Saratov JOURNAL of Medical and Scientific Research

neurorehabilitation

A modern interpretation of rehabilitation of patients with neurotraumas

Year: 2017, volume 13 Issue: №1 Pages: 85-88
Heading: Sociology of Medicine Article type: Review
Authors: Annikov Yu.G., Krom I.L., Yerugina M.V.
Organization: Saratov State Medical University
Summary:

In modern neurorehabilitation practice there is a trend of common approach to the content of rehabilitation of patients with various etiopathogenic features of brain damage. The urgency of the problem of medical and social rehabilitation of patients with brain injury is associated with a high prevalence of this pathology and medical and social uncertainty of the prognosis. The authors of the publications cited in the survey have considered the rehabilitation prognosis and predictors of disability in patients with traumatic brain injury. According to most authors' opinions, the effects of traumatic brain injury even of mild degree can be shown for the first time some years later, while at the same time it is not always adequate to the severity of the acute period of craniocerebral trauma and often having a progradi-ent course. The review presents the results of studies showing that significant progress in the recovery of patients with traumatic brain injury is possible by using an integrated approach, a coordinated multidisciplinary action aimed at the patient and his family, as well as the rehabilitation period of the sequence, starting with early intensive and ending late recovery period. Medical and Social Rehabilitation of patients after traumatic brain injury, in the current context — a multidisciplinary challenge, the effectiveness of regulation is determined by the coordination and solution of medical, social, psychological and organizational tasks.

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Quality of life, anxiety-depressive disorders and cognitive functions on the background of rehabilitative period of ischemic stroke

Year: 2017, volume 13 Issue: №1 Pages: 051-057
Heading: Neurology Article type: Original article
Authors: Belskaya G.N, Lukyanchikova L.V.
Organization: Chelyabinsk Regional Clinical Hospital №3 , South Ural State University (National Research Institute)
Summary:

The aim of the work is to evaluate the quality of life, cognitive deficits, the development of anxiety and depression of patients in rehabilitative period of mild and medium-severe hemispheric ischemic stroke during the year at the background of complex rehabilitation. Materials and Methods. We examined 123 patients at the age of 40 to 80 with ischemic stroke in the acute and rehabilitation periods (up to 1 year). Quality of life (overall life questionnaire SF-36, overall performance), the state of cognitive functions (the MMSE scale), the level of anxiety and depression (the HADS and the MADRS scale) during the acute phase and after a course of rehabilitation treatment have been assessed. Re-sults. After rehabilitation in the sanatorium positive dynamics of physical and psychological well-being was noted with patients, cognitive function was improved as well as emotional regression of personality disorders in the first 3 months after ischemic stroke. These effects are related with individual program of rehabilitation on an outpatient phase, including cognitive and neuropsychological correction leading to a clear positive dynamics of the main indicators of cognitive status, reduction of anxiety and depressive disorders, improving physical and mental health components of the SF-36 questionnaire in the course of the year. Conclusion. The findings proved that during the complex rehabilitation after an ischemic stroke during a year the marked high levels of "quality of life" including reducing anxiety and depression and regression of cognitive impairment were revealed.

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