The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Luk'ianov A.L.

Nauchno-issledovatel'skiĭ institut tserebrovaskuliarnoĭ patologii i insul'ta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta, Moskva

Shamalov N.A.

Research Institute of cerebrovascular pathology and stroke of the Pirogov Russian national research medical University, Moscow, Russia

Ivanova G.E.

Research Institute of cerebrovascular pathology and stroke SBEI HPE RNSMU N.I. Pirogov, Moscow, Russia

Skvortsova V.I.

Rossiĭskiĭ gosudarstvennyĭ meditsinskiĭ universitet;
NII tserebrovaskuliarnoĭ patologii i insul'ta, Moskva

Passive tilting in patients in the acute period of cerebral stroke

Authors:

Luk'ianov A.L., Shamalov N.A., Ivanova G.E., Skvortsova V.I.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2010;110(4‑2): 29‑35

Read: 6783 times

Download PDF (RU)
Contact the author
Table of contents

PASSIVE TILTING IN PATIENTS IN THE ACUTE PERIOD OF CEREBRAL STROKE
PASSIVE TILTING IN PATIENTS IN THE ACUTE PERIOD OF CEREBRAL STROKE

To cite this article:

Luk'ianov AL, Shamalov NA, Ivanova GE, Skvortsova VI. Passive tilting in patients in the acute period of cerebral stroke. S.S. Korsakov Journal of Neurology and Psychiatry. 2010;110(4‑2):29‑35. (In Russ.)

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
 
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
The influence of hydrokinesitherapy on motor and cardiorespiratory functions in here­ditary myopathy of childhood. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11-2):88-95
Tube­rculous otitis media in an adolescent. Clinical case. Russian Bulletin of Otorhinolaryngology. 2024;(5):63-66
Vali­dation of ballistocardiography data for predicting the sleep effi­ciency in healthy indi­viduals and patients with inso­mnia. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(10):60-66
Effi­ciency of complex medi­cal reha­bilitation after pulmonary enda­rterectomy. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(6):629-636
Stroke: current state of the problem. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):7-18
Evaluation of the effe­ctiveness of the drug Cortexin in combination with the use of the application Apha­sia.No (Afaziyam.Net) in the correction of speech diso­rders in patients with cere­bral infa­rction. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):147-151
Comparative analysis of the resu­lts of treatment of gastric polyps by methods of loop electroexcision, laser and endo­scopic poly­pectomy with aspi­ration capture. Endo­scopic Surgery. 2024;(6):24-30
Sano­genetic commonality of ultraviolet irra­diation of blood and intravenous ozone therapy. Choice of the opti­mal method of this impact for reha­bilitation of patients after nephrolitholapaxy. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(4):95-99
Orga­nizational issues of reproductive health protection of adolescent girls in the system of the Fede­ral Medi­cal and Biological Agency of Russia. Russian Bulletin of Obstetrician-Gynecologist. 2024;(6):7-13
Differentiated approach to cognitive reha­bilitation of patients after stroke. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(6):5-11
Abstract:

Passive tilt table test is one of the methods of early rehabilitation in the most acute and acute periods of stroke. We included 36 patients with stroke: 17 patients underwent passive tilting using "Lojer 1445YH" (a main group), 19 patients underwent changing position with a functional bed (a control group) on days 1, 2, 3, 5, 7, 14 and 21 after the onset of disease. Some patients were intolerant to passive tilting due to decreasing of systolic blood pressure to more than 20 mm Hg in the first 48 h after stroke. Such patients presented inadequate autonomic tests, had severe neurological deficit on the NIHSS and low heart rate variability (SDNN (standart deviation NN intervals): 19,4±4,3 ms vs 31,8±12,6 ms; TP (total power): 483,4±177,7 ms2 vs 1227,1±865,8 ms2; p≤0,05). At the end of the first week after stroke, patients from the main group had higher indices of heart rate variability compared with the control group. Functional outcomes on the Barthel Index and the modified Rankin Scale were better in the main group as well at the 14th day, the between-group difference being the most marked at the 21st day. Passive tilting may be used as one of the methods of early rehabilitation that facilitates abilities of patients and improves functional outcomes provided a careful monitoring of health condition and blood pressure of a patient during the session.

Keywords:

stroke
treatment
rehabilitation
passive tilting
heart rate variability

Authors:

Luk'ianov A.L.

Nauchno-issledovatel'skiĭ institut tserebrovaskuliarnoĭ patologii i insul'ta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta, Moskva

Shamalov N.A.

Research Institute of cerebrovascular pathology and stroke of the Pirogov Russian national research medical University, Moscow, Russia

Ivanova G.E.

Research Institute of cerebrovascular pathology and stroke SBEI HPE RNSMU N.I. Pirogov, Moscow, Russia

Skvortsova V.I.

Rossiĭskiĭ gosudarstvennyĭ meditsinskiĭ universitet;
NII tserebrovaskuliarnoĭ patologii i insul'ta, Moskva

Close metadata

References:

  1. Skvortsova V.I., Evzel'man M.A. Ishemicheskii insul't. Orel 2006; 404.
  2. Minor L.S. Kratkaya terapiya nervnykh boleznei. M 1910; 118.
  3. Levine S.A. Some harmful effects of recumbency in the treatment of heart disease. JAMA 1944; 126: 80-84.
  4. Dock W. The evil sequelae of complete bed rest. JAMA 1944; 125: 1083-1085.
  5. Caplin M. Early mobilization of uncomplicated myocardial infartion patients. Focus Crit Care 1986; 13: 36-40.
  6. Brown C.J., Friedkin R.J., Inouye S.K. Prevalence and outcomes of low mobility in hospitalized older patients. J Am Geriat Soc 2004; 52: 1263-1270.
  7. Asberg K.H. Orthostatic tolerance training of stroke patients in general medical wards. Scand J Rehabil Med 1989; 21: 179-185.
  8. Bloomfield S. Changes in musculoskeletal structure and function with prolonged bed rest. Med Sci Sports Exercise 1997; 29: 197-206.
  9. Geboers J.F., van Tuijl J.H., Seelen H.A., Drost M.R. Effect of immobilization on ankle dorsiflexion strength. Scand J Rehabil Med 2000; 32: 66-71.
  10. Piko B. Health-related predictors of self-perceived health in a student population: The importance of physical activity. J Comm Health 2000; 25: 1425-1437.
  11. European Society of Cardiology: The task force on the management of acute myocardial infarction of the European Society of Cardiology. Acute myocardial infarction: Prehospital and in-hospital management. Eur Heart J 1996; 17: 43-63.
  12. Ryan T.J., Antman E.M., Brooks N.H. et al. 1999 update: ACC/AHA guidelines for the management of patients with acute myocardial infarction: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). J Am Coll Cardiol 1999; 34: 890-911.
  13. Kadykov A.S., Chernikova L.A., Kalashnikova L.A., Shakhparonova N.V. Rannyaya reabilitatsiya bol'nykh s narusheniem mozgovogo krovoobrashcheniya. Nevrol zhurn 1997; 1: 24-27.
  14. Bamford J., Dennis M., Sandercock R. et al. The frequency, causes and timing of death within 30 days of a first stroke: The Oxfordshire community stroke project. J Neurol Neurosurg Psychiat 1990; 53: 824-829.
  15. Garrett V.E., Scott J.A., Costich J. et al. Bladder emptying assessment in stroke patients. Arch Phys Med Rehabil 1989; 70: 41-43.
  16. Allen C., Glasziou P., Chris Del Mar C. Bed rest:a potentially harmful treatment needing more careful evaluation. Lancet 1999; 354: 1229-1233.
  17. Landi G., D’Angelo A., Boccardi E. et al. Venous thromboembolism in acute stroke: prognostic importance of hypercoagulability. Arch Neurol 1992; 49: 279-283.
  18. Warlow C., Ogston D., Douglas A.S. Deep venous thrombosis of the legs after stroke: incidence and predisposing factors. Br Med J 1976; 1: 1178-1181.
  19. Langhorne P., Stott D.J., Robertson L. et al. Medical complications after stroke: a multicenter study. Stroke 2000; 31: 1223-1229.
  20. Bernhardt J., Dewey H., Thrift A. et al. A Very Early Rehabilitation Trial for Stroke (AVERT) Phase II Safety and Feasibility. Stroke 2008; 39: 390-396.
  21. Canadian best practice recommendations for stroke care: Summary. Candian Med Assoc J 2008; 179: 2: 17: 1-25.
  22. Wojner-Alexandrov A., Garami Z., Chernyshev O., Alexandrov A. Heads down: flat positioning improves blood flow velocity in acute ishemic stroke. Neurology 2005; 64: 1354-1367.
  23. Schwarz S., Georgiadis D., Aschoff A., Schwab S. Effects of body position on intracranial pressure and cerebral perfusion in patients with large hemispheric stroke. Stroke 2002; 33: 497-501.
  24. Harms M., Colier W., Wieling W. et al. Orthostatic tolerance, cerebral oxygenation, and blood velocity in humans with sympathetic failure. Stroke 2000; 31: 1608-1614.
  25. Bernhardt J. Very early mobilization following acute stroke: Controversies, the unknowns, and a way forward. Ann Indian Acad Neurol 2008; 11: 88-98.
  26. Rekomendatsii po vedeniyu bol'nykh s ishemicheskim insul'tom i tranzitornymi ishemicheskimi atakami. Redaktsiya 2008 g. M 2008; 104.
  27. Skvortsova V.I., Gudkova V.V., Ivanova G.E. i dr. Printsipy rannei reabilitatsii bol'nykh s insul'tom. Zhurn nevrol i psikhiat 2002; 7: 28-33.
  28. Davis P. Starting again. Springer-Verlag 1994; 192-196.
  29. Panayiotou V., Reid J., Fotherby M., Crome P. Orthostatic heamodynamic responses in acute stroke. Postgrad Med J 1999; 75: 213-218.
  30. Harms M., Colier W., Wieling W. et al. Orthostatic tolerance, cerebral oxygenation, and blood velocity in humans with sympathetic failure. Stroke 2000; 31: 1608-1614.
  31. Farnworth T.A., Heseltine D. The effect of postprandial hypotension on rehabilitation of the frail elderly with cerebrovascular disease. J Int Med Res 1994; 22: 77-84.
  32. Naver H.K., Blomstrand C., Wallin B.G. Reduced heart rate variability after right-sided stroke. Stroke 1996; 27: 247-251.
  33. Johnson R.H., Smith A.C., Spalding J.M.K., Wollner L. Effect of posture on blood pressure in elderly patients. Lancet 1965; 1: 73l-733. Korpelainen I.T., Sotaniemi K.A., Suominen K. et al. Cardiovascular autonomic reflexes in brain infarction. Stroke 1994; 25: 787-792.
  34. Heart Rate Variability. Standards of Measurement, Physiological Interpretation, and Clinical Use. American Heart Association. Circulation 1996; 93: 1043-1065.
  35. Mikhailov V.M. Variabel'nost' ritma serdtsa. Opyt prakticheskogo primeneniya. Ivanovo 2000; 200.
  36. Adams N., Bendixen V., Kappelle J. et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. Stroke 1993; 24: 1: 35-40.
  37. Ivanova G.E. Kompleksnaya differentsirovannaya fizicheskaya reabilitatsiya bol'nykh s mozgovym insul'tom: Dis. ... d-ra med. nauk. M 2003.
  38. Osnovy rannei reabilitatsii bol'nykh s ostrym narusheniem mozgovogo krovoobrashcheniya. Pod red. V.I. Skvortsovoi. M 2006; 104.
  39. Megli V., Kobal J., Osredkar J., Poganik T. Autonomic Nervous System Function in Patients with Acute Brainstem Stroke. Cerebrovascular Dis 2001; 11: 2-8.
  40. Dorovskikh H.S. Variabel'nost' serdechnogo ritma v reabilitatsii bol'nykh ostrym infarktom miokarda na statsionarnom etape lecheniya: Dis. ... kand. med. nauk. M 2006.
  41. Arad M., Ring N., Abbound S. et al. Dynamic cardiophysiologic variables correlate with lesion location and FIMTM in patients with ishemic stroke. Am J Rhysical Med Rehabil 2002; 81: 8: 590-596.
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.