Saratov JOURNAL of Medical and Scientific Research

South Ural State University (National Research Institute)

Quality of life, anxiety-depressive disorders and cognitive functions on the background of rehabilitative period of ischemic stroke

Year: 2017, volume 13 Issue: №1 Pages: 051-057
Heading: Neurology Article type: Original article
Authors: Belskaya G.N, Lukyanchikova L.V.
Organization: Chelyabinsk Regional Clinical Hospital №3 , South Ural State University (National Research Institute)

The aim of the work is to evaluate the quality of life, cognitive deficits, the development of anxiety and depression of patients in rehabilitative period of mild and medium-severe hemispheric ischemic stroke during the year at the background of complex rehabilitation. Materials and Methods. We examined 123 patients at the age of 40 to 80 with ischemic stroke in the acute and rehabilitation periods (up to 1 year). Quality of life (overall life questionnaire SF-36, overall performance), the state of cognitive functions (the MMSE scale), the level of anxiety and depression (the HADS and the MADRS scale) during the acute phase and after a course of rehabilitation treatment have been assessed. Re-sults. After rehabilitation in the sanatorium positive dynamics of physical and psychological well-being was noted with patients, cognitive function was improved as well as emotional regression of personality disorders in the first 3 months after ischemic stroke. These effects are related with individual program of rehabilitation on an outpatient phase, including cognitive and neuropsychological correction leading to a clear positive dynamics of the main indicators of cognitive status, reduction of anxiety and depressive disorders, improving physical and mental health components of the SF-36 questionnaire in the course of the year. Conclusion. The findings proved that during the complex rehabilitation after an ischemic stroke during a year the marked high levels of "quality of life" including reducing anxiety and depression and regression of cognitive impairment were revealed.

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Comparison of key indicators of external respiration function in students of three health groups


Purpose: to define key indicators of function of external breath of students of three groups of health taking into account various total sizes of a body. Material and Methods. For an assessment of breathing function, volume and highspeed characteristics the diagnosing Eton installations (Russia) and Schiller (Switzerland) were used. Results. Age peculiarities of respiratory ventilation disorders and differentiated assessment of circulatory and metabolic parameters according to the total body size in the special health groups (SHG) are analyzed in the article. Breathing volumetric characteristics were examined among the 17-18 aged students in the different health groups. Special attention is paid to the effect of the long-term severe bronchial patency disorders which lead to the respiratory muscles overstrain and the decrease of their strength endurance. This results in the lungs capacity decrease which is typical for the special health groups' students. Conclusion. It is shown that the students of the 1st health group had lower body weight and the same body length in comparison with the 2nd and 3rd groups. This determined unequal role of respiration in providing vital processes in terms of educational activities, especially in case of disorders of musculoskeletal and cardio-respiratory systems.

2016_02_131-135.pdf273.1 KB