Main Article Content

Максим Владимирович Авров
Валентина Михайловна Алифирова
Андрей Владимирович Коваленко

Abstract

Subject. Methods and results of correction of quality of life and moderate cognitive impairment in patients with chronic cerebral ischemia.

Objective. The study of the effectiveness of complex treatment in the correction of the quality of life index and cognitive impairment in patients with chronic cerebral ischemia.

Material and methods. We examined 100 patients with chronic cerebral ischemia. All patients received standard neurometabolic therapy. In the main group, patients were additionally treated with soft techniques of manual therapy. The quality of life score was assessed using the SF-36 questionnaire, and cognitive status using the frontal dysfunction battery scale, a clock drawing test, a brief assessment scale for mental status, a general deterioration scale, a digital sequence test.

Results. In patients with chronic cerebral ischemia, a significant decrease in the quality of life indicator and a violation of cognitive status was found.

Field of application. Quality of life issues and cognitive impairment in patients with chronic cerebral ischemia represent one of the most important problems in the rehabilitation of patients. One of the possible areas of rehabilitation of such patients is an integrated approach.

Conclusions. Patients receiving complex (drug and non-drug) treatment showed a more significant effect of treatment.

Keywords

chronic cerebral ischemia, quality of life, cognitive impairment, neurometabolic therapy, soft techniques of manual therapy

Author Biographies

Максим Владимирович Авров,
doctor neurologist, manual therapist
Валентина Михайловна Алифирова,
doctor of medical sciences, professor, head of the department of neurology and neurosurgery
Андрей Владимирович Коваленко,
doctor of medical sciences, professor, department of neurology, neurosurgery and medical genetics

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.

How to Cite

Авров, М. В., Алифирова, В. М., & Коваленко, А. В. (2018). THE IMPACT OF COMPLEX THERAPY ON QUALITY OF LIFE AND COGNITIVE IMPAIRMENT IN THE REHABILITATION OF PATIENTS WITH CHRONIC CEREBRAL ISCHEMIA. Medicine in Kuzbass, 17(4), 40-45. https://mednauki.ru/index.php/MK/article/view/290

References

Kadykov AS. Chronic vascular diseases of the brain (dyscirculatory encephalopathy): Manual for doctors. M.: GEOTAR-MED, 2014. 272 p. Russian (Кадыков А.С. Хронические сосудистые заболевания головного мозга (дисциркуляторная энцефалопатия): Руководство для врачей. М: ГЭОТАР-Мед, 2014. 272 с.)

Kennelly SP, Drumm B, Coughlan T, Collins R, O'Neill D, Romero-Ortuno R. Characteristics and outcomes of older persons attending the emergency department: a retrospective cohort study. International Journal of Medicine. 2014; 107(12): 977-987

Zakharov VV. Cognitive disorders without dementia: classification, main causes and treatment. Effective pharmacotherapy. 2016; (1): 22-31. Russian (Захаров В.В. Когнитивные расстройства без деменции: классификация, основные причиныилечение //Эффективная фармакотерапия. 2016. № 1. С. 22-31)

Novik AA. Guide to the study of quality of life in medicine. Olma Media Group, 2007. 320 p. Russian (Новик А.А. Руководство по исследованию качества жизни в медицине. Олма Медиа Групп, 2007. 320 с.)

Zakharov VV, Vakhnina NV, Gromova DO., Ter-Ovanesova NE., Tarapovskaya AV. The clinical spectrum of nondemantic cognitive disorders: subjective, mild and moderate disorders. Neurology, neuropsychiatry, psychosomatics. 2015; 7(4): 83-91. Russian (Захаров В.В., Вахнина Н.В., Громова Д.О., Тер-Ованесова Н.Э., Тараповская А.В. Клинический спектр недементных когнитивных расстройств: субъективные, легкие и умеренные нарушения //Неврология, нейропсихиатрия, психосоматика. 2015. № 7(4). С. 83-91)

Pantoni L. The relevance of assessing cognitive performances in patients with cerebrovascular diseases. J Am Med Dir Assoc. 2016; 17(5): 458-459

Claassen JA, Wiesmann M, Kiliaan AJ. Vascular aspects of cognitive impairment and dementia. Journal of Cerebral Blood Flow and Metabolism. 2013; 33(11): 1696-1706. https://doi.org/10.1038/jcbfm.2013.159

Zhang Y, Ma J, Guo Q. Comparison of vascular cognitive impairment-no dementia by multiple classification methods. Int J Neurosci. 2014; 125(11): 823-830

Portillo-Soto A, Eberman LE, Demchak TJ, Peebles C. Comparison of blood flow changes with soft tissue mobilization and massage therapy. J Altern Complement Med. 2014; 20(12): 932-936

Erhardt JW, Windsor BA, Kerry R, Hoekstra C, Powell DW, Porter-Hoke A, Taylor A. The immediate effect of atlanto-axial high velocity thrust techniques on blood flow in the vertebral artery: A randomized controlled trial. Man Ther. 2015; 20(4): 614-622

Ritter A, Pillai JA. Treatment of vascular cognitive impairment. Current Treatment Options in Neurology. 2015; 17(8): 35

Quesnele JJ, Triano JJ, Noseworthy MD, Wells GD. Changes in vertebral artery blood flow following various head positions and cervical spine manipulation. J Manipulative Physiol Ther. 2014; 37(1): 22-31

Avrov MV, Isaeva NV. Changing cerebral hemodynamics in patients with chronic cerebral ischemia under the influence of neuroprotective and manual therapy. Siberian Medical Review. 2014; 2: 67-71. Russian (Авров М.В., Исаева Н.В. Изменение церебральной гемодинамики у пациентов с хронической ишемией головного мозга под влиянием нейропротективной и мануальной терапии //Сибирское медицинское обозрение. 2014. № 2. С. 67-71)

Shprah VV, Molokov DD. Results of complex rehabilitation of patients with ischemic stroke with the use of manual therapy. Siberian Medical Journal. 2014; 129(6): 70-73. Russian (Шпрах В.В., Молоков Д.Д. Результаты комплексной реабилитации больных ишемическим инсультом с применением мануальной терапии //Сибирский медицинский журнал. 2014. № 129(6). С. 70-73)

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