BACKGROUND: Post-stroke cognitive impairments negatively affect the results of rehabilitation, worsening the outcomes of motor functions recovery, daily activity, and also increase the likelihood of recurrent stroke and premature death. Therapeutic physical factors contribute to the activation of the body's reserve capabilities and aim at correcting metabolic and vascular disorders, improving the functional status of the nervous system, which allows them to be used in a complex of rehabilitation measures. AIM: to substantiate the use of dynamic electric neurostimulation in the correction of cognitive impairment in patients in the early recovery period of ischemic stroke. MATERIALS AND METHODS: A prospective cohort study of 60 patients in the early recovery period of ischemic stroke, with mild and moderate cognitive impairment, at an average age of 62.44.5 years, divided by random sampling into 3 groups: group 1 (n=25), in addition to the basic rehabilitation complex, which included medication, sessions with a neuropsychologist, massage and physical exercise therapy, received a 15-day course of dynamic electric neurostimulation from the "Neurodance-PCM" device; group 2 (n=20) received the basic rehabilitation complex and procedures from the placebo device similar to procedures on "Neurodance-PCM"; group 3 (n=15) received only the basic rehabilitation treatment. All patients underwent an assessment of cognitive status using the Montreal Cognitive Assessment (MoCA), Frontal Assessment Battery (FAB) and the study of psychophysiological status on the psycho-physiological tester "NS-Psychotest", using the following tests: tapping test, the SchultePlatonov tables with red-black cells, test of simple visual-motor reaction, reaction to a moving object test. RESULTS: Over the two-week rehabilitation, it was found that the inclusion of dynamic electrical stimulation, in addition to the standard therapy of cognitive impairment in patients in the early recovery period of ischemic stroke, improves attention, memory, speech fluency, generalization functions, complicated choice reaction, increases the functions of visual attention and the speed of sensorimotor response, which was not noted in the comparison groups. CONCLUSIONS: The inclusion of dynamic electric neurostimulation in the rehabilitation complex of patients in the early recovery period of ischemic stroke with mild and moderate cognitive impairment may affect cognitive functions by stimulating the third block of the brain according to A.R. Luria and improving the neurodynamic support of higher mental functions.
The use of alternative and complementary therapeutic modalities in the combination with motivational training and aerobic exercises effectively contributes to the weight loss in the obese adolescent girls, with the combined pysiotherapeutic treatment having advantages over local therapy methods.
Low adherence of patients with arterial hypertension to regular therapy increases the risk of fatal complications. Patients’ motivation for treatment can be increased by non-drug methods of exposure. Aim. To evaluate the effectiveness of the inclusion of dynamic electric neurostimulation in the treatment regimens of patients with arterial hypertension to control blood pressure (BP) levels. Material and methods. 60 patients aged 25-55 years old with verified diagnosis of arterial hypertension (I-II degree) were examined in Novosibirsk City Clinical Hospital № 2. The 1st group (the main group, n=30) received a 15-day course of acupuncture of the neiguan point from the apparatus «Leomax-Cardio Compact» in addition to the standard therapy; the 2nd group (comparison group, n=30) received the standard treatment complex and simulation of acupuncture exposure. Patients were trained to use the «LeomaxCardio compact» device and to perform self-monitoring of arterial pressure (BP) from the UA-767 (AND) device. The checkup included carbohydrate, lipid metabolism, kidney function, electrocardiography assessment, daily BP monitoring. Results and discussion. By the end of observation, the target BP levels in the 1st group patients were 70.0% achieved, we managed to correct the variability of systolic and diastolic BP relative to the initial values by 1.3 and 1.6 times respectively, to decrease the rate of morning rise of systolic BP by 1.3 times, to increase the frequency of the variant of daily BP profile “dippers” by 1.3 times and to decrease the number of “non-dippers” by 1.7 times, which differed from the similar indicators in the 2nd group. Electro-puncture with «LeomaxCardio Compact» may have an antihypertensive effect due its effect on the suprasegmental parts of the autonomic nervous system. Conclusion. Inclusion of electropuncture from the device Leomax-Cardio Compact in the treatment regimens of patients with uncomplicated arterial hypertension allows to correct the neurovegetative regulation, which allows effective control of the target values of systemic hemodynamics
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