Correction of motor coordination abilities in acute cerebral circulation defect with the use of physical rehabilitation

2020 ◽  
pp. 91-97
Author(s):  
Andrey P. Popov ◽  
Valentina I. Syutina
Keyword(s):  
Muscle Strength ◽  
Cerebral Circulation ◽  
Motor Coordination ◽  
Center Of Mass ◽  
Recovery Period ◽  
Standing Position ◽  
Physical Rehabilitation ◽  
Early Recovery ◽  
Leading Role ◽  
Study Results

Due to the high frequency of strokes in the Russian Federation, leading to disability, loss of efficiency and loss of household autonomy, the development of methods of patients rehabilitation who have suffered acute cerebral circulation disorder is of high importance. The consequences of this condition is characterized by a number of syndromes, among which the leading role in reducing the motor activity of patients and limiting their ability to self-service, is hemiparesis, accompanied by a decrease in voluntary muscle strength in the affected limbs. We present the study results of computer stabilometry indicators as a means of assessing the ability to maintain static equilibrium in a standing position and control the oscillations of the general center of mass. We also present the evaluation results of arbitrary muscle strength of the affected limbs in patients with the consequences of acute cerebral circulation defect in the early recovery period. These studies were carried out as part of an experiment to assess the effectiveness of the multisensory stimulation technique, which is based on the combination of a number of stimulating and corrective effects in combination with physical exercises in closed and open kinematic circuits. The results of the study confirm the effectiveness of the developed method of physical rehabilitation.

scholarly journals THE USE OF FORCE PLATFORM FOR AFTER STROKE REHABILITATION

2020 ◽  
Vol 20 (1) ◽  
pp. 123-127
Author(s):  
E Kaerova ◽  
N Zhuravskaya ◽  
O Shakirova ◽  
T Stebliy ◽  
S Popik
Keyword(s):  
Quality Of Life ◽  
Center Of Pressure ◽  
Recovery Period ◽  
Maximum Amplitude ◽  
Physical Rehabilitation ◽  
Force Platform ◽  
Stroke Patients ◽  
Early Recovery ◽  
And Training

Aim. The article deals with searching for the new effective methods of physical rehabilitation in stroke patients. Materials and Methods. The program of physical rehabilitation involved 42 patients aged from 30 to 80 years with the consequences of ischemic stroke in the early reco­very period (up to six months), movement disorders, imbalances and postural disorders, reduced self-care capacity and mobility, reduced quality of life. The program included exercises with balancing platforms and training sessions on a force platform with biofeedback. Results. Comparative analysis revealed the positive dynamics of the balance function and balance when walking. The area of the center of pressure and its oscillations measured in the frontal and sagittal planes changed significantly, the velocity of the center of pressure, the maximum amplitude in the frontal plane, and the area of the statokinesiogram decreased. Conclusion. Comprehensive physical rehabilitation with balancing platforms and training on a force platform in the early recovery period helps to improve motor skills and balance, as well as to improve the quality of life and mobility of stroke patients.

scholarly journals The problem of recovery of the patients with cerebrovascular accident (CVA): the capabilities of psychological techniques in the improvement of cognitive functions

2020 ◽  
Vol 210 ◽  
pp. 17003
Author(s):  
Irina Skirtach ◽  
Evgenia Pokul
Keyword(s):  
Cognitive Functions ◽  
Recovery Period ◽  
Cognitive Disorders ◽  
Rehabilitation Program ◽  
Hospital Environment ◽  
Early Recovery ◽  
Psychological Techniques ◽  
Study Results ◽  
Group A ◽  
Early Recovery Period

If the appropriate combined measures are not taken to treat the manifestations of cognitive disorders, they have a tendency to progress towards worsening over time in the patients with CVA. The most common cognitive dysfunctions are as follows: disorders of attention, thinking, memory and executive functions. More and more studies are focused on the application of the various methods and techniques for neurorehabilitation of these disorders. Evaluation of the effect of adding the neurorehabilitation techniques in the treatment program in the early recovery period was a part of the objectives of this study. The sample consisted of 70 people with CVA. The study was carried out in the hospital environment. During 10 days, the standard scheme of the drug treatment was supplemented with the neurorehabilitation method using the "Brain jogging" technique and group work techniques in the experimental group. A battery of the psychodiagnostic tests was used, which included the "MMSE Scale" test, Pieron-Ruser test, Ebbinghaus test, and "10-word memorization" technique (according to A.R. Luria). Based on the study results, the features of the dynamics of recovery in the patients with CVA of indicators of cognitive functions are described due to the inclusion of psycho-gymnastic techniques in the rehabilitation program.

scholarly journals Restoration of Upper Limb Motor Function After Stroke

2021 ◽  
Vol 20 (1) ◽  
pp. 21-26
Author(s):  
Elena V. Kayerova ◽  
Natalya S. Zhuravskaya ◽  
Ekaterina A. Kozina ◽  
Olga V. Shakirova
Keyword(s):  
Muscle Strength ◽  
Upper Extremity ◽  
Motor Function ◽  
Upper Limb ◽  
Recovery Period ◽  
Early Period ◽  
Control Group ◽  
Physical Culture ◽  
Biological Feedback ◽  
Early Recovery

Since the task of eliminating the consequences of a stroke remains unsolved, research on the use of robotic simulators equipped with feedback to restore upper limb motor functions is of particular relevance. Aim of the study was to conduct an experimental evaluation of the effectiveness of the use of the Anika sensory glove with biological feedback for the restoration of upper extremity motor function in the early period of ischemic stroke. Materials and methods. We analyzed 108 medical histories and selected 28 patients with a single history of stroke and moderate cognitive disorders, which were divided into 2 groups - control and experimental with 14 individuals each. Patients of the control group engaged in therapeutic physical culture according to the traditional methodology adopted in neurological practice and aimed at restoring muscle strength, passive and active movements of the upper extremity. Trainings using the sensory glove Anika with biological feedback were included in the therapeutic physical culture training program for the experimental group. Results. The inclusion of special exercises on the Anika simulator with biological feedback in a comprehensive physical rehabilitation program increases the effectiveness of the recovery process, contributing to improving articular mobility, reducing spasticity, increasing muscle strength of the hand, reducing the level of personal and situational anxiety, normalizing psychoemotional state and increasing the functional mobility of stroke patients. Conclusion. The use of the sensory glove Anika with biological feedback in the early recovery period contributed to the expansion of the motor activity of patients, the development of self-care skills, psychological and social adaptation.

Patterns of development of insomnia in patients with early recovery period of stroke

2019 ◽  
Vol 17 (7) ◽  
pp. 95-99
Author(s):  
O. V. Kurushina ◽  
◽  
E. A. Kurakova ◽  
Keyword(s):  
Recovery Period ◽  
Early Recovery ◽  
Early Recovery Period

Opportunities of ultrasound diagnostics of lung injury in SARS-CoV-2 infection (COVID-19): a clinical case

2020 ◽  
Vol 98 (11) ◽  
pp. 51-56
Author(s):  
G. V. Neklyudova ◽  
А. V. Chernyak ◽  
N. А. Tsareva ◽  
S. N. Аvdeev
Keyword(s):  
Lung Injury ◽  
Clinical Case ◽  
Ultrasound Examination ◽  
Recovery Period ◽  
Early Recovery ◽  
Acute Period ◽  
Ultrasound Diagnostics ◽  
Early Recovery Period

The article describes a clinical case demonstrating the results of the lungs ultrasound examination in the COVID-19 patient during the acute period of the disease and early recovery period.

scholarly journals Function of the nucleus accumbens in motor control during recovery after spinal cord injury

Science ◽  
2015 ◽  
Vol 350 (6256) ◽  
pp. 98-101 ◽  
Author(s):  
Masahiro Sawada ◽  
Kenji Kato ◽  
Takeharu Kunieda ◽  
Nobuhiro Mikuni ◽  
Susumu Miyamoto ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Nucleus Accumbens ◽  
High Frequency ◽  
Neuronal Damage ◽  
Recovery Period ◽  
Oscillatory Activity ◽  
Finger Movements ◽  
Early Recovery ◽  
Cord Injury

Motivation facilitates recovery after neuronal damage, but its mechanism is elusive. It is generally thought that the nucleus accumbens (NAc) regulates motivation-driven effort but is not involved in the direct control of movement. Using causality analysis, we identified the flow of activity from the NAc to the sensorimotor cortex (SMC) during the recovery of dexterous finger movements after spinal cord injury at the cervical level in macaque monkeys. Furthermore, reversible pharmacological inactivation of the NAc during the early recovery period diminished high-frequency oscillatory activity in the SMC, which was accompanied by a transient deficit of amelioration in finger dexterity obtained by rehabilitation. These results demonstrate that during recovery after spinal damage, the NAc up-regulates the high-frequency activity of the SMC and is directly involved in the control of finger movements.

Neurorehabilitation in the Early Recovery Period of Ischemic Stroke. Pharmacology Support

2021 ◽  
Vol 63 (1) ◽  
pp. 22-25
Author(s):  
Denys N. Khramtsov ◽  
Olexandr N. Stoyanov ◽  
Tetiana N. Muratova ◽  
Olexandr R. Pulyk
Keyword(s):  
Ischemic Stroke ◽  
Acute Stroke ◽  
Recovery Period ◽  
Rehabilitation Medicine ◽  
Neuroprotective Agents ◽  
Early Recovery ◽  
National Medical ◽  
Cholinergic Agents ◽  
Early Recovery Period ◽  
Medical University

Aim: The aim of the study was to evaluate the clinical outcome in the use of neuroprotective agents in the acute period of ischemic stroke. Material and Methods: The study was performed on the basis of the stroke of the Center for Reconstructive and Rehabilitation Medicine (University Clinic) of the Odessa National Medical University. A retrospective analysis of clinical outcomes of 115 patients with acute stroke was conducted. Results: An average NIHSS score at discharge was 4.1±0.1 points when treated with no refinery, then it reached 3.6±0.1 points when using peptidergic drugs, and 3.4±0.1 when using D-fdf. 3.1±0.1 points. When using D-FDF, the MMSE score was 3.5±0.1 points, whereas when using cholinergic agents, this index did not exceed 26.9±1.5 points, and when using peptidergic agents - 26.8±1.4 points. Conclusion: The use of neuroprotective agents positively affects the effectiveness of neuro-rehabilitation in patients with acute stroke. The best results in three months after the hospitalization were obtained for peptidergic agents and D-fructose-1,6-diphosphate.

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