Terahertz modulated infrared radiation in the complex treatment of patients in the acute period of ischemic stroke

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OBJECTIVE

The rationale for the use of infrared (IR) radiation with terahertz (THz) modulation in the complex treatment of patients in the acute period of IS.

MATERIAL AND METHODS

The results of transcranial application of IR radiation with THz modulation in 112 patients in the acute period of IS are presented. In the main group (38 patients) the infrared radiation with THz modulation was used on the projection of the IS focus in addition to basic drug therapy; in the control group (37 patients) — basic drug therapy; in the placebo group (37 patients) the physiotherapy was mimicked. The data of neurological status and neuro-functional indicators were assessed using the NIHSS, MMSE, Rankin, and Rivermid scales. Cerebral blood flow was examined using duplex scanning of brachiocephalic vessels.

RESULTS

The inclusion in the complex treatment of IR radiation with THz modulation on the projection of the IS focus in the acute period contributed to a significant regression of neurological deficit, a complete recovery of cognitive functions and an increase in daily activity due to the restoration of adequate blood supply on the side of the affected hemisphere.

CONCLUSION

A pathogenesis justified method of treating acute IS is proposed which can increase the effectiveness of early neurorehabilitation measures. An early improvement in cerebral hemoperfusion led to the creation of optimal conditions for the survival of neural structures and the preservation of their functional activity that demonstrated the neuroprotective feasibility of early inclusion of IR radiation with THz modulation in the complex treatment of patients in the acute period of IS.

Keywords:

ischemic stroke

transcranial physiotherapy

infrared radiation

terahertz radiation

neuroprotection

Authors:

Kiriyanova V.V.

St. Petersburg State Pediatric Medical University

ORCID: 0000-0003-2412-7041

Molodovskaya N.V.

Semashko City Hospital No. 38

Potapchuk A.A.

Academician I.P. Pavlov First Saint Petersburg State Medical University

Zharova E.N.

I.I. Mechnikov Northwestern State Medical University

Received:

02.09.2020

Accepted:

17.01.2021

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