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Dynamic electric neurostimulation in the cognitive rehabilitation of patients in the early recovery period of ischemic stroke
- Authors: Drobyshev V.A.1, Shpagina L.A.1, Abramovich S.G.2, Mashanskaya A.V.2
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Affiliations:
- Novosibirsk State Medical University
- Irkutsk State Medical Academy of Postgraduate Education ― Russian Medical Academy of Continuing Postgraduate Education
- Issue: Vol 21, No 1 (2022)
- Pages: 55-64
- Section: Original studies
- URL: https://rjpbr.com/1681-3456/article/view/108973
- DOI: https://doi.org/10.17816/rjpbr108973
- ID: 108973
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Abstract
BACKGROUND: Post-stroke cognitive impairments negatively affect the results of rehabilitation, worsening the outcomes of motor functions recovery, daily activity, and also increase the likelihood of recurrent stroke and premature death. Therapeutic physical factors contribute to the activation of the body's reserve capabilities and aim at correcting metabolic and vascular disorders, improving the functional status of the nervous system, which allows them to be used in a complex of rehabilitation measures.
AIM: to substantiate the use of dynamic electric neurostimulation in the correction of cognitive impairment in patients in the early recovery period of ischemic stroke.
MATERIALS AND METHODS: A prospective cohort study of 60 patients in the early recovery period of ischemic stroke, with mild and moderate cognitive impairment, at an average age of 62.4±4.5 years, divided by random sampling into 3 groups: group 1 (n=25), in addition to the basic rehabilitation complex, which included medication, sessions with a neuropsychologist, massage and physical exercise therapy, received a 15-day course of dynamic electric neurostimulation from the "Neurodance-PCM" device; group 2 (n=20) received the basic rehabilitation complex and procedures from the placebo device similar to procedures on "Neurodance-PCM"; group 3 (n=15) received only the basic rehabilitation treatment. All patients underwent an assessment of cognitive status using the Montreal Cognitive Assessment (MoCA), Frontal Assessment Battery (FAB) and the study of psychophysiological status on the psycho-physiological tester "NS-Psychotest", using the following tests: tapping test, the Schulte–Platonov tables with red-black cells, test of simple visual-motor reaction, reaction to a moving object test.
RESULTS: Over the two-week rehabilitation, it was found that the inclusion of dynamic electrical stimulation, in addition to the standard therapy of cognitive impairment in patients in the early recovery period of ischemic stroke, improves attention, memory, speech fluency, generalization functions, complicated choice reaction, increases the functions of visual attention and the speed of sensorimotor response, which was not noted in the comparison groups.
CONCLUSIONS: The inclusion of dynamic electric neurostimulation in the rehabilitation complex of patients in the early recovery period of ischemic stroke with mild and moderate cognitive impairment may affect cognitive functions by stimulating the third block of the brain according to A.R. Luria and improving the neurodynamic support of higher mental functions.
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About the authors
Viktor A. Drobyshev
Novosibirsk State Medical University
Author for correspondence.
Email: Doctorvik@yandex.ru
ORCID iD: 0000-0002-7093-3071
SPIN-code: 6953-8702
MD, Dr. Sci. (Med.), Professor
Russian Federation, NovosibirskLubov A. Shpagina
Novosibirsk State Medical University
Email: lashpagina@gmail.com
ORCID iD: 0000-0003-0871-7551
SPIN-code: 5773-6649
MD, Dr. Sci. (Med.), Professor
Russian Federation, NovosibirskStanislav G. Abramovich
Irkutsk State Medical Academy of Postgraduate Education ― Russian Medical Academy of Continuing Postgraduate Education
Email: prof.abramovich@yandex.ru
ORCID iD: 0000-0002-4280-9217
SPIN-code: 2407-4146
MD, Dr. Sci. (Med.), Professor
Russian Federation, IrkutskAlexandra V. Mashanskaya
Irkutsk State Medical Academy of Postgraduate Education ― Russian Medical Academy of Continuing Postgraduate Education
Email: ale-Mashanskaya@yandex.ru
ORCID iD: 0000-0003-1792-6822
SPIN-code: 7189-3905
MD, Cand. Sci. (Med.)
Russian Federation, IrkutskReferences
- Virani SS, Alonso A, Aparicio HJ, et al. Heart disease and stroke statistics - 2021 update: a report from the American heart association. Circulation. 2021;14(8):254–743.doi: 10.1161/CIR.0000000000000950
- Thrift AG, Howard G, Cadilhac DA, et al. Global stroke statistics: an update of mortality data from countries using a broad code of "cerebrovascular diseases". Int J Stroke. 2017;12(8):796–801. doi: 10.1177/1747493017730782
- Starchina YA. Cognitive impairment after stroke. Medical Advice. 2017;(1S):27–32. (In Russ).doi: 10.21518/2079-701X-2017-0-27-32
- Norrving B, Barrick J, Davalos AM, et al. Action plan for stroke in Europe 2018–2030. Eur Stroke J. 2018;3(4):309–336.doi: 10.1177/2396987318808719
- Prokopenko SV, Anayool TS, Bezdenezhnykh AF. Assessment of cognitive impairment in bilingual patients who have suffered an ischemic stroke. Neurological J. 2017;22(2):78–85. (In Russ).doi: 10.18821/1560-9545-2017-22-2-78-85
- Bilalova RR, Ibragimova GZ, Zaitseva AR, et al. Experience in the treatment of combined pathology of acute cerebrovascular accident and myocardial infarction. Bulletin Modern Clin Med. 2018;11(5):16–22. (In Russ).doi: 10.20969/vskm.2018.11(5).16-22
- Kadykov AS, Chernikova LA, Shakhparonova NV. Rehabilitation of neurological patients. Rehabilitation of neurological patients. 4th ed. Moscow: MEDpress-inform; 2021. 560 p. (In Russ).
- Goldstein LB, Bushnell CD, Adams RJ, et al. Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American heart association. Am Stroke Association. 2011;42(2):517–584. doi: 10.1161/str.0b013e3181fcb238
- Cumming TB, Tyedin K, Churilov . The effect of physical activity on cognitive function after stroke: a systematic review. Int Psychogeriatrics. 2012.24(4):557–567.doi: 10.1161/STROKEAHA.117.017319
- Kadykov AS, Shakhparonova N, Belopasova A, Pryanikov IV. Neuroplasticity and restoration of impaired functions after stroke. Physical and rehabilitation medicine, medical rehabilitation. 2019;1(2):32–36. (In Russ). doi: 10.36425/2658-6843-19184
- Prokopenko SV, Mozheyko EY, Koryagina TD. The possibilities of cognitive training using specialized computer programs in stroke patients. Neurological J. 2014;19(1):20–24. (In Russ).
- Kadochnikova EY, Vlasov AA, Alekseeva LI, et al. The effectiveness of dynamic electroneurostimulation (DENS) in the treatment of osteoarthritis of the knee joints (results of a multicenter randomized study). Osteoporosis Osteopathies. 2016;19(2):107–107. (In Russ). doi: 10.14341/osteo20162107-107
- Omochev OG, Chichilov MA. Features of the complex effects of electroneuromyostimulation and acupuncture in lumbosacral dorsopathy. Russian journal of the physial therapy, balneotherapy and rehabilitation. 2018;17(1):29–31. (In Russ).doi: 10.18821/1681-3456-2018-17-1-29-31
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