METHOD OF MEDICAL REHABILITATION OF WORKING AGE PATIENTS IN EARLY AND LATE RECOVERY PERIODS OF ISCHEMIC STROKE

摘要

FIELD: medicine.;SUBSTANCE: invention refers to rehabilitation, restorative medicine, medical equipment, neurology and physiotherapy and can be used both in sanatorium-and-spa conditions, and outpatient in recovery of motor functions of patients after ischemic stroke (IS). Complex physiotherapy, exercise therapy and drug therapy are performed. Latter is Cortexin 10 mg IM, 10 daily injections. Parallel: (i) a transcranial electrotherapy with a feedback from the TETOS apparatus (TETOS-therapy), which is performed through electrodes oriented taking into account the international classification "10-20". During the first session, TETOS is sequentially: 1 – recording of initial brain bioelectric activity (BEA) for 1.5–2 minutes and its analysis, 2 – expert exposure: in the form of electric stimulation by bitemporal action using two-phase exponential current, exposure time 15 s, current intensity – by 20 % below threshold of patient's pain sensitivity, 3 – compensatory pause – 20 minutes. One of three types of patient's BEA reaction is recorded for exposure: a) diagnostic – in the form of changes in a number of BEA parameters; b) corrective, in case of which expert exposure is considered sufficient for BEA normalization; c) excessive, in which expert exposure causes EEG inversion to stimulation; (ii) performing exposure to dry carbonic baths (DCB) at temperature of 32–34 °C, flow rate – 20 l/min; (iii) low-frequency magnetotherapy (LfMT) is performed. DCB is carried out gradually increasing the concentration of carbon dioxide and reducing the exposure time according to the claim. LfMT is presented in the form of general magnetotherapy in the mode according to the invention formula. During TETOS-therapy in case of corrective and excessive reaction further exposure is postponed to the next session, where said sequence of first session receptions is repeated. In case of diagnostic reaction to expert exposure: a) if BEA parameters are changed by at least 75 %, further TETOS procedure length is 0.5–3.0 min; b) if the BEA parameters vary from 30 to 75 %, the following TETOS procedures – 3.1–6.0 min; c) if the BEA parameters change by less than 30 %, the following TETOS procedures are 6.1 to 8.0 min. TETOS-therapy sessions are performed every second day – 2-3 times a week, 2 weeks. Additionally, in the course of the course, the patient performs the exercises of the exercise therapy corresponding to existing motor disturbances, for example, functional training on the REO GO and C-mill devices.;EFFECT: method provides reducing the length of rehabilitation, prolonging the period of preservation of results achieved in rehabilitation – absence of repeated strokes for 2 years, possibility of individualizing physiotherapeutic exposure parameters, absence of polypharmacy and side effects when implementing complex rehabilitation actions.;1 cl, 2 dwg, 1 ex