Features of medical rehabilitation of patients who have suffered an ischemic stroke and have a history of obstructive chronic disorders of the respiratory system without exacerbation.

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Abstract

Background. To date, the study of respiratory function in the clinic is limited, as a rule, to the determination of bronchial conduction indicators, as well as bronchodilation tests, which at the present stage is insufficient for a deep assessment of the functional state of patients with chronic obstructive pulmonary disease.

Aims. The development of personalized medical rehabilitation programs for patients who have undergone ischemic stroke at various stages of rehabilitation, including spa.

Materials and methods. The article considers the effectiveness of the new method of treating neurological disorders in patients suffering from acute cerebral circulation disorder and having respiratory system function disorder at different stages of rehabilitation, based on the complex application of physiobalneotherapy, LFC and mechanotherapy in sanatorium and resort conditions.

Results. After the course of using physical methods of treatment, patients with comorbid pathology showed improvement in health, relief of breathing, reduction of shortness of breath, cough, sputum production, disappearance of wheezing in the lungs.

Conclusion. Patients in the early and late recovery period after acute cerebral circulation disorder with accompanying clinical-functional manifestations of respiratory pathology are shown to include in the rehabilitation complex general gas–air carbon dioxide baths, nebulizer inhalations of broncho- and mucolytic preparations, as well as classes on a rowing simulator (rowing) against the background of standard drug therapy and therapeutic exercise in the hall.

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About the authors

Svetlana N. Vygovskaya

National Medical Research Center of Rehabilitation and Balneology

Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0002-4942-8169
SPIN-code: 8516-5382

Cand. Sci. (Med.)

Russian Federation, Moscow

Alexey A. Voropaev

National Medical Research Center of Rehabilitation and Balneology

Author for correspondence.
Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0003-0944-8234
SPIN-code: 4646-4268

Sci. (Med.)

Russian Federation, Moscow

Tatyana V. Konchugova

National Medical Research Center of Rehabilitation and Balneology

Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0003-0991-8988
SPIN-code: 3198-9797

D. Sci. (Med.), Professor

Russian Federation, Moscow

Elena M. Styazhkina

National Medical Research Center of Rehabilitation and Balneology

Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0003-4612-5119
SPIN-code: 3171-6314

Sci. (Med.), Associate Professor

Russian Federation, Moscow

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