Influence of Physical Rehabilitation on the Restoration of Psychoemotional and Cognitive Impairment in Patients Suffered Cerebral Ischemic Stroke

Abstract

Aim: To investigate the influence of physical rehabilitation on psycho-emotional and cognitive impairment in patients in a restoration period (3-6 months from the moment of disease) of a cerebral ischemic stroke. Materials and Methods: Research was conducted on the basis of the department of vascular pathology and rehabilitation of the State Institution “Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine”. Observations were carried out in 84 patients in a restorative period of cerebral ischemic stroke. Patients were divided into two groups. The main group included 43 patients who underwent a course of rehabilitation treatment and received drug therapy within secondary prevention. The comparison group included 41 patients who received only drug therapy for secondary prevention. Results: In the course of the study, it was found that patients who underwent a course of restorative treatment with the use of drug therapy and physical rehabilitation programs received statistically significant improvement in the indicators of cognitive functions by the MMSE, MoCA scales, reduction of manifestations of psycho-emotional disorders that were confirmed by Beck and Spielberger-Khanin scales. Conclusions: Physical rehabilitation of patients in the restorative period of cerebral stroke by ischemic type reduces the degree of expressivness of neurological manifestations, positively affects cognitive functions, contributes to reducing manifestations of depressive and anxiety symptoms, increases the functional capacity of the patient.