INNOVATIVE APPROACHES TO REHABILITATION OF PATIENTS AFTER ISCHEMIC HEMISPHERIC STROkE
- Authors: Ekusheva EV1, Kiparisova E.S.1, Shirshova EV1
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Affiliations:
- ФГБОУ ДПО ИПК ФМБА России
- Issue: Vol 8, No 2 (2017)
- Pages: 28-33
- Section: Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/8073
- DOI: https://doi.org/10.17816/clinpract8228-33
- ID: 8073
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Abstract
Our aim was to study efficacy of pathogenetically substantiated rehabilitation of sensorimotor disorders in patients after ischemic stroke. Methods. A total of 119 patients were studied all with hemiparesis following ishemic stroke. There were 35 controls. All patients underwent rehabilitation which included robotized mechanotherapy, stabilography, neuro-muscular stimulation, physical therapy, ergotherapy, massage etc. Before and after the rehabilitation therapy TMS and SSEP parameters were evaluated in all patients. Results. Rehabilitation with the use of a personified, pathogenetically grounded approach contributed to a better recovery of the neurological deficit. In those patients who received personalized therapy significant changes of TMS parameters (central motor conduction time at rest and in facilitation probe), but not SSEP ones were registered. Conclusions. The effectiveness of the pathogenetically substantiated rehabilitation of patients after ischemic stroke was demonstrated. Were demonstrated more effective in restorative treatment of motor deficits. Somatosensory functions were restored worse, which implies the identification and takes into the account of the sensory deficit, as well as neurophysiological monitoring of the recovery process with the use of TMS and SSEP to improve the effectiveness of ongoing rehabilitation in this category of patients.
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##article.viewOnOriginalSite##About the authors
E V Ekusheva
ФГБОУ ДПО ИПК ФМБА России
Email: ekushevaev@mail.ru
к.м.н., доцент кафедры нервных болезней и нейростоматологии ФГБОУ ДПО ИПК ФМБА России
Elena Sergeevna Kiparisova
ФГБОУ ДПО ИПК ФМБА Россиид.м.н., профессор кафедры нервных болезней и нейростоматологии ФГБОУ ДПО ИПКФМБА России
E V Shirshova
ФГБОУ ДПО ИПК ФМБА Россиид.м.н., профессор кафедры нервных болезней и нейростоматологии ФГБОУ ДПО ИПК ФМБА России
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