Peculiarities of rehabilitation of the patients presenting with cardioembolic stroke with concomitant chronic cardiac insufficiency

Tat'yana Viktorovna Isaeva; Исаева Татьяна Викторовна; Konstantin Viktorovich Lyadov; Лядов Константин Викторович; Tat'yana Vladimirovna Shapovalenko; Шаповаленко Татьяна Владимировна; Irina Vladimirovna Sidyakina; Сидякина Ирина Владимировна; Marina Rostislavovna Makarova; Макарова Марина Ростиславовна; T V Isaeva; Isaeva T V; K V Lyadov; Lyadov K V; T V Shapovalenko; Shapovalenko T V; I V Sidyakina; Sidyakina I V; M R Makarova; Makarova M R

doi:10.17816/41225

Peculiarities of rehabilitation of the patients presenting with cardioembolic stroke with concomitant chronic cardiac insufficiency

Authors: Isaeva T.V.¹, Lyadov K.V.¹, Shapovalenko T.V.¹, Sidyakina I.V.¹, Makarova M.R.¹, Isaeva TV², Lyadov KV², Shapovalenko TV², Sidyakina IV², Makarova MR²
Affiliations:
2. Federal state facility "Therapeutic and Rehabilitative Centre", Russian Ministry of Health and Social Development, Moscow
Issue: Vol 10, No 6 (2011)
Pages: 10-15
Section: Articles
URL: https://rjpbr.com/1681-3456/article/view/41225
DOI: https://doi.org/10.17816/41225
ID: 41225

Cite item

Abstract

The present work was designed to estimate the safety and efficacy of the application of a combination of rehabilitative modalities during the acute period of cardioembolic stroke (CES) in 28 patients displaying different degree of decompensation of the cardiac function. The study has demonstrated that the use of "passive" rehabilitative measures, such as postural therapy, respiratory gymnastics, selective massage, and neuromuscular electrostimulation, is safe for the patients who experienced cardioembolic stroke and suffer decompensation of the cardiac function (functional class II and III chronic heart failure). It is emphasized that the introduction of active therapeutic modalities into the programs of combined rehabilitative treatment (e.g. verticalization, active remedial gymnastics, and subsequent walking training) may further worsen decompensated cardiac function in 53.5% of the patients with class III chronic heart failure; in such a case, an immediate correction of the prescribed treatment is needed. However, the majority of the patients benefit from the proposed regimen showing the improved working capacity, tolerance of physical exercises, and motor function, reduced severity of the stroke, and a higher degree of functional independence.

Keywords

cardioembolic stroke, chronic cardiac insufficiency, rehabilitation, verticalization, remedial gymnastics

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Peculiarities of rehabilitation of the patients presenting with cardioembolic stroke with concomitant chronic cardiac insufficiency

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