respiratory system function disorder at different stages of rehabilitation, based on the complex application of physiobalneotherapy, LFC and mechanotherapy in sanatorium and resort conditions. Results. After the course of using physical methods of treatment, patients with comorbid pathology showed improvement in health, relief of breathing, reduction of shortness of breath, cough, sputum production, disappearance of wheezing in the lungs. Conclusion. Patients in the early and late recovery period after acute cerebral circulation disorder with accompanying clinical-functional manifestations of respiratory pathology are shown to include in the rehabilitation complex general gasair carbon dioxide baths, nebulizer inhalations of broncho- and mucolytic preparations, as well as classes on a rowing simulator (rowing) against the background of standard drug therapy and therapeutic exercise in the hall.

Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

2021 ◽  
pp. 108482232199037
Author(s):  
Duarte Pinto ◽  
Lissa Spencer ◽  
Soraia Pereira ◽  
Paulo Machado ◽  
Paulino Sousa ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Literature Review ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Maintenance Strategies ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Pulmonary Rehabilitation Program

To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.

Evaluation of the effectiveness of rehabilitation programs in patients with COPD using a modified BODE index on the basis of their own clinical observations

2014 ◽  
Vol 18 (4 (72)) ◽  
Author(s):  
A. Ya. Stupnytska
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Rehabilitation Programs ◽  
Bode Index ◽  
Clinical Observations

We present an assessment of the effectiveness of rehabilitation programs in patients with chronic obstructive pulmonary disease by means of a modified BODE index taking into account the results of four clinical observations using findings of bioimpedanсе analysis.

Abstract WP340: Prevalence and Influence of Chronic Obstructive Pulmonary Disease on Stroke Outcomes in Hospitalized Stroke Patients

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Oladimeji Akinboro ◽  
Odunayo Olorunfemi ◽  
Stanley Holstein ◽  
Daniel Pomerantz ◽  
Stephen Jesmajian ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Hospital Mortality ◽  
The United States ◽  
Mortality Rates ◽  
Chronic Obstructive ◽  
Stroke Patients ◽  
Obstructive Pulmonary Disease ◽  
Index Stroke ◽  
Nationally Representative ◽  
Shared Risk

Background: COPD recently overtook stroke as the third leading cause of death in the United States. Intriguingly, smoking is an important shared risk factor for both stroke and COPD; COPD patients have baseline cerebral hypoxia and hypercapnia that could potentially exacerbate vascular brain injury; and stroke patients with COPD are at higher risk of aspiration than those without COPD. Yet, relatively little is known about the prevalence of COPD among stroke patients or its impact on outcomes after an index stroke. Objective: To assess prevalence of COPD among hospitalized stroke patients in a nationally representative sample and examine the effect of COPD with risk of dying in the hospital after a stroke. Methods: Data were obtained for patients, 18 years and older, from the National Inpatient Sample from 2004-2009 (n=48,087,002). Primary discharge diagnoses of stroke were identified using ICD-9 diagnosis codes 430-432 and 433-436, of which a subset with comorbid COPD were defined with secondary ICD-9 diagnoses codes 490-492, 494, and 496. In-hospital mortality rates were calculated, and independent associations of COPD with in-hospital mortality following stroke were evaluated with logistic regression. All analysis were survey-weighted. Results: 11.71% (95% CI 11.48-11.94) of all adult patients hospitalized for stroke had COPD. The crude and age-adjusted in-hospital mortality rates for these patients were 6.33% (95% CI 6.14-6.53) and 5.99% (95% CI 4.05-7.94), respectively. COPD was independently and modestly associated with overall stroke mortality (OR 1.03, 95% CI 1.01-1.06; p=0.02). However, when analyzed by subtype, greater risks of mortality were seen in those with intracerebral hemorrhage (OR 1.12, 95% CI 1.03-1.20; p<0.01), and ischemic stroke (OR 1.08; 95% CI 1.03-1.13, p<0.01), but not subarachnoid hemorrhage (OR 0.98, 95% CI 0.85-1.13; p=0.78). There were no statistically significant interactions between COPD and age, gender, or race. Conclusion: 12% of hospitalized stroke patients have COPD. Presence of COPD is independently associated with higher odds of dying during ischemic stroke hospitalization. Prospective studies are needed to identify any modifiable risk factors contributing to this deleterious relationship.

scholarly journals Rehabilitation features of patients with stroke in the vertebro-basillary system depending on the pathogenetic subtype of stroke

2021 ◽  
Vol 1 (2/S) ◽  
pp. 347-357
Author(s):  
Munisa Bakhadirova
Keyword(s):  
Ischemic Stroke ◽  
Barthel Index ◽  
Chronic Obstructive ◽  
Vertebrobasilar Insufficiency ◽  
Social Maladjustment ◽  
Obstructive Pulmonary Disease ◽  
Group I ◽  
Subgroup Ii ◽  
Degree Of Disability ◽  
People Group

Ischemic stroke is a serious medical and social issue due to deep and prolonged disability, as well as social maladjustment of patients. In this regard, the aim of the research was to study the influence of pathogenetic subtypes of ischemic stroke on the rehabilitation possibilities.  Based on the presence of COPD (Chronic Obstructive Pulmonary Disease) we divided all patients into 2 groups Patients with IS in VI (Vertebrobasilar Insufficiency) and COPD - 62 people (group I) - 29 men and 33 women aged 50 to 74 (59.8 ± 5.8). Patients with IS in VI - 64 people (group II). Of these, 31 are men and 33 are women aged 51 to 80 (62.4 ± 5.4). All patients received traditional treatment in the most acute and severe periods of IS, patients with COPD received and treatment for COPD simultaneously with traditional IS therapy. The Barthel index was used to assess the patient's self-care capabilities. The degree of disability after IS was studied using the Rankin scale. In patients of subgroup II b, by the end of the ED (Eating Disorders), the indicators of the Lindmark B scale for the patient's general mobility differed significantly from the baseline at the beginning of the ED (p = 0.44). At that time, in the II a subgroup, only the indicators of the B. Lindmark scale were reliable. In patients of subgroup II b, the difference in indicators at the beginning and at the end of ED was significant according to the Barthel index. Recovery in ED depends on many factors, including the subtype of IS, so the IS CE is the most severe, which is reflected in the Rankin scale. The timing and extent of patient recovery depends on the localization of the process, the subtype of IS, the presence of COPD, and the method of rehabilitation. Patients with the lacunar subtype, a single small or medium focus in the cerebellar hemispheres and midbrain recover most fully after complex rehabilitation.

scholarly journals Myocardial Infarction and Ischemic Stroke after Exacerbations of Chronic Obstructive Pulmonary Disease

2018 ◽  
Vol 15 (8) ◽  
pp. 935-946 ◽  
Author(s):  
Kieran J. Rothnie ◽  
Olivia Connell ◽  
Hana Müllerová ◽  
Liam Smeeth ◽  
Neil Pearce ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Chronic Obstructive Pulmonary Disease ◽  
Ischemic Stroke ◽  
Pulmonary Disease ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

Advances in rehabilitation for chronic diseases: improving health outcomes and function

BMJ ◽  
2019 ◽  
pp. l2191 ◽  
Author(s):  
Caroline R Richardson ◽  
Barry Franklin ◽  
Marilyn L Moy ◽  
Elizabeth A Jackson
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Chronic Diseases ◽  
Tai Chi ◽  
Chronic Obstructive ◽  
Dissemination And Implementation ◽  
Financial Barriers ◽  
Obstructive Pulmonary Disease ◽  
Rehabilitation Programs ◽  
Home Based

Abstract Much of the burden on healthcare systems is related to the management of chronic conditions such as cardiovascular disease and chronic obstructive pulmonary disease. Although conventional outpatient cardiopulmonary rehabilitation programs significantly decrease morbidity and mortality and improve function and health related quality of life for people with chronic diseases, rehabilitation programs are underused. Barriers to enrollment are multifactorial and include failure to recommend and refer patients to these services; poor communication with patients about potential benefits; and patient factors including logistical and financial barriers, comorbidities, and competing demands that make participation in facility based programs difficult. Recent advances in rehabilitation programs that involve remotely delivered technology could help deliver services to more people who might benefit. Problems with intensity, adherence, and safety of home based programs have been investigated in recent clinical trials, and larger dissemination and implementation trials are under way. This review summarizes the evidence for benefit of in-person cardiac and pulmonary rehabilitation programs. It also reviews the literature on newer developments, such as home based remotely mediated exercise programs developed to decrease cost and improve accessibility, high intensity interval training in cardiac rehabilitation, and alternative therapies such as tai chi and yoga for people with chronic obstructive pulmonary disease.

Does the Respiratory System Limit Exercise in Mild Chronic Obstructive Pulmonary Disease?

2013 ◽  
Vol 187 (12) ◽  
pp. 1315-1323 ◽  
Author(s):  
Roberto C. Chin ◽  
Jordan A. Guenette ◽  
Sicheng Cheng ◽  
Natya Raghavan ◽  
Naparat Amornputtisathaporn ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Respiratory System ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

scholarly journals Test with external peripheral vascular occlusion in evaluation of ergoreflex in patients with chronic obstructive pulmonary disease

2020 ◽  
Vol 27 (4) ◽  
pp. 451-457
Author(s):  
Aleksey V. Kosyakov ◽  
Vladimir N. Abrosimov
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Nervous System ◽  
Pulmonary Disease ◽  
Respiratory System ◽  
Vascular Occlusion ◽  
Control Group ◽  
Chronic Obstructive ◽  
Peripheral Vascular ◽  
Obstructive Pulmonary Disease ◽  
Software Complex

Aim. To evaluate changes in the cardiointervalogram (CIG) in the test with external peripheral vascular occlusion in patients with chronic obstructive pulmonary disease (COPD) and in individuals without diseases of the respiratory system. Materials and Methods. The study included 105 men, of them 64 patients with COPD (age 64.988.67) and 41 volunteers without diseases of the respiratory system (age 61.689.21). The autonomic status was examined and alterations in CIG in the test with occlusion were evaluated on Varicard hardware and software complex (OOO Ramena, Russia). Results. The obtained data showed the autonomic imbalance with predomination of the activity of sympathetic division of the autonomic nervous system (ANS) in patients with COPD as compared to the control group (p0.05). A study of ergoreflex by analysis of changes in CIG showed reduction of the activity of sympathetic division of the ANS in the test with external peripheral vascular occlusion in individuals without diseases of the respiratory system. In patients with COPD, changes in CIG in the test were less expressed and not always achieved statistically significant level (p0.05). Conclusions. Differences in the results of the test with external peripheral vascular occlusion in patients with COPD and volunteers without diseases of the respiratory system are attributed to hyperactivation of ergofeflex in patents with COPD.

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