Saratov JOURNAL of Medical and Scientific Research

rehabilitation

The use of virtual reality in the rehabilitation of stato-locomotor function after acute stroke (review)

Year: 2020, volume 16 Issue: №1 Pages: 363-367
Heading: Neurology Article type: Review
Authors: Poverennova I.E., Zakharov A.V., Khivintseva E.V., Lakhov A.S., Sheludiakova D.K.
Organization: Samara State Medical University
Summary:

The review presents the results of studies evaluating the eectiveness and safety of rehabilitation using virtual real- ity to restore stato-locomotor function in patients at dierent periods after suering an acute cerebrovascular accident. The analysis of works published for the period 2011–2019 and available for study according to the main scientic data- bases: MEDLINE (Ovid), Amed, EMBASE, CINAHL and PsycINFO.

AttachmentSize
2020_01-3_363-367.pdf312.49 KB

Rehabilitation experience for patients with cognitive impairment

Year: 2020, volume 16 Issue: №1 Pages: 352-357
Heading: Neurology Article type: Original article
Authors: Kiparisova E.S.,Agaev M.M.
Organization: Federal Research and Clinical Center of FMBA of Russia
Summary:

Objective: to evaluate the eŸectiveness of the cognitive rehabilitation program in the treatment of patients with cognitive impairment. Material and Methods. The study included 95 patients in Federal Research and Clinical Center of FMBA of Russia, Moscow, with cognitive impairment, of which 57 were men and 38 were women, the average age was 56.8±7.5 years, and the average duration of the disease was 5.7±3.4 years. Patients were divided into 2 groups: the main one, where, along with drug treatment, the cognitive rehabilitation program developed by the authors was used, and the control one, in which only drug treatment was carried out. Results. The main group showed a statistically signi2cant improvement in cognitive functions on the SCOPA-Cog and MMSE scales, and an improvement in the qual- ity of life on the PDQ-39 scale (p<0.05). Conclusion. Against the background of the cognitive rehabilitation program, patients in the main group showed a positive dynamics compared to the control.

Keywords: rehabilitation
AttachmentSize
2020_01-3_352-357.pdf329.81 KB

Stem hemorrhagic stroke: treatment approaches and opportunities for rehabilitation

Year: 2019, volume 15 Issue: №4 Pages: 986-989
Heading: Тhematic supplement Article type: Case report
Authors: Karpova O.V., Udalov Yu.D., Radionova D.M.
Organization: State Research Center— Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Nowadays alongside with high mortality, cerebral circulation disorders are the leading cause of disability in adults, causing up to 80% of partial and up to 10% of total disability among treated patients. The use of modern breakthroughs high-tech hematoma treatment methods along with traditional methods of treatment and early individual rehabilitation complex treatment can improve the outcomes for patients with deep-seated hematomas, reducing mortality by two or more times. We have carried out monitoring of the patient with the development of stem stroke accompanied by long-term untreated arterial hypertension. With the help of drug therapy and rehabilitation measures developed under the individual program, the patient's self-service skills and ability to work have been fully recovered.

AttachmentSize
2019_04-1_986-989.pdf296.49 KB

Strategy and tactics for cervical dystonia rehabilitation

Year: 2019, volume 15 Issue: №4 Pages: 968-970
Heading: Тhematic supplement Article type: Author's opinion
Authors: Anikina M.A., Bril Е.V., Zimnyakova O.S., Abbasov F.A.
Organization: State Research Center— Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Rehabilitation of patients with cervical dystonia is not limited to muscle relaxation, but includes comprehensive measures to correct motor and non-motor symptoms to achieve higher level of social adaptation. The article discusses the most effective rehabilitation techniques from the point of view of pathogenesis of dystonia, and highlights the problems related to the use of rehabilitation programs from the point of view of real clinical practice.

AttachmentSize
2019_04-1_968-970.pdf261.37 KB

EEG indicators of the central nervous system in individuals with different levels of psychophysiological adaptation

Year: 2019, volume 15 Issue: №4 Pages: 965-967
Heading: Brief Reviews Article type: Short message
Authors: Torubarov F.S., Zvereva Z.F., Lukyanova S.N.
Organization: State Research Center— Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The purpose of the study is to assess functional activity of the brain, individual structural and functional formations of the central nervous system at different levels of psychophysiological adaptation (PFA) and to identify their contribution to the formation of low PFA level. Material and Methods. Using psychological and visual-motor tests, methods of heart rate variability, functional state of structural and functional formations of the central nervous system: "cortex", "cortical-subcortical interaction", "central regulation of the cardiovascular system" was evaluated; the integral PFA level was determined using the evaluation results. EEG was used to evaluate brain functional activity and the listed CNS formations. Results. As the level of PFA in the EEG decreased, indicators regarded as the anomalous ones increased: type IV EEG; unstable EEG dynamics; high index of (31 activity; flashes of bilateral synchronous waves. The maximum number of abnormal EEG parameters was revealed at low FS of structural and functional formation "central regulation of the cardiovascular system" in persons with low PFA level. Conclusion. Identification of the maximum number of abnormal EEG indicators at low FS of structural and functional formation of the central nervous system "central regulation of the cardiovascular system" in persons with low PFA level testified to its main contribution to the formation of a low integral level of PFA.

AttachmentSize
2019_04-1_965-967.pdf310.82 KB

Specific features of rehabilitation potential in adult patients with cerebral palsy

Year: 2019, volume 15 Issue: №1 Pages: 187-190
Heading: Neurology Article type: Original article
Authors: Shulyndin A.V., Antipenko Е.А.
Organization: Privolzhskiy Research Medical University
Summary:

Objective: to determine the specific features of rehabilitation potential in adult patients with cerebral palsy (CP). Material and Methods. Fifty patients with a confirmed diagnosis of cerebral palsy established in childhood were studied. Level of development of gross motor skills according to GMFCS classification was evaluated in all patients; functions were assessed using the International Classification of Functioning (ICF, version 2.1a, clinical form). Results: In patients with level 2 GMFCS, dysfunctions of muscle tone, muscle strength, implementation and capacity for raising and transferring objects of moderate and severe degree (p<0.05) were more common. The frequency of restricted implementation of precise manual movements is comparable in patients with GMFCS levels 1 and 2 Restricted non- assisted walking was significantly more common in patients with 2nd functional level. The moderately significant positive impact of personal mobility assistive products is more common among level 2 patients, while the importance of communication tools was greater for level 1 GMFCS patients. Conclusion. In adult patients with cerebral palsy it is necessary to assess the rehabilitation potential using ICF. Indicators of activity and participation are of key importance to the rehabilitation potential of adult cerebral palsy patients and should be considered in terms of the possibility of full or partial recovery to a level at which the performance of a certain task will meet the needs of the patient.

AttachmentSize
2019_01-1_187-190.pdf577.17 KB

Preliminary results of study on efficacy of a virtual reality technique for restoration of lower extremity motor function in patients in acute stage of stroke

Year: 2019, volume 15 Issue: №1 Pages: 172-176
Heading: Neurology Article type: Original article
Authors: Poverennova I.E., Zakharov A.V., Khivintseva E.M., Pyatin V.F., Kolsanov A.V., Chaplygin S.S., Osminina E.A., Lahov A.S.
Organization: Samara State Medical University
Summary:

Objective: to study efficacy of using immersive virtual reality with proprioceptive sensory effects in the rehabilitation of static locomotor function in patients in acute stage of ischemic stroke. Material and Methods. The study included 33 patients in the acute stage of ischemic stroke in the carotid system. Patients were randomized into two groups, the main group additionally took exercises in immersive virtual reality with sensory stimulation. The course includes 10 sessions 15 minutes each. The comparison group received standard rehabilitation assistance. Results. According to Berg balance scale an improvement in static locomotor function was noted in the main group on the 6th day of exercises (p=0.03). The differences between both groups on the last day of rehabilitation course showed an

AttachmentSize
2019_01-1_172-176.pdf546.11 KB

Perinatal lesions of the central nervous system in newborns according to the data of Clinical perinatal center of the Saratov region

Year: 2018, volume 14 Issue: №4 Pages: 639-645
Heading: Pediatrics Article type: Original article
Authors: Nechaev V.N., Chernenkov Yu.V., Averianov А.Р., Utts I.A.
Organization: Saratov State Medical University
Summary:

The purpose was to analyze the risk factors for the development of perinatal lesions of the central nervous system and to identify cause-effect relationships. Material and Methods. The retrospective analysis of primary documentation: history of childbirth and history of development of newborns is carried out. The work is based on the results of a comprehensive clinical and neurological examination, neurosonographic data and individual laboratory parameters. Results. In 2017 in the clinical perinatal center of the Saratov region 3301 births were conducted, of which the first delivery was performed in 69,4%, repeated in 30,6% and cesarean section in 41,2% of women. Hypoxic-ischemic disorders were observed in 928 newborns (27,7%). Children with low Apgar score had a combined genesis of chronic intrauterine hypoxia and acute asphyxia in childbirth in 3.8% of cases. Intraventricular hemorrhages (IHD) were diagnosed in 4,3% of cases, birth injuries in 3,6%. Congenital malformations of the central nervous system (CNS) were detected in 31 children (24,4%). Conclusion. The pathological course of pregnancy, problematic natural childbirth and emergency cesarean section are the most frequent risk

AttachmentSize
2018_4_639-645.pdf643.93 KB

Some approaches in assessing effectiveness of rehabilitation activities in highly qualified athletes

Year: 2017, volume 13 Issue: №4 Pages: 947-955
Heading: sports medicine Article type: Review
Authors: Goloborodko Е.М., Fomkin P.A., Petrova V.V., Razinkin S.M.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

An overview of literature data on the types of medical rehabilitation applied to highly skilled athletes and on ways to assess the effectiveness of the implemented measures is provided in the article. Sport rehabilitation is a separate type of activity for which a conceptual apparatus should be formed; basic methodological approaches should be developed and implemented. In addition to physical rehabilitation, attention should also be given to the psychological athlete recovery, both in the context of accelerating recovery, and to strengthen adherence to the applied procedures. All rehabilitation programs should be developed individually, taking into account the specific kind of the sport. The approach based on the use of the scale of assessing the level of health in combination with an objective diagnosis of his psychoemotional state allows to fully assess the effectiveness of carrying out rehabilitation measures among highly qualified athletes

AttachmentSize
2017_04-1_947-955.pdf2.08 MB

Emotional intelligence as an indicator of cognitive functioning in patients with schizophrenia

Year: 2017, volume 13 Issue: №4 Pages: 834-838
Heading: Psychiatry Article type: Original article
Authors: Samoylova D.D., Barylnik Yu.B.
Organization: Saratov State Medical University
Summary:

Aim: to analyze the variability of emotional intelligence as an indicator of cognitive functioning in groups of patients with schizophrenia, depending on the duration of the disease, the duration of treatment and the treatment regimen used. Material and Methods. A total of 420 patients with a clinical diagnosis of paranoid schizophrenia were examined. All patients were divided into groups according to the duration of the disease and the therapy. The research included the medical documentation analyses and the application of «Ekman's Faces» psychodiagnostic scale. Results. There was an improvement of the indicator in the group of primary patients receiving treatment with atypical antipsychotics in combination with rehabilitation. Conclusion. The obtained data allows to make a conclusion about the effect of the duration of the disease, the observation, and also the nature of the conducted therapy on the variability of the emotional intelligence indicator in patients with a paranoid form of schizophrenia and may be used to select a psychotherapeutic algorithm for this category of patients. The obtained results prove the necessity of using questionnaire for emotional intelligence «Ekman's faces» and specific therapy in the early stages of the disease.

AttachmentSize
2017_04_834-838.pdf280 KB