Patient-oriented medical rehabilitation after stroke in long-term recovery period

Mikhailova A.A.; Illarionov V.E.; Slipka D.S.; Kotenko K.V.

doi:https://doi.org/10.17116/kurort20229904266

Mikhailova A.A.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

SPIN RSCI: 7673-3241
ORCID: 0000-0002-4260-1619

Illarionov V.E.

Central state medical Academy of the presidential administration of the Russian Federation

Slipka D.S.

Petrovsky National Research Centre of Surgery

Kotenko K.V.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

SPIN RSCI: 5993-3323
ORCID: 0000-0002-6147-5574

Patient-oriented medical rehabilitation after stroke in long-term recovery period

Authors:

Mikhailova A.A., Illarionov V.E., Slipka D.S., Kotenko K.V.

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Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2022;99(4‑2): 66‑71

DOI: 10.17116/kurort20229904266

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To cite this article:

Mikhailova AA, Illarionov VE, Slipka DS, Kotenko KV. Patient-oriented medical rehabilitation after stroke in long-term recovery period. Problems of Balneology, Physiotherapy and Exercise Therapy. 2022;99(4‑2):66‑71. (In Russ.)
https://doi.org/10.17116/kurort20229904266

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)

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Abstract:

OBJECTIVE

To evaluate the effectiveness of patient-oriented medical rehabilitation on microcirculation, motions in affected limbs and quality of life in patients with previous stroke in long-term recovery period.

MATERIAL AND METHODS

The study included 120 patients with previous stroke, hemiparesis and spastic disorders in late recovery period. All patients received standard drug therapy and medical rehabilitation (exercise therapy and medical massage). All patients were divided into 3 groups depending on additional measures: group 1 (n=40) – massage in a pulsed low-frequency electrostatic field in addition to standard complex of rehabilitation; group 2 (n=40) – course of multimodal physiotherapeutic effects (Alpha LED Oxy Light-Spa) in addition to standard complex; group 3 (n=40) – standard drug therapy and medical rehabilitation only (exercise therapy and medical massage). Patients were examined immediately after treatment, 3 and 6 months later. We analyzed effectiveness of rehabilitation using laser Doppler flowmetry (LAKK-01, Russia) and goniometry. Subjective indicators of quality of life were assessed according to the EQ-5D questionnaire (European Quality of Life Questionnaire).

RESULTS

At baseline, all patients showed a decrease in microcirculation, motions in affected limbs and subjective decrease in the quality of life. In the 1^st group, rehabilitation program improved microcirculatory processes that was confirmed by increment of capillary blood flow by 24% and total vasomotor activity of capillaries by 26.8%. There was a significant decrease in EQ-5D score by 37% in the 1^st and 2^nd groups after treatment that indicated increase in the quality of life. In the 3^rd group, we observed mild increase of microcirculation parameters, range of motions and quality of life.

CONCLUSION. P

Ersonalized methods of complex rehabilitation contribute to improvement of microcirculation, range of motions in affected limbs and quality of life in patients with spasticity in long-term recovery period after stroke.

Keywords:

medical rehabilitation after stroke

multimodal physiotherapy

massage with a pulsed low-frequency electrostatic field

Authors:

Mikhailova A.A.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

SPIN RSCI: 7673-3241
ORCID: 0000-0002-4260-1619

Illarionov V.E.

Central state medical Academy of the presidential administration of the Russian Federation

Slipka D.S.

Petrovsky National Research Centre of Surgery

Kotenko K.V.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

SPIN RSCI: 5993-3323
ORCID: 0000-0002-6147-5574

Received:

12.07.2022

Accepted:

06.08.2022

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References:

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