Email this article The neuroresuscitative rehabilitation - the “conceptual chaos” (on the prospects for the systematic development of the early rehabilitative measures)
- Authors: Ponomarenko G.N.1, Shchegolev A.V1
-
Affiliations:
- Federal state budgetary educational institution of higher professional education “S.M. Kirov Military Medical Academy”, Russian Ministry of defense
- Issue: Vol 14, No 5 (2015)
- Pages: 40-45
- Section: Articles
- URL: https://journals.rcsi.science/1681-3456/article/view/41551
- ID: 41551
Cite item
Full Text
Abstract
This article deals with the currently accepted concept of the application of the physical therapeutic methods for the early activization and medical rehabilitation of the patients presenting with acute cerebral circulation disorders (ACCD) and their consequences. The authors undertook the comparative analysis of the evidence-based investigations concerned with the application of therapeutic physical factors in the framework of the programs for resuscitation and rehabilitation of the patients suffering from ACCD. It was shown that the structure and the contents of the treatment and rehabilitation programs for such patients may differ significantly in different periods. The arguments are provided in favour of differentiation between the notions of “early rehabilitation” and “neuroresuscitative rehabilitation” based on the differentiation between the “end points’ (structure and mechanisms of development of pathological processes), their applications, and the relevant regulatory documents. The prospects for the further development of earlier rehabilitation measures are discussed along with the conditions to be created for the successful work of a multi-disciplinary rehabilitation team having to do with the patients suffering from ACCD.
Full Text
##article.viewOnOriginalSite##About the authors
Gennadiy N. Ponomarenko
Federal state budgetary educational institution of higher professional education “S.M. Kirov Military Medical Academy”, Russian Ministry of defense
Email: ponomarenko_g@mail.ru
Sankt-Peterburg
A. V Shchegolev
Federal state budgetary educational institution of higher professional education “S.M. Kirov Military Medical Academy”, Russian Ministry of defenseSankt-Peterburg
References
- Скворцова В.И. Снижение заболеваемости, смертности и инвалидности от инсультов в Российской Федерации. Журнал неврологии и психиатрии им. С.С. Корсакова. Прил. «Инсульт». 2007; 1: 25-7.
- Жизнь после инсульта. Школа здоровья / Под ред. В.И. Скворцовой. М.: ГЭОТАР-Медиа; 2008.
- Суслина З.А., Варакин Ю.Я., Верещагин Н.В. Сосудистые заболевания головного мозга. М.; 2009.
- Протокол ведения больных «Инсульт». Утвержден Минздравсоцразвития Россия 10.02.2005 г. - 250 стр. - http://www.rspor.ru.
- Guidelines for Management of Ischaemic Stroke and Transient Ischaemic Attack. The European Stroke Organization (ESO); 2008. Avaiable at: http://www.eso-stroke.org
- Приказ Минздравсоцразвития от 01.08.2007 г. № 513. Стандарт медицинской помощи больным с инсультом (при оказании специализированной помощи). - М., 2007. - 89 с. 89 стр. - http://www.rspor.ru
- Пономаренко Г.Н. Медицинская реабилитация: Учебник. М.: ГЭОТАР-Медиа. 2-14.
- Хенерици М.Г., Богуславски Ж., Сакко Р.Л. Инсульт: Клиническое руководство: Пер. с англ. под общ. ред. В.И. Скворцовой. М.: МЕДпресс-информ; 2008.
- Кадыков А.С., Черникова Л.А., Шахпаронова Н.В. Реабилитация неврологических больных. М.: МЕДпрес-информ; 2009.
- Goldstein L.B., Bushnell Ch.D., Adams R.J. et al. Guidelines for the Primary Prevention of Stroke: A Guideline for Healthcare Professionals From the American Heart Association. American Stroke Association. Stroke. 2011; Vol. 42: 517-68.
- Белкин А.А., Алашеев А.М., Левит А.Л., Халин А.В. Обоснование реанимационной реабилитации в профилактике и лечении синдрома «после интенсивной терапии» (ПИТ-синдром). Вестник восстановительной медицины. 2014; 1: 37-43.
- Принципы деагностики и лечения больных с острыми нарушениями мозгового кровообращения: Методические рекомендации. М.: 2000.
- Gosselink R., Bott J., Johnson M., Nava S., Norrenberg M., Schonhofer B. et al. Physiotherapy for adult patients with critical illness: recomandations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Springer-Verlag; 2009.
- Bailey P., Thomsen G.E., Spuhler J., Blair R., Jewkes J., Bezdjian L. et al. Early activity is feasible and safe in respiratory failure papients. Crit. Care Med. 2007; 35(1): 23-5.
- Schwartz A. Zangen R.R. Leker1The effect of deep transcranial magnetic stimulation in sub acute stroke patients - preliminary results. J. Rehab. Med. 2015; 54: 36p.
- Cumming T.B., Thrift A.G., Collier J.M., Churilov L., Dewey H.M., Donnan A., Bernhardt J. Very early mobilization after stroke fasttracks return to walking: further results from the phase ii avert randomized controlled trial. Stroke. 2011; Vol.42: 153-6.
- Кабанов М.М. Реабилитация психических больных. М.: 1985.
- Епифанов В.А., Епифанов А.В. Реабилитация в неврологии. М.: ГЭОТАР-Медиа: 2013.
- Паномаренко Г.Н. Принципы доказательной медицины в физиотерапии. Вопросы курортологии, физиотерапии и лечебной физической культуры. 2004; 2: 46-9.
- Gutenbrunner C., Ward A.B., Chamberlain M.F. The white book on physical and rehabilitation medicine in Europe. J. Rehabil. Med. 2007; 45: 6-47.
