Russian Journal of Physiotherapy, Balneology and RehabilitationRussian Journal of Physiotherapy, Balneology and Rehabilitation1681-34562413-2969Eco-Vector7169710.17816/1681-3456-2020-19-5-4Research ArticleFeatures 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.VygovskayaSvetlana N.<p>Cand. Sci. (Med.)</p>sveta-nazaryan@yandex.ruhttps://orcid.org/0000-0002-4942-8169VoropaevAlexey A.<p>Sci. (Med.)</p>sveta-nazaryan@yandex.ruhttps://orcid.org/0000-0003-0944-8234KonchugovaTatyana V.<p>D. Sci. (Med.), Professor</p>sveta-nazaryan@yandex.ruhttps://orcid.org/0000-0003-0991-8988StyazhkinaElena M.<p>Sci. (Med.), Associate Professor</p>sveta-nazaryan@yandex.ruhttps://orcid.org/0000-0003-4612-5119National Medical Research Center of Rehabilitation and Balneology151020201952993041806202118062021Copyright © 2021, Eco-Vector2021<p><strong><em>Background. </em></strong><em>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.</em></p>
<p><strong><em>Aims.</em></strong><em> The development of personalized medical rehabilitation programs for patients who have undergone ischemic stroke at various stages of rehabilitation, including spa.</em></p>
<p><strong><em>Materials and methods.</em></strong><em> 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.</em></p>
<p><strong><em>Results. </em></strong><em>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.</em></p>
<p><strong><em>Conclusion.</em></strong><em> 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 gasair 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.</em></p>rehabilitation of patients with motor disorders after acute cerebral circulation disorderchronic disorders of respiratory system function outside exacerbationgas-air СО2 bathsmechanotherapysanatorium treatmentреабилитация пациентов с двигательными нарушениями после перенесенного острого нарушения мозгового кровообращенияхронические нарушения функции дыхательной системы вне обострениягазовоздушные СО2-ваннымеханотерапиясанаторно-курортное лечение[Chuchalin AG. Khronicheskaya obstruktivnaya bolezn’ legkikh. Federal’naya programma. Ed by AG Chuchalin. 2nd revised and updated. Moscow; 2004. 61 р. (In Russ).][Avdeyev SN. Dykhatel’naya nedostatochnost’. Atmosfera. Pul’monologiya i allergologiya. 2004;(1):21–27. (In Russ).][Avdeev SN. Pathophysiology of exacerbations of chronic obstructive pulmonary disease. Bulletin of anesthesiology and resuscitation. 2019;16(2):75–82. DOI:10.21292/2078-5658-2019-16-2-75-82][Muharlyamov FYu, Sycheva MG, Rassulova MA, Razumov AN. Pulmonological rehabilitation: modern programs and prospects. Pulmonology. 2013;(6):99–105. DOI: 10.18093/0869-0189-2013-0-6-99-105][Skvortsova VI, Kovrazhkina EA, Gudkova VV. Biomechanical aspects of poststroke patients rehabilitation. S.S. Korsakov Journal of Neurology and Psychiatry. 2005;105(7):26–32. (In Russ).][Belyaev AF, Lebedev SV, Shestopalov EYu, et al. Multidisciplinary approach to early rehabilitation of patients with acute disorders of cerebral circulation. Bulletin of Restorative Medicine. 2017;(2):54–58. (In Russ).][Tul DF. Sosudistyye zabolevaniya golovnogo mozga. Moscow: GEOTAR-Media; 2007. 590 р. (In Russ).][Kuimov AD, Krivosheev AB, Khavin PP. Non-drug correction of external respiratory function in patients with chronic obstructive bronchitis. Bulletin of the Russian Academy of medical Sciences. 2007;1(123):15–19.][Kamenev LI, Borisova ON, Kupeev RV. Mechanical training of respiratory muscles in Spa practice. Bulletin of new medical technologies. Electronic edition. 2018;(2):165–170. Available at: http://www.medtsu.tula.ru/VNMT/Bulletin/E2018-2/3-5.pdf][Troitsky MS, Fedorov SYu, Borisova ON, Korzhuk NL. Innovations in respiratory muscle training (literature review). Bulletin of new medical technologies. Electronic edition. 2015; 2: 241-245. Available at: http://www.medtsu.tula.ru/VNMT/Bulletin/E2015-2/5192.pdf (accessed: 30.06.2015). DOI: 10.12737/11911]