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
Cite item
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
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