Journal articles: 'Cerebrovascular disease – Patients – Rehabilitation'

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Andriiuk, L. V., and A. V. Yermolayeva. "Сlinical and neurological characteristics of patients with initial manifestations of chronic cerebro-vascular insufficiency of different." Fitoterapia 3, no. 3 (2020): 12–17. http://dx.doi.org/10.33617/2522-9680-2020-3-12.

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Keywords: cerebrovascular disease, clinico-neurological characteristics, quality of life. The results of examination of 100 patients with cerebrovascular disease are represented. Analysis of objective data indicating, thatcognitive, coordinative, and thinking impairments are leading in the compensated and subcompensated stages of cerebrovascular disease. These indicators make possible to take into consideration the individual characteristics of each patient for developing a comprehensive program of physical and medical rehabilitation.

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YAMAMOTO, Sumiko. "Gait Analysis of Patients with Cerebrovascular Disease." Rigakuryoho Kagaku 17, no. 1 (2002): 3–10. http://dx.doi.org/10.1589/rika.17.3.

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Kolmos, Mia, Rikke Steen Krawcyk, and Christina Kruuse. "Effect of high-intensity training on endothelial function in patients with cardiovascular and cerebrovascular disease: A systematic review." SAGE Open Medicine 4 (January 1, 2016): 205031211668225. http://dx.doi.org/10.1177/2050312116682253.

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Objectives: Exercise improves endothelial dysfunction, the key manifestation of cardiovascular and cerebrovascular disease, and is recommended in both cardiovascular and cerebrovascular rehabilitation. Disagreement remains, however, on the role of intensity of exercise. The purpose of this review was to gather current knowledge on the effects of high-intensity training versus moderate-intensity continuous exercise on endothelial function in cardiovascular and cerebrovascular patients. Methods: A systematic review was performed in PubMed database, Embase and Cochrane libraries and on PEDro using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were restricted to cardiovascular and cerebrovascular patients, and healthy subjects as general reference. Interventions comprised of high-intensity training alone, high-intensity training compared to moderate-intensity continuous exercise, or no training, with endothelial function as outcome measure. Endothelial function was measured either physiologically by flow-mediated dilatation and/or by systemic biomarkers. Data were analyzed descriptively due to non-comparability for a meta-analysis to be performed. Results: A total of 20 studies were included in the review. Although there was great heterogenecity in design, population and exercise protocols, all studies found high-intensity training to be safe. High-intensity training was equal to moderate-intensity continuous exercise through improvement in endothelial function in 15 of the 20 selected studies, as measured by flow-mediated dilatation, nitric oxide bioavailability and circulating biomarkers. Only a few studies examined high-intensity training in cerebrovascular patients, none with endothelial function as outcome. Conclusion: High-intensity training is promising as a time-efficient exercise strategy in cardiovascular rehabilitation, but data on endothelial effects in cerebrovascular rehabilitation are warranted. Agreement on a more uniform exercise protocol is essential to further investigate the optimal exercise mode for cerebrovascular rehabilitation.

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Kas, I. V., I. S. Petukhova, and T. P. Ustymenko. "STAGES OF REHABILITATION OF PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENT." International Medical Journal, no. 1 (February 18, 2021): 56–62. http://dx.doi.org/10.37436/2308-5274-2021-1-10.

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One of the urgent tasks of modern medicine is organizing the rehabilitation for patients who have suffered a stroke at different stages of rehabilitation. Restoration of impaired functions in such patients occurs in the first 3−5 months from the onset of the disease, that is influenced by a number of factors: duration of the stroke, size of the lesion and pool of lesions, active participation in the process of a patient him−/herself. The main principles of rehabilitation include its early onset in an acute period of stroke; regularity and duration; complexity and multidisciplinarity (formation of multidisciplinary teams); adequacy of rehabilitation measures, i.e. creation of individual programs taking into account the severity of neurological deficit and dysfunction; stages. Different methods of recovery are applied to each patient individually or in combination, or sequentially according to the rehabilitation program, which is based on the analysis of the patient's condition by all members of the multidisciplinary team, taking into account the results of functional testing and objective examination. Medical support, postural correction, kinesitherapy, mechanotherapy (including robotic), field therapy, hardware physiotherapy, massage, acupuncture according to the indications, functional neurotraining and cardiotraining, neuropsychological training are used. The results of research confirm that the integrated use of kinesitherapy, physical factors, balneotherapy, the methods of psychological rehabilitation of patients after stroke provides a faster recovery of neurological deficit, activates non−specific brain systems, restores mental and somatic functions of the body. Therefore, in addition to health, the patient needs to renew his ability to work and social status. Key words: acute cerebrovascular accident, medical rehabilitation, stages of rehabilitation.

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Vacheva, Danelina E., Verjinia K. Simeonova, and Boyko St Stamenov. "Evaluation of Recovery of Activities of Daily Living in Patients with Sequelae from Cerebral Vascular Disease." Journal of Biomedical and Clinical Research 6, no. 2 (December 1, 2013): 125–30. http://dx.doi.org/10.1515/jbcr-2015-0113.

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Summary Bulgaria ranks first in the world in incidence, morbidity and death associated with cerebrovascular disease. The aim of the study was to investigate, follow-up and register recovery of activities of daily living (using the toilet and maintaining personal hygiene) in patients with sequelae from cerebrovascular disease in a subacute stage, who underwent physiotherapy and rehabilitation. Sixty-one patients were included and followed up. They were given tailored physiotherapy and rehabilitation. This included kinesitherapy, occupational therapy and electrotherapy. All the patients filled in self-assessment questionnaires before and after the rehabilitation course. Major parameters were assessed, irrespective of the limb affected -dominant or non-dominant. Results were analyzed using the Wilcoxon rank test. At the end of the rehabilitation course, the Wilcoxon curves were driven to the right, confirming improvement concerning independence, irrespective of involvement of dominant or non-dominant limb.

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Yokota, Masashi, and Masahiro Takaiwa. "Gait Rehabilitation System Using a Non-Wearing Type Pneumatic Power Assist Device." Journal of Robotics and Mechatronics 33, no. 4 (August 20, 2021): 927–34. http://dx.doi.org/10.20965/jrm.2021.p0927.

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In Japan, approximately 1.1 million people suffer from cerebrovascular diseases such as cerebral stroke, which can further increase due to the aging society. Therefore, rehabilitation for the physical recovery of patients with hemiplegia caused by cerebrovascular disease plays an important role in maintaining and improving their quality of life (QoL). In rehabilitation facilities, crutches and parallel bars are the mainstream, but patients support their body with their arms, causing falls and fatigue, leading to deterioration of motivation in long-term rehabilitation. Although a few hanging-type devices have been developed to cope with such issues, they occupy large space, require time to wear, and have a high introduction cost. In this study, we developed a non-wearing-type pneumatic power assist device for gait rehabilitation to ensure patients can sustain their body weight by pushing up their armpit and quantitatively verified the effectiveness of the device.

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Esaki, Takanori, Yuka Nonomura, Tetsuya Shiraishi, Takatsugu Murakawa, and Motoyuki Abe. "Deep vein thrombosis in patients with cerebrovascular disease in convalescence rehabilitation unit." Nosotchu 38, no. 1 (2016): 8–13. http://dx.doi.org/10.3995/jstroke.10333.

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Grigoryev, Evgeniy. "Rehabilitation of patients with cerebral infarction." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 1 (January 1, 2020): 4–16. http://dx.doi.org/10.33920/med-10-2001-01.

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Acute cerebrovascular accident is a significant medical and social problem, causing high mortality, high level of disability in patients and social maladaptation. Only about 15-20% of patients with cerebral infarction have the opportunity to return to their work after recovery, which determines the great social and economic significance of this issue. the need to care after a family member who had cerebral infarction becomes the result of the outcome of the disease very often. The rehabilitation of stroke patients is an urgent and extremely important problem that requires not only strict adherence to the sequence of actions, but also a strictly individual approach.

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Borodin, Yu I., Ya M. Pesin, N. K. Omorov, and B. M. Doronin. "Lymphotropic therapy in rehabilitation of patients with cerebrovascular diseases." Bulletin of Siberian Medicine 7, no. 5-1 (December 30, 2008): 68–71. http://dx.doi.org/10.20538/1682-0363-2008-5-1-68-71.

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The usage of the lymphotrope therapy in patients’ with cerebrovasculas pathology complex treatment helps to readjustment of neurons’ pericellular habitat out of bilirubine and prevent the development of repeated abnormalities of cerebral circulation.

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Martsiyash, Alexey A., Vadim G. Moses, Kira B. Moses, and Lilia A. Lastochkina. "Physical rehabilitation of elderly patients with acute cerebrovascular accident. Literature review." Russian Journal of Physiotherapy, Balneology and Rehabilitation 20, no. 4 (July 4, 2022): 357–66. http://dx.doi.org/10.17816/rjpbr61930.

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A sharp increase in life expectancy over the past century has led to a significant increase in demand for long-term medical and social care. With aging, the reactivity of the body to the effects of the external environment changes, in particular, a decrease in resistance to pathogenic factors. Older people have chronic diseases (cardiovascular system, respiratory and digestive organs, central nervous system, joints, organs of vision and hearing, as well as diabetes, oncological diseases, etc.) that reduce physical and social activity. Vascular diseases of the brain remain one of the most acute medical and social problems that cause enormous damage to society. A special place among them is occupied by cerebral stroke due to the high mortality rate, significant disability and social maladaptation of elderly patients. According to modern data, at least 1/3 of stroke patients develop motor function disorders on average. These disorders significantly worsen the daily functioning of the quality of life. The aim of rehabilitation of elderly patients who have suffered a stroke is to return the patient to active social and household activities, create optimal conditions for his active participation in society and, ultimately, improve the quality of life of both the patient and his relatives. The task of psychological and physical recovery, social and labor adaptation of post-stroke patients is most successfully solved in the system of complex multidisciplinary rehabilitation. The lack of timely restorative treatment leads to irreversible anatomical and functional changes and a violation of the psychoemotional status of a person. Evidence has been provided that physical rehabilitation measures for elderly patients can significantly improve the indicators of physical, mental and social functioning without increasing the risk of undesirable effects. Successful and safe interventions have made it possible to achieve the goal of rehabilitation, increasing the functional status of elderly patients and independence in everyday life, as well as reducing the burden of the disease for both the individual and his family and society as a whole.

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Sayfullaevich, Pulatov Sadriddin. "Clinical and pathogenetic approaches to early rehabilitation of ischaemic stroke patients." International journal of health & medical sciences 4, no. 4 (November 16, 2021): 373–80. http://dx.doi.org/10.21744/ijhms.v4n4.1788.

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Stroke is the most important medical and social problem, both worldwide and in Uzbekistan, owing to its high morbidity, mortality and disability rates. Uzbekistan's official statistical authorities consider cerebrovascular disease (CVD) to be a single nosological form, without distinguishing it from stroke. Given that the structure of CVDs includes both acute cerebrovascular disorders (ACS) (various types and subtypes of ischemic and hemorrhagic stroke) and chronic CVDs (various forms of so-called dyscirculatory encephalopathy), reliable epidemiological data on stroke prevalence in Uzbekistan are not available. According to the Ministry of Health of the Republic of Uzbekistan, there were 62876 cases of stroke in Uzbekistan in 2019. 15% were fatal, 10-15% relapsed and 55-70% became disabled.

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KIMIZUKA, TAKAO, and FUMIHIKO TAMAMOTO. "Prediction of higher brain functional outcomes for patients with cerebrovascular disease before rehabilitation." Juntendo Medical Journal 53, no. 4 (2007): 622–30. http://dx.doi.org/10.14789/pjmj.53.622.

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Ameriso, Sebastián F., Roberto Lagos, Luis Mariano Ferreira, Lucía Fernández Cisneros, and Antonio Ricardo La Mura. "Cerebrovascular Effects of Cilostazol in Patients With Atherosclerotic Disease." Journal of Stroke and Cerebrovascular Diseases 15, no. 6 (November 2006): 273–76. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2006.07.003.

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SHIMBO, Matsuo. "Bobath Treatment for Patients with Cerebrovascular Disease and System Control." Rigakuryoho Kagaku 16, no. 1 (2001): 35–39. http://dx.doi.org/10.1589/rika.16.35.

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Stadnik, Sergii, and Oleksii Saiko. "Stem hemorrhagic stroke: opportunities for rehabilitation." Ukrains'kyi Visnyk Psykhonevrolohii, Volume 28, issue 2 (103) (July 19, 2020): 60–65. http://dx.doi.org/10.36927/2079-0325-v28-is2-2020-12.

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The most severe and disabling among various types of cerebrovascular accidents are hemorrhages. High mortality in hemorrhagic stroke is due to the possible development of a generalized convulsive syndrome, accompanied by respiratory failure; a cascade of irreversible biological reactions (dislocation syndrome with wedging, ventricular system hemotamponade with the formation of acute obstructive hydrocephalus); the development of complications associated with forced immobilization of the patient or connecting to a ventilator. The diagnosis of cerebral stem strokes is highly relevant due to the increase in their prevalence in the structure of cerebrovascular diseases. With stem strokes, the prognosis of the disease is worse than with strokes of any other localization, which is explained by the location of many vital centers in these structures. The paper highlights the classification and clinical manifestations of hemorrhages in the brain stem, substantiates the feasibility of rehabilitation measures at all periods of the disease. The use of early individual rehabilitation complex treatment can improve the results of therapy of deeply located hematomas, reducing disability and mortality of patients. The article presents the clinical case of a patient with a stem hemorrhagic stroke, in which, against the background of drug therapy and rehabilitation measures developed according to an individual program, self-care skills and working capacity were fully restored. Key words: hemorrhagic stroke (hemorrhage), stem stroke, hemorrhage in pons, rehabilitation

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Li, Xue, Wenjun Ji, Hufei Chang, Chunyan Yang, Zhao Rong, and Jun Hao. "Magnetic Resonance Image Feature Analysis under Deep Learning in Diagnosis of Neurological Rehabilitation in Patients with Cerebrovascular Diseases." Contrast Media & Molecular Imaging 2021 (October 25, 2021): 1–8. http://dx.doi.org/10.1155/2021/6051009.

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To explore the impact of magnetic resonance imaging (MRI) image features based on deep learning algorithms on the neurological rehabilitation of patients with cerebrovascular diseases, eighty patients with acute cerebrovascular disease were selected as the research objects. According to whether the patients were with vascular cognitive impairment (VCI), they were divided into VCI group (34 cases) and non-VCI group (46 cases). In addition, based on the convolutional neural network (CNN), a new multimodal CNN image segmentation algorithm was proposed. The algorithm was applied to the segmentation of MRI images of patients with vascular cognitive impairment (VCI) and compared with the segmentation results of CNN and fully CNN (FCN). As a result, the segmentation results of the three different algorithms showed that the Dice coefficient, accuracy, and recall of the multimodal CNN algorithm were 0.78 ± 0.24, 0.81 ± 0.28, and 0.88 ± 0.32, respectively, which were significantly increased compared to those of other two algorithms ( P < 0.05). The neurological evaluation results showed that the MMSE and MoCA scores of VCI patients were 15.4 and 14.6 ± 5.31, respectively, which were significantly lower than those of the non-VCI group ( P < 0.05). The TMT-a and TMT-b scores of VCI patients were 221.7 and 385.9, respectively, which were significantly higher than those of the non-VCI group ( P < 0.05). The FA and MD values of nerve function-related fibers shown in the MRI images of the VCI group were significantly different from those of the non-VCI group ( P < 0.05). Therefore, the neurological recovery process of VCI patients was affected by multiple neurocognitive-related fiber structures. To sum up, the multimodal CNN algorithm can sensitively and accurately reflect the degree of neurological impairment in patients with cerebrovascular disease and can be applied to disease diagnosis and neurological evaluation of VCI patients.

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De Angelis, Sara, Alessandro Antonio Princi, Fulvio Dal Farra, Giovanni Morone, Carlo Caltagirone, and Marco Tramontano. "Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and Metanalysis." Brain Sciences 11, no. 4 (April 19, 2021): 518. http://dx.doi.org/10.3390/brainsci11040518.

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Postural instability and fear of falling represent two major causes of decreased mobility and quality of life in cerebrovascular and neurologic diseases. In recent years, rehabilitation strategies were carried out considering a combined sensorimotor intervention and an active involvement of the patients during the rehabilitation sessions. Accordingly, new technological devices and paradigms have been developed to increase the effectiveness of rehabilitation by integrating multisensory information and augmented feedback promoting the involvement of the cognitive paradigm in neurorehabilitation. In this context, the vibrotactile feedback (VF) could represent a peripheral therapeutic input, in order to provide spatial proprioceptive information to guide the patient during task-oriented exercises. The present systematic review and metanalysis aimed to explore the effectiveness of the VF on balance and gait rehabilitation in patients with neurological and cerebrovascular diseases. A total of 18 studies met the inclusion criteria and were included. Due to the lack of high-quality studies and heterogeneity of treatments protocols, clinical practice recommendations on the efficacy of VF cannot be made. Results show that VF-based intervention could be a safe complementary sensory-motor approach for balance and gait rehabilitation in patients with neurological and cerebrovascular diseases. More high-quality randomized controlled trials are needed.

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Gonzales-Portillo, Fernando, John A. McIntyre, Dawn R. Wagenknecht, Linda S. Williams, Askiel Bruno, and José Biller. "Spectrum of antiphospholipid antibodies (aPL) in patients with cerebrovascular disease." Journal of Stroke and Cerebrovascular Diseases 10, no. 5 (September 2001): 222–26. http://dx.doi.org/10.1053/jscd.2001.29818.

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Kostenko, E. V., M. A. Eneeva, and V. G. Kravchenko. "Problems of medical rehabilitation in patients after a transient ischemic attack." Bulletin of Russian State Medical University, no. 3 (June 8, 2019): 40–44. http://dx.doi.org/10.24075/brsmu.2019.038.

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The efficacy of rehabilitation in post-TIA patients still remains a clinical challenge, considering the combined burden of the primary disease and comorbidities. The aim of this study was to provide a rationale for introducing psychological counseling into post-TIA rehabilitation programs after studying the presentations of cognitive and emotional impairments developed after this cerebrovascular event. We analyzed in- and outpatient medical records of 351 participants (the mean age was 58.6 ± 2.2 years) who had experienced a TIA. Data was collected from forms 0.25/y and 003/y, medical/social questionnaires and also included MMSE and HADS scores. We found that CI and MD ranked second after cardiovascular diseases among the comorbidities in post-TIA patients (186.8 cases per 100 patients). We conclude that rehabilitation of post-TIA patients should involve a multidisciplinary team of experts including a psychotherapist or a clinical psychologist who will provide psychological counselling.

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Чичановская, Леся Васильевна, Ольга Николаевна Бахарева, Денис Викторович Ганзя, and Станислав Александрович Бахарев. "ANALYSIS OF THE STRUCTURE OF CEREBROVASCULAR DISEASES." Вестник Тверского государственного университета. Серия: Экономика и управление, no. 3(55) (September 27, 2021): 129–38. http://dx.doi.org/10.26456/2219-1453/2021.3.129-138.

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Рассматриваются вопросы анализа структуры системы реабилитации больных инсультом в Тверском регионе. Целью исследования является анализ структуры и оценка эффективности маршрутизации больных инсультами в Тверском регионе. Авторами проведен последовательный анализ развития системы медицинской реабилитации больных инсультом в зависимости от прогрессивного увеличения коечной мощности ЛПУ. Обосновано, что в связи с территориальной удаленностью, кадровым дефицитом в районах Тверского региона, отсутствием необходимого оборудования увеличение выделенных ТФОМС объемов СБО (случай больничного обслуживания) не приводит к увеличению доли профиля «нейрореабилитация». Научная новизна полученных результатов заключается в том, что выявленные организационные проблемы системы медицинской реабилитации в Тверской области позволят переформатировать процесс перспективного планирования развития системы медицинских учреждений, оказывающих помощь по данному профилю, что необходимо для повышения эффективности лечения, снижения заболеваемости и инвалидизации больных инсультом. The issues of analysis of the structure of the system of rehabilitation of stroke patients in the Tver region are considered. The purpose of the study is to analyze the structure and evaluate the effectiveness of routing stroke patients in the Tver region. The author conducted a consistent analysis of the development of the medical rehabilitation system for stroke patients depending on the progressive increase in the bed power of LPU. It is justified that due to the territorial remoteness, personnel shortages in the regions of the Tver region, the lack of necessary equipment, the increase in the allocated TFOMS volumes of SBO (case of hospital services) does not lead to an increase in the share of the “neurorehabilitation” profile. The scientific novelty of the results is that the identified organizational problems of the medical rehabilitation system in the Tver region will allow reformatting the process of prospective planning for the development of a system of medical institutions providing assistance in this profile, which is necessary to increase the effectiveness of treatment, reduce the incidence and disability of stroke patients.

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Aizawa, Hitoshi, Nobuyoshi Azuma, Takayuki Katayama, Naoyuki Hasebe, Masashi Inaba, Tadahiro Sasajima, and Shinichiro Uchiyama. "Cerebrovascular Disease and Intracranial Artery Stenosis in Patients with Symptomatic Peripheral Artery Disease." Journal of Stroke and Cerebrovascular Diseases 21, no. 8 (November 2012): 825–31. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2011.04.016.

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Shutov, A. A., and V. V. Shestakov. "Possibilities of the functional rehabilitation of dysgemic disorders of adaptation in patients with initial stages of cerebrovascular diseases." Neurology Bulletin XXVI, no. 1-2 (April 20, 1994): 14–16. http://dx.doi.org/10.17816/nb106622.

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The cerebral blood flow, adaptive functions of supsegmental vegetative formations, neuropsychologic status, encephalography are studied in 121 patients with initial stages of cerebrovascular diseases. The relationshipbetween indices and the degree of the progress of vascular pathology is revealed. The rehabilitation complex is proposed which is promising for the treatment and recovery of cerebral blood flow in patients with initial stages of cerebrovascular diseases.

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Ramazanov, G. R., L. B. Zavaliy, L. L. Semenov, S. A. Abudeev, A. O. Ptitsyn, E. A. Chukina, V. A. Shchetkin, and S. S. Petrikov. "Progressive Early Rehabilitation Program Applied to Patients with Acute Cerebrovascular Accident." Russian neurological journal 25, no. 3 (August 14, 2020): 17–25. http://dx.doi.org/10.30629/2658-7947-2020-25-3-17-25.

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Abstract. Early rehabilitation (ER) of patients with acute cerebrovascular accident (ACA) is one of the priority tasks of the vascular centers; the issue of increasing the volume of rehabilitation measures in the resuscitation and intensive care units (ICU) is relevant. Objective. To evaluate the safety and effectiveness of the progressive ER program in patients with ACA. Material and research methods. The study included 129 patients with ACA in ICU. Each patient of the main group (MGr, n = 61) underwent progressive ER: at least 4–5 vertical adjustments per day, passive mode Kinesiotherapy 49 ± 9.3 minutes, a double load of physiotherapy exercises, preventive physiotherapy; the total time of classes reached 240 minutes per day. In the comparison group (СGr, n = 68), standard ER was performed no more than 120 minutes per day. The groups are comparable by sex, age, severity of the disease and comorbidity. The severity of ACA, the gravity gradient, patient mobility, functional status, degree of dependence, and the presence of complications were evaluated. Results. During a month of work with the MGr, 102 ICU bed-days, 94 days of the artificial lung ventilation use, p < 0.05 were saved. Mortality in MGr decreased -— 8 patients (13.1%) versus 14 (20.6%) in CGr (p < 0.05). In patients within CGr, pulmonary thromboembolism developed in 8.8%, in MGr – in 3.3%. The severity of the apoplectic attack decreased ( by 28% in MGr, and by 20% in CGr ), mobility increased. Comparing the modalities of post resuscitationsyndrome in MGr, it was noted that the score decreased by 2 times from 6 [5; 6] to 3 [2.3; 3.3], but it has not changed in the CGr. Patients in the MGr were 2-–3 days earlier adapted to the vertical adjustment. Conclusions. The progressive ER program in ICU is safe, effective, realisable, and allows reducing the number of bed-days in ICU, the number of days of the artificial lung ventilation use, complications, and mortality in comparison with standard medical care.

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Ramasubbu, Rajamannar, and Sidney H. Kennedy. "Factors Complicating the Diagnosis of Depression in Cerebrovascular Disease, Part I — Phenomenological and Nosological Issues*." Canadian Journal of Psychiatry 39, no. 10 (December 1994): 596–600. http://dx.doi.org/10.1177/070674379403901003.

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Depression is frequently associated with cerebrovascular disease. Early detection and intervention in depression may enhance rehabilitation potential. Difficulties encountered by clinicians in identifying depression in patients with cerebrovascular disease are numerous. This two part review focuses on issues related to the diagnosis of depression with emphasis on recognition of depressive symptoms and their relevance to the diagnosis of depressive syndromes in the presence of vascular lesions and associated neurological deficits. Furthermore, the value of diagnostic instruments and biological markers in identifying depression following stroke has been critically evaluated. In this first part of this two part paper, phenomenological and nosological aspects are considered with an emphasis on symptom profile, significance of vegetative symptoms and other related emotional responses such as catastrophic reaction, emotionalism and apathy in the diagnosis of depression following stroke. The applicability of diagnostic subcategories to define depressive syndromes associated with cerebrovascular disease and its clinical relevance is also discussed. The authors stress that knowledge on phenomenology of depression and other emotional responses related to cerebrovascular disease will facilitate better understanding of its clinical presentation and may improve diagnostic acumen.

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Kim, Ja Young, Sang-eok Lee, Hee-Cheon You, and HyangHee Kim. "Evaluation of chewing ability in cerebrovascular accident and Parkinson’s disease." Clinical Archives of Communication Disorders 7, no. 1 (April 30, 2022): 7–14. http://dx.doi.org/10.21849/cacd.2022.00661.

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Purpose: Chewing problems are a major and prevalent issue in populations with neurological pathologies including cerebrovascular accident (CVA) and Parkinson’s disease (PD). We measured habitual solid chewing performance in patients with CVA or PD and compared it to that of normal older adults to identify differences in chewing ability between groups.Methods: Measures of habitual solid chewing in 32 patients with CVA, in 35 patients with PD, and in 217 normal older adults were compared. Data on the chewing duration, frequency, and rate were collected using a solid chewing task (SCT). We also analyzed the relationships between dentures, number of teeth, and SCT outcomes.Results: The chewing duration in the PD group was significantly longer than the normal group (<i>p</i><0.05). Chewing frequency and rate were not significantly different among the three groups. Results can be explained by rigidity and bradykinesia in orofacial structures in the PD group. No significant differences between the PD and CVA groups may be partly explained by the diverse location and size of the CVA lesion compared to the PD. Dentures and the number of teeth were not significantly correlated with SCT outcomes.Conclusions: Chewing impairment remains the area of development for research and rehabilitation, and SCT may help to assess oropharyngeal dysphagia and to identify therapeutic interventions.

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Farnsworth, T. A., and D. Heseltine. "The Effect of Postprandial Hypotension on Rehabilitation of the Frail Elderly with Cerebrovascular Disease." Journal of International Medical Research 22, no. 2 (March 1994): 77–84. http://dx.doi.org/10.1177/030006059402200202.

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A total of 15 elderly patients recovering from stroke were included in a random, observer-blind, crossover trial to investigate the effects of postprandial cardiovascular changes. Exercise capability, sitting and erect blood pressure and heart rate were recorded pre- and postprandially; a control group received water only. Exercise capability decreased significantly ( P < 0.05) in the control group, but not in the test group. Systolic and diastolic blood pressures in the erect position post-exercise were significantly ( P < 0.05) reduced in the test group 15 min after eating; in the control group there was no significant change. A significant ( P < 0.05) increase in heart rate in the erect position was seen postprandially in the test group after exercise, but not in the control group. All other changes recorded did not reach statistical significance. No reduction in exercise capability occurred in patients exhibiting postprandial hypotension after food, as simultaneous increases in heart rate probably resulted in output being maintained.

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Georgieva, Dobrinka, Dobrinka Kalpachka, and Rossen Kalpachki. "Stroke and aphasia rehabilitation: A comparison of international guidelines." Logopedia Silesiana, no. 9 (December 29, 2020): 1–15. http://dx.doi.org/10.31261/logopediasilesiana.2020.09.19.

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Cerebrovascular diseases are the leading cause of morbidity and mortality worldwide. Unfortunately, Bulgaria leads most countries in its incidence of stroke. Furthermore, a substantial number of Bulgarian patients post-stroke present with persisting communication disorders, especially aphasia. The main purpose of the present study is to conduct an evidence-based theoretical review of leading international guidelines for treatment and rehabilitation of adult stroke patients. In particular, this theoretical overview compares the current Bulgarian guidelines with those developed by the United States of America, Europe, Australia, Canada, the United Kingdom, and New Zealand. The Bulgarian guidelines for the prevention, diagnosis, and treatment of cerebrovascular diseases strongly recommends pharmacological treatment, which is commensurate with international standards. Nationally, a range of different language tests are currently used in post-stroke aphasia.

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Shirshova, E. V. "MULTIDISCIPLINARY TEAM VALUE IN RECOVERY TREATMENT OF PATIENTS WITH CEREBROVASCULAR DISEASES." Journal of Clinical Practice 2, no. 3 (September 15, 2011): 9–14. http://dx.doi.org/10.17816/clinpract239-14.

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The results of a comprehensive clinical examination of 418 patients with various manifestations of cerebrovascular diseases (CVD) are analyzed. From the standpoint of functional disorders the analysis identified clinical manifestations CVD was performed and clarified their influence on the restriction of the fundamental types of activity. Multidisciplinary approach in restorative treatment and rehabilitation of patients with CVD is justified.

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Коваленко, О. Є., and С. С. Совгира. "Optimization of patients rehabilitation and cerebrovascular diseases prevention in primary health care." Family Medicine, no. 3(65) (October 16, 2016): 72–77. http://dx.doi.org/10.30841/2307-5112.3(65).2016.80020.

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Kim, Gyu-Yong, and Seung-Hyeon Won. "A cost benefit analysis of home-based physical therapy services." Korean Society of Medicine & Therapy Science 14, no. 2 (November 30, 2022): 5–15. http://dx.doi.org/10.31321/kmts.2022.14.2.5.

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Objective: The purpose of this study is to present a basic data for policy which activate the introduction of the home based physical therapy services policy and the home based physical therapy in the visiting home care service on the basis of policy. Method: The design of this study is performed a home based physical therapy to the patients with cerebrovascular, the cost-benefit analysis of home based physical therapy with cerebrovascular patient which is analyzed on basis of survey data of the 51 rehabilitative care hospital medical institutions in nationwide and the number of nursing system, has analyzed the economic benefit in calculate the annual net social benefit through sensitivity analysis after calculated 1times per physical therapy. Results: This study are in the survey of the direct costs of the rehabilitation and convalescence hospital of visit’s cost-benefit analysis in patients with cerebrovascular disease, home based physical therapy way’s cost-benefit ratio more 1.8 times than medical center visit‘s way so that the net social benefit of home based physical therapy way has been analyzed to 18,028 million won. Conclusion: The business features of cheaper, home based physical therapy services has a more economical effect than medical center visit.

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Prasolov, N. V., E. M. Shulutko, A. E. Vasiliev, and D. G. Gitelson. "The role of sugammadex in endovascular interventions on cerebral vessels." Complex Issues of Cardiovascular Diseases 11, no. 3 (October 12, 2022): 134–42. http://dx.doi.org/10.17802/2306-1278-2022-11-3-134-142.

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Highlights. The article discusses the features of general anesthesia in patients with cerebrovascular diseases using the relaxant binding agent sugammadex.Aim. To evaluate the effectiveness of sugammadex in endovascular management of cerebrovascular diseases.Methods. The study included 57 patients who underwent endovascular treatment of cerebrovascular disease under general anesthesia. The experimental group included 29 patients who were injected with sugammadex - a selective relaxant binding agent for reversal of neuromuscular block induced by rocuronium. The comparison group included 28 patients who did not undergo decurarization (n = 13), or it was performed with neostigmine (n = 15). Acceleromyography was used to monitor the state of neuromuscular function.Result. Onset of action and duration of action of rocuronium at a dose of 0.9 mg/kg did not differ between the groups. The neuromuscular recovery time was 2.14 [1.67; 2.59] minutes after administration of sugammadex, compared with spontaneous 35.8 [31.5; 40.4] minutes and neostigmine-induced 22.1 [16.8; 27.3] minutes (p<0.001). No adverse or allergic reactions were noted after administration of the relaxant binding agent.Conclusion. Using a specific antidote sugammadex to eliminate the effect of rocuronium helps to restore neuromuscular function within 2–3 minutes and assess the neurological status of patients immediately after the endovascular treatment of cerebrovascular disease.

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Chalela, JA, J. Detre, SE Kasner, DC Alsop, and JA Maldjian. "Effect of statins on cerebral blood flow in patients with cerebrovascular disease." Journal of Stroke and Cerebrovascular Diseases 8, no. 4 (July 1999): 276. http://dx.doi.org/10.1016/s1052-3057(99)80100-1.

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Hinduja, Archana, Kaustubh Limaye, Rahul Ravilla, Appalanaidu Sasapu, Xenofon Papanikolaou, and Sarah Waheed. "Spectrum of Cerebrovascular Disease in Multiple Myeloma Patients Undergoing Chemotherapy." Blood 126, no. 23 (December 3, 2015): 5498. http://dx.doi.org/10.1182/blood.v126.23.5498.5498.

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Abstract Introduction: The objective of study was to determine the risk factors, stroke mechanisms and outcome following a stroke in Multiple myeloma (MM) patients. Materials and Methods: We conducted a matched cohort study from a prospective database of MM patients enrolled in TT2, TT3A, TT3B protocols who developed a vascular event (transient ischemic attack, ischemic stroke and intracerebral hemorrhage) from 1998 to 2014 with age, sex and treatment matched controls. Comparison of baseline demographics, risk factors, myeloma characteristics, laboratory values and mortality between both groups was performed using Pearson's Chi-square test for categorical variables and student T test for continuous variables. Multivariate logistic regression analysis was performed to identify risk factors associated with stroke. For statistical analysis SAS 9.4 software was used and p value of ≤ 0.05 was considered significant. Strokes were classified using the modified Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria. Results: Of 1148 patients, 46 developed a vascular event (Ischemic stroke (TIA)-33, Transient ischemic attack-11, Hypertensive intracerebral hemorrhage-2). On univariate analysis, predictors of stroke were a positive smoking history (26.1% vs 13% p=0.0381), renal insufficiency (23.9% vs 8.0% p=0.0039), hemodialysis (10.9 vs 0.7% p=0.004) and MM Stage I and II as opposed to Stage III (Stage I - 23.9% vs 9.4%, Stage II - 17.4% vs 12.3, Stage III - 58.7% vs 78.3% p=0.025). Despite the lack of significant difference in the baseline laboratory values between both groups, among the cases, there was a significant decrease in the platelet count (112.6 vs 255.2, p<0.0001) and elevation in INR (1.25 vs 1.08, p=0.0096) during the vascular insult when compared to their baseline values. On multivariate analysis, independent predictors of stroke were renal insufficiency (Odds Ratio, 3.528, 95% CI, 1.36-9.14; p=0.0094) and MM Stage I and II (Odds Ratio, 2.770, 95% CI, 1.31-5.81; p=0.0073). The ischemic strokes subtypes were: Large vessel disease 6%, cardioembolic 18%, small vessel disease 21%, other known etiologies 49% (hypercoaguable state; watershed; others) and cryptogenic in 6%. Following ischemic event, antiplatelet agents were used in 16 patients, anticoagulation in 7 patients but 23 patients were ineligible for both due to thrombocytopenia. In our cohort, 78% were discharged home or rehabilitation facility, 4% were transferred to long-term nursing facility and in hospital mortality was 15%. Conclusion: In MMpatient'srenal insufficiency andMM Stage I and II were associated with increased stroke risk. Besides hypercoagulability other mechanisms like atrial fibrillation, watershed strokes and small vessel disease played major role. Table 1.Demographic and disease characteristics of multiple myeloma patients experiencing a stroke compared to controlsVariableStroke (N=46)No Stroke (N=138)p-valueAge [mean (sd)]60.6 (7.7)60.7 (7.8)0.8960Female50.0 (23)41.6 (57)0.3023Race Caucasian95.7 (44)90.6 (125)0.3635#Hypertension54.4 (25)43.5 (60)0.2003HPL33.3 (15/45)26.1 (36)0.3464Diabetes17.4 (8)9.4 (13)0.1409CAD10.9 (5)10.9 (15)>0.99CHF4.4 (2)8.7 (12)0.5237AFIB17.4 (8)9.4 (13)0.1409Smoking26.1 (12)13.0 (18)0.0381ETOH2.2 (1)1.5 (2)>0.99Malignancy8.7 (4)16.1 (22/137)0.2159Nephropathy23.9 (11)8.0 (11)0.0039Hemodialysis10.9 (5)0.7 (1)0.0040Protocol TT2 TT3A TT3B54.4 (25) 32.6 (15) 13.0 (6)57.2 (79) 21.0 (29) 21.7 (30)0.3036MM Stage I II III23.9 (11) 17.4 (8) 58.7 (27)9.4 (13) 12.3 (17) 78.3 (108)0.0182MM Isotype IgG IgA FLC-κ FLC-λ Other58.7 (27) 21.7 (10) 8.7 (4) 10.9 (5) 049.3 (68) 24.6 (34) 10.1 (14) 10.9 (15) 5.1 (7)0.6128MM Risk [mean (sd)] Death-0.13 (0.61; N=37) 65.2(30)0.09 (0.67; N=88) 51.5(71)0.0941 0.19OSA: Obstructive sleep apnea, CAD: coronary artery disease, CHF: Congestive heart failure, AFIB: Atrial fibrillation, HPL hyperlipidemia. Table 1. Results on multivariable logistic model Variable Odds Ratio 95% CI p-value Nephropathy 3.528 1.36 to 9.14 0.0094 MM Stage I or II 2.770 1.31 to 5.81 0.0073 Disclosures Hinduja: University of Arkansas for Medical Sciences: Employment. Limaye:University of Arkansas for Medical Sciences: Employment. Ravilla:University of Arkansas for Medical Sciences: Employment. Sasapu:University of Arkansas for Medical Sciences: Employment. Waheed:University of Arkansas for Medical Sciences: Employment.

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Kuwabara, Kazuaki, Shinya Matsuda, Kiyohide Fushimi, Koichi B. Ishikawa, Hiromasa Horiguchi, and Kenji Fujimori. "Reconsidering the value of rehabilitation for patients with cerebrovascular disease in Japanese acute health care hospitals." Value in Health 14, no. 1 (January 2011): 166–76. http://dx.doi.org/10.1016/j.jval.2010.10.028.

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Dubinina, Inessa Ivanovna, Vladimir Alexeevich Zhadnov, Svetlana Vital'evna Yankina, and Alexandra Viktorovna Solov'eva. "Anxiety and depressive disorders in patients with diabetes mellitus type 2 and cerebrovascular disease." Diabetes mellitus 15, no. 4 (December 15, 2012): 59–62. http://dx.doi.org/10.14341/2072-0351-5539.

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Aims. Current study was aimed to identify symptoms and risk factors for depression and anxiety and to estimate quality of life (QoL) in patients with diabetes mellitus type 2 (T2DM) and cerebrovascular disease (CVD). Materials and methods. We examined 73 patients with T2DM. 1st group included 49 patients with T2DM and CVD, 2nd group - 24 patients with T2DM and no cardiovascular pathology. The groups were not significantly different in terms of age, BMI, level of HbAlc, fasting and postprandial glycemia. All patients received antihyperglycemic and antihypertensive therapy. Anxiety and depression were diagnosed with Beck Depression Inventory and Spielberger State and Trait Anxiety Scale (SSTAS). SF-36 questionnaire was used for estimation of QoL. Results. 2nd group showed symptoms of anxiety and depressive disorders in 100% and 75% of cases, respectively. 1st group showed significantly more prominent anxiety and depression symptoms. Risk factors for anxiety and depressive disorders in patients with T2DM and CVD were found to be senior age, obesity and atherogenic dyslipidemia. Conclusion. Cardiovascular comorbidity in T2DM significantly decreases QoL, especially in aspects of physical functioning and vitality. Timely diagnostics of anxiety and depression in patients with T2DM and CVD requires development of screening and rehabilitation programs.

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Wardhani, Irma Okta, and Santi Martini. "The Relationship between Stroke Patients Characteristics and Family Support with Compliance Rehabilitation." Jurnal Berkala Epidemiologi 3, no. 1 (January 1, 2015): 24. http://dx.doi.org/10.20473/jbe.v3i1.2015.24-34.

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ABSTRACTStroke is a cerebrovascular disease, it is brain function disorders associated with the disease of the blood vessels that supply the brain. The impact of stroke is paralysis. Family support is things that are needed to be considered in the treatment of stroke patients. It is very involved in the compliance rehabilitation of patients to prevent the re-occurrence of stroke. Characteristics of stroke patients may also affect the compliance rehabilitation. The purpose of this research is to determine the relationship between stroke patients characteristics and family support to compliance rehabilitation at the Medical Rehabilitation Unit RSU Haji Surabaya. This research was an analytic observational research with cross sectional design. The subjects of this research are taken using total population technique. The independent variables in this research is family support. The dependent variable is compliance rehabilitation. The results of this research are presented in the form of frequency distributions and calculate the strength of the relationship with Phi coefficient. The result of this research shows that there is a strong relationship between family support and compliance rehabilitation (r=0.582). There are weak relationship between ages (r=-0,027), gender (r=0,092), level of education (r= -0,295), work (r=0,098), and marital status (r=0,319). The conclusion is family support may affect compliance rehabilitation of stroke patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients.Keywords: depression, family support, compliance rehabilitation

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Wardhani, Irma Okta, and Santi Martini. "The Relationship between Stroke Patients Characteristics and Family Support with Compliance Rehabilitation." Jurnal Berkala Epidemiologi 3, no. 1 (January 1, 2015): 24. http://dx.doi.org/10.20473/jbe.v3i12015.24-34.

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Stroke is a cerebrovascular disease, it is brain function disorders associated with the disease of the blood vessels that supply the brain. The impact of stroke is paralysis. Family support is things that are needed to be considered in the treatment of stroke patients. It is very involved in the compliance rehabilitation of patients to prevent the re-occurrence of stroke. Characteristics of stroke patients may also affect the compliance rehabilitation. The purpose of this research is to determine the relationship between stroke patients characteristics and family support to compliance rehabilitation at the Medical Rehabilitation Unit RSU Haji Surabaya. This research was an analytic observational research with cross sectional design. The subjects of this research are taken using total population technique. The independent variables in this research is family support. The dependent variable is compliance rehabilitation. The results of this research are presented in the form of frequency distributions and calculate the strength of the relationship with Phi coefficient. The result of this research shows that there is a strong relationship between family support and compliance rehabilitation (r=0.582). There are weak relationship between ages (r=-0,027), gender (r=0,092), level of education (r= -0,295), work (r=0,098), and marital status (r=0,319). The conclusion is family support may affect compliance rehabilitation of stroke patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients.Keywords: depression, family support, compliance rehabilitation

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Yokoyama, Tomonori, Takao Mukai, Naoki Kodama, Kana Takao, Takashi Hiraoka, Nobuyuki Arai, Jitsuro Yano, et al. "Efficacy of soft palatal augmentation prosthesis for oral functional rehabilitation in patients with dysarthria and dysphagia: a protocol for a randomised controlled trial." BMJ Open 12, no. 7 (July 2022): e060040. http://dx.doi.org/10.1136/bmjopen-2021-060040.

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IntroductionPalatal augmentation prosthesis (PAP) is used in patients with articulation and swallowing disorders caused by postoperative loss of tongue tissue due to tongue cancer, cerebrovascular disease sequelae and age-related hypofunction. We have previously reported a newly designed soft PAP fabricated using an thermoplastic material that is particularly appropriate for early intervention. However, the effect of soft PAP on oral function improvement remains to be elucidated. The aim of this study is to investigate whether soft PAP can improve dysarthria and dysphagia occurring as cerebrovascular disease sequelae.Methods and analysisThis prospective, randomised, controlled trial will compare the immediate and training effects of rehabilitation using soft PAP with those of rehabilitation without using it. Primary outcomes are the single-word intelligibility test score and pharyngeal transit time (PTT). Secondary outcomes are tongue function (evaluated based on maximum tongue pressure, repetitions of tongue pressure and endurance of tongue pressure), articulation function (evaluated based on speech intelligibility, oral diadochokinesis, Voice-Related Quality of Life (V-RQOL)) and swallowing function (evaluated using Eating Assessment Tool-10). The study results will help determine the efficacy of Soft PAP in improving functional outcomes of word intelligibility and PTT. We hypothesised that early rehabilitation using Soft PAP would more effectively improve articulation and swallowing function compared with conventional rehabilitation without using soft PAP.Ethics and disseminationEthical approval was obtained from the Okayama University Certified Review Board. The study findings will be published in an open access, peer-reviewed journal and presented at relevant conferences and research meetings.Trial registration numberjRCTs062200054.

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Kononenko, N. M., and V. V. Chikitkina. "Cognitive Rehabilitation in Patients with Cerebral Pathology." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 7, no. 5 (November 21, 2022): 219–24. http://dx.doi.org/10.26693/jmbs07.05.219.

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The purpose of the study was to compare the effectiveness of various strategies of cognitive rehabilitation in neurosurgical pathology of the brain. Materials and methods. The dynamics of cognitive impairment was studied in 153 neurosurgical patients (95 men, 70 women, with mean age of 62.1±11.4 years) at stage II of rehabilitation. The severity of the deficiency of higher cortical functions was assessed upon admission and after 30 days in the rehabilitation department. The Roshchina test, the Mini-Mental State Examination, the Food and Behaviour Research, and the Hamilton Depression Rating Scale were used to detect depression. Results and discussion. The problem of diagnosis, treatment and prevention of cerebrovascular and neurodegenerative diseases is considered as an interdisciplinary one. The neurosurgical component of emergency care for patients who have undergone cerebrovascular accidents, in the event of complications, remains the only hope for their survival and reduction of disability. At the same time, in the treatment of these patients, medical rehabilitation is of great importance – a multifaceted, difficult process, the main purpose of which is to restore or compensate for the lost functions of the human body that have arisen as a result of various diseases of the central or peripheral nervous system. But in the literature data there is not enough information about the effect of drug and physiotherapy methods on higher nervous activity. When analyzing the dynamics of indicators of the scoring of higher cortical functions, it was found that in all groups of patients, cognitive rehabilitation led to positive results. The obtained data showed the effectiveness of traditional cognitive rehabilitation in neurosurgical patients by all assessment methods, which was enhanced when combined with drug therapy with memantine and citicoline. The addition of photochromotherapy to restorative treatment significantly improved higher cortical functions compared to a group of patients who received only neuropsychological correction procedures. The indicators of the Mini-Mental State Examination, the Food and Behaviour Research, and Roshchina's test when applying transcranial electromagnetic stimulation against the background of classes with a neuropsychologist were higher, although they were not significantly different from the control group. Similar results were obtained when traditional psychocorrection was replaced by computer training. Conclusion. The combination of neuropsychological, medical and physiotherapeutic methods at the stage of rehabilitation can significantly improve the results of rehabilitation treatment

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Ivanova, G. E. "Medical rehabilitation: problems and solutions." Clinical nutrition and metabolism 1, no. 1 (April 23, 2020): 8–9. http://dx.doi.org/10.17816/clinutr33032.

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To questions regarding the rehabilitation process in patients with impaired functions and structures, limited activity due to diseases or conditions, which in most cases lead to disability, Galina E. Ivanova MD the head of department of medical rehabilitation, Faculty of Additional Professional Education, State Autonomous Educational Institution named after N. I. Pirogova, and also the head of the medical rehabilitation department of the Federal Center for Cerebrovascular Pathology and Stroke of the Russian Ministry of Health. During the conversation, important aspects of clinical nutrition were touched upon like in order to compensate for the loss of energy and structural elements of tissues in this category of patients.

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Sorokina, V., Ju Nekrasova, M. Stern, Ju Podolskaya, and A. Kryuchkova. "Application of virtual reality technology for psychological rehabilitation of patients after brain injuries." Virtual Technologies in Medicine 1, no. 1 (March 9, 2022): 26–30. http://dx.doi.org/10.46594/2687-0037_2022_1_1413.

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Extensive research shows that virtual reality (VR) improves cognitive function and has benefits in the physical rehabilitation of patients after brain injury. However, there is still uncertainty about the practicality and effectiveness of virtual reality in long-term clinical practice. The study showed the possibility of using virtual reality technology to improve the psychological state of patients with consequences of cerebrovascular diseases.

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Campellone, Joseph V., Thomas M. Bosley, and Dara G. Jamieson. "Effect of screening for syphilis on the management of patients with cerebrovascular disease." Journal of Stroke and Cerebrovascular Diseases 5, no. 4 (January 1995): 197–201. http://dx.doi.org/10.1016/s1052-3057(10)80190-9.

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Hosono, Shingo, Hiroko Hori, Yasuyuki Ozato, Ayumi Hosono, Ayaka Isono, and Takashi Yamazaki. "Factors Affecting the Ability of Patients with Cerebrovascular Disease in Convalescent Rehabilitation Wards to Self-administer Medications." Iryo Yakugaku (Japanese Journal of Pharmaceutical Health Care and Sciences) 41, no. 12 (2015): 900–906. http://dx.doi.org/10.5649/jjphcs.41.900.

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Sudo, Eiichi, Shiho Tanuma, Etsuko Sudo, Yoshihiko Takahashi, Akira Yoshida, Chikara Kobayashi, and Yohachiro Ohama. "The Usefulness of the Water Swallowing Test and Videofluorography in Swallowing Rehabilitation in Patients with Cerebrovascular Disease." Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 39, no. 4 (2002): 427–32. http://dx.doi.org/10.3143/geriatrics.39.427.

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Kubota, Masatomo. "Cognitive rehabilitation for patients with cerebrovascular disease accompanied by attentional disorder: Use of Computer-assisted Attention Training." Higher Brain Function Research 29, no. 2 (2009): 256–67. http://dx.doi.org/10.2496/hbfr.29.256.

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Belash, V. O., E. O. Gritsay, and T. S. Musina. "The use of osteopathic correction in the complex rehabilitation of patients with acute cerebrovascular accident." Russian Osteopathic Journal, no. 2 (June 27, 2022): 27–39. http://dx.doi.org/10.32885/2220-0975-2022-2-27-39.

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Introduction. Acute disorders of cerebral circulation - strokes - are the most important medical and social problem, due to their high proportion in the structure of morbidity and mortality of the population, signiﬁ cant indicators of temporary labor losses and primary disability. In this regard, one of the main tasks of Russian healthcare is to slow down the increase in the disability of the population, which is carried out through the active development of the rehabilitation system in our country, including neurorehabilitation. Osteopathic correction can become one of the new areas of rehabilitation for this group of patients. There have already been made previous attempts to study the osteopathic status in patients with acute cerebrovascular accident and to assess the possible contribution of somatic dysfunctions to the pathogenesis of this disease. At the same time, there are no publications in the available scientiﬁ c literature about the possibility of osteopathic correction using in the rehabilitation of patients with acute cerebrovascular accident in the early recovery period. All of the above predetermined the purpose of the study.The aim of the study is to substantiate the possibility of osteopathic correction methods using in the complex rehabilitation of patients with acute cerebrovascular accident in the early recovery period.Materials and methods. A prospective randomized controlled study was conducted from February 2019 to March 2020 on the basis of the neurorehabilitation department of the State Clinical Hospital № 11 (Omsk). 40 patients with a diagnosis of acute cerebrovascular accident, early recovery period were under observation. The sample was entire. Patients, depending on the method of used treatment, were divided with using the method of simple randomization into two comparable groups of 20 people: main and control. All patients received complex rehabilitation treatment, which included drug therapy, physiotherapy, kinesiotherapy, massage, and acupuncture. Additionally, patients of the main group received osteopathic correction (3 sessions). All patients, regardless of the group, before the start, as well as after the completion of the rehabilitation course, were assessed for osteopathic status, the level of self-care, daily activity and mobility of patients was determined using functional scales, and muscle strength of the hands was studied using dynamometry.Results. Patients with ischemic stroke in the early recovery period are characterized by the presence of somatic dysfunctions, mainly at the global and regional levels. 100 % of the examined participants had a global rhythmogenic cranial disorder. The most characteristic regional somatic dysfunctions were of the neck region, the structural component (29 %), and of the dura mater region (24 %). After completion of rehabilitation, global rhythmogenic cranial somatic dysfunction remained in all patients (100 %), however, in the group that received osteopathic correction, its severity was statistically signiﬁ cantly reduced (p<0,05). Also, in the main group, the average number of regional somatic dysfunctions and their severity changed statistically more signiﬁ cantly (p<0,05). At the background of complex rehabilitation treatment, all patients had an increase in the level of self-care, daily and physical activity according to neurorehabilitation scales, and also increased arm muscle strength according to dynamometry. However, in the group receiving additional osteopathic correction, these indicators were statistically signiﬁ cantly higher (p<0,05).Conclusion. Rehabilitation of patients with vascular pathology, including those with ischemic stroke, is one of the most important directions in the development of the modern healthcare system. This dictates the need to search and study new methods and means of rehabilitation, one of which could be osteopathy. This study showed that the inclusion of osteopathic correction in the program of complex rehabilitation of patients with ischemic stroke in the early recovery period will achieve better results in terms of restoring lost functions and improving self-care skills. In order to introduce the new method more widely, it is advisable to continue the study on an even larger sample.

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Fukunishi, Isao, and Takayuki Aoki. "Relationship between Narcissistic Tendencies and Psychiatric Conditions in Patients Undergoing Physical Rehabilitation." Perceptual and Motor Skills 83, no. 2 (October 1996): 403–8. http://dx.doi.org/10.2466/pms.1996.83.2.403.

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This study examined the relationship between psychiatric conditions and narcissism in 78 patients with physical rehabilitation for illnesses such as cerebrovascular disease. The frequency of psychiatric disorders (Major Depression and Adjustment Disorder) was significantly higher for the patient group than for the healthy control group. The patients had significantly higher scores on measures of psychiatric symptoms including depression and lower scores on a narcissistic factor (Self-sufficiency) than the controls. In the patient group, the Self-sufficiency scores were significantly and positively correlated with Vigor scores In the patient and control groups, although the correlation coefficient was not high and no significant difference was noted, the Self-sufficiency scores were negatively correlated with the Depression scores. These findings suggest that, in patients undergoing physical rehabilitation, poor Self-sufficiency is related to a decrease in vigor as a depressive symptom, perhaps due to the loss of physical functioning.

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Dyachenko, Pavel A., and Anatoly G. Dyachenko. "Neurological Disorders in Hospitalized Patients with Covid-19: Clinical Symptoms, Treatment and Rehabilitation." Acta Balneologica 64, no. 2 (2022): 113–17. http://dx.doi.org/10.36740/abal202202102.

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Aim: To establish the spectrum of neurologic disorders in patients with coronavirus disease 2019, and to clarify what are their clinical peculiarities? Materials and Methods: We analyzed retrospectively the clinical, radiological, and neuropathological findings of the patients who entered our clinics between October 2020 and the end of March 2021. Neurological syndromes developing during or after the disease, which were likely to be associated with COVID-19 on clinical and laboratory grounds, were included in the group of interest. Cases for which a more likely alternative pathology was found were excluded. Results: In a case series of 515 patients with Covid-19, neurologic symptoms were observed in 173 (33.6%) patients and were more common in patients with severe infection (47.8%) according to their respiratory status, which included acute cerebrovascular events, impaired consciousness, and muscle injury. Encephalopathy (29/16.7), and neuropathy 36 (20.8) dominated among neurological syndromes. Conclusions: Neurologic symptoms manifest in a significant part of patients with Covid-19. The most common were fever, fatigue, dyspnoea, and muscle-join pains.

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Rylskiy, A. V., A. N. Oranskaya, and K. G. Gurevich. "Effectiveness of rehabilitation of patients with cerebrovascular insufficiency using the biofeedback method." Fizioterapevt (Physiotherapist), no. 5 (September 26, 2020): 8–19. http://dx.doi.org/10.33920/med-14-2010-01.

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Objective: To study the effectiveness of the biological feedback (BOS) method in the rehabilitation of patients with cerebral circulation disorders. Materials and methods: 555 patients with chronic cerebral ischemia were examined. All the patients were diagnosed with problems with movement coordination in vertical position. If necessary, the patients received standard conservative therapy. In addition to it, a method for increasing physical activity based on the BOS method was used. A stabilometric examination was carried out on Trust-M equipment. Patient 10m walking time was evaluated. The patients’ quality of life was assessed on a visual analogue scale (VAS). Body mass index (BMI) was calculated based on the measurement of patient height and weight. Results: Before the start of the treatment, there is a tendency of a decrease in the average speed of movement in BOS with age. The average speed of movement in women is lower than that in men. With age, the maximum horizontal speed of movement also decreases. After the treatment, the speed of movement in men decreased in all age groups, and in women, the speed increased in groups older than 60 years. In all age groups, women had a larger increase in the rate of movement. Before the treatment, men spent less time than women on performing a walking test of 10 m. After the treatment, the test time decreases only in the group of men of 61 years and older, and in women — in the group of 51 years and older. The original quality of life of men, measured by the VAS scale, is higher than that of women. These diff erences become unreliable starting from the third BOS session. As a result of the treatment, the energy spent on maintaining the vertical position of the body in the group of persons up to 50 years is reduced. The correlations of mean force between the BMI and the energy spent on maintaining the vertical body position and upright posture retention were obtained. In persons under 50 years of age, the correlation coeffi cient in men is signifi cantly greater than in women. The correlation coeffi cient tends to decrease with age. Conclusion: It has been demonstrated that BOS therapy can have a positive eff ect on patients with cerebrovascular diseases (the increased speed of movement and reduced energy consumption on keeping the body in an upright position). The intensity of the eff ect depends on gender and age.

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Rabi-Zikic, Tamara, Marija Zarkov, Aleksandra Nedic, Petar Slankamenac, Zeljko Zivanovic, and Dragica Dobrenov. "Depression as the cause and consequence of cerebrovascular diseases." Medical review 60, no. 5-6 (2007): 255–60. http://dx.doi.org/10.2298/mpns0706255r.

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Inbtroduction: Recent epidemiological, clinical, neuroimaging and neuropathological studies have reported substantial evidence on the complex interactive relationships between depression and cerebrovascular diseases, especially in older populations, and plausible explanations of the etiopathogenetic mechanisms in both directions have been proposed. Poststroke depression Although there is no general consensus regarding its prevalence, it is widely accepted that major depression after stroke is common and that it should be recognized as a key factor in rehabilitation and outcome following stroke. Vascular depression The "vascular depression" hypothesis presupposes that late-onset depression may often result from vascular damage to frontal-subcortical circuits implicated in mood regulation. This concept has stimulated many researches and the obtained results support the proposed hypothesis. Depression as a stroke risk factor Recent large studies have emphasized the role of depression per se in the development of subsequent stroke. Mechanisms proposed to explain the increased risk of cerebrovascular diseases in depressed patients There are a number of plausible mechanisms that could explain why depression may increase the risk of subsequent cerebrovascular disease, the most important being sympathoadrenal hyperactivity, platelet activation, an increase in inflammatory cytokines and an increased risk of arrhythmias. Conclusion: Thorough clinical examinations determining the conventional stroke risk factors in the population with depression, as well as management of depression as part of the overall measures for the reduction of cerebrovascular risk factors are of utmost importance.

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Journal articles on the topic 'Cerebrovascular disease – Patients – Rehabilitation'

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