Альманах клинической медицины. 2016; 44: 369-375
ОПТИМИЗАЦИЯ РЕАБИЛИТАЦИОННОГО ПРОЦЕССА У ПАЦИЕНТА В ОСТРОМ ПЕРИОДЕ ИНСУЛЬТА НА ОСНОВЕ МЕХАНОТЕРАПИИ И КОГНИТИВНОЙ СТИМУЛЯЦИИ С ИСПОЛЬЗОВАНИЕМ ПЛАНШЕТНЫХ ТЕХНОЛОГИЙ
https://doi.org/10.18786/2072-0505-2016-44-3-369-375Аннотация
Перспективным методом реабилитации когнитивных нарушений после инсульта представляется использование физических упражнений и компьютерных стимулирующих программ. В статье представлены результаты комплексного реабилитационного лечения пациента 58 лет в остром периоде ишемического инсульта с гемипарезом и умеренными когнитивными нарушениями. Оптимизированный подход включал циклическую механотерапию в комбинации с самостоятельной когнитивной тренировкой – занятиями с использованием компьютерных стимулирующих программ и планшетных технологий. Динамика когнитивных и двигательных нарушений определялась на основе количественных шкал для оценки функции движения и нейропсихологического статуса. После курса лечения отмечено значительное улучшение субъективного состояния пациента, а также когнитивных и двигательных функций по всем оценочным шкалам.
Список литературы
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Almanac of Clinical Medicine. 2016; 44: 369-375
AN OPTIMIZATION OF REHABILITATION PROCEDURE IN A PATIENT WITH AN ACUTE STROKE BASED ON MECHANOTHERAPY AND COGNITIVE STIMULATION WITH THE USE OF TABLET PC TECHNOLOGY
https://doi.org/10.18786/2072-0505-2016-44-3-369-375Abstract
The use of physical exercise and computer-based stimulation programs is considered to be a promising method for rehabilitation of cognitive dysfunction after a stroke. The article presents the results of a complex rehabilitation strategy in a 58-year old patient with an acute ischemic stroke with hemiparesis and moderate cognitive dysfunction. The optimized approach consisted of cyclic mechanotherapy combined with cognitive training performed by the patient himself and including the use of computer-based stimulation programs and tablet PC technology. Changes in cognitive and motor dysfunction were assessed with quantitative scales for motor functioning and neuropsychologic status. After the treatment course, there was a substantial improvement of the patient subjective well-being, as well as cognitive and motor functions on all rating scales.
References
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2. World Health Organization, regional office for the Eastern Mediterranean. Stroke, cerebrovascular accident. Available from: http://www. emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html.
3. Miller EL, Murray L, Richards L, Zorowitz RD, Bakas T, Clark P, Billinger SA; American Heart Association Council on Cardiovascular Nursing and the Stroke Council. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke. 2010;41(10):2402–48. doi: 10.1161/STR.0b013e3181e7512b.
4. Lo Coco D, Lopez G, Corrao S. Cognitive impairment and stroke in elderly patients. Vasc Health Risk Manag. 2016;12:105–16. doi: 10.2147/VHRM.S75306.
5. Pendlebury ST, Rothwell PM. Prevalence, incidence, and factors associated with prestroke and post-stroke dementia: a systematic review and meta-analysis. Lancet Neurol. 2009;8(11):1006–18. doi: 10.1016/ S1474-4422(09)70236-4.
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