Аpplication of rehabilitation technologies to improve cognitive functions in patients with ischemic stroke

Abstract

BACKGROUND: Currently, the development and implementation of new effective comprehensive programs for medical rehabilitation of patients who have undergone acute cerebrovascular accident is an important and urgent medical problem. AIMS: To study the effect of combined methods of medical rehabilitation in patients with post-stroke spasticity on cognitive functions and psychoemotional status. MATERIAL AND METHODS: The study involved 60 patients who underwent ischemic stroke with movement disorders in the form of hemiparesis with increased muscle tone in the form of spasticity in the long-term period. Patients of the control group (30 people) underwent standard drug therapy and medical rehabilitation, patients of the main group (30 people), against the background of standard drug therapy and medical rehabilitation, used combined physiotherapy methods from the Alpha LED Oxy Light Spa apparatus. Subjective indicators of cognitive impairment (Montreal Cognitive Assessment Scale) and psychoemotional defects (Hospital Anxiety and Depression Scale) were assessed. RESULTS: Immediately after treatment on day 14, cognitive functions significantly improved and the degree of psychoemotional defect decreased, which was confirmed by the MOCA and HADS scales. CONCLUSION: The inclusion of combined physiotherapy methods in the standard complex of medical rehabilitation and treatment of patients after ischemic stroke with movement disorders in the form of hemiparesis contributes to a significant improvement in cognitive functions and a decrease in the degree of psychoemotional impairment.