METHOD OF ESTIMATION OF EFFICIENCY OF REHABILITATION OF COGNITIVE DETERIORATION IN CHRONIC BRAIN ISCHAEMIA

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, neurology and rehabilitation, can be used to assess the effectiveness of rehabilitation of cognitive disorders in chronic cerebral ischemia. Health resort treatment is carried out, including common hydrogen sulphide baths in the concentration of 60-120 mg/l, salinity of 3.2-3.7 g/l, temperature 36-38°C, the procedure is 8-10 minutes, the course - 7 procedures. Baths are held every other day, alternately with applications on the collar zone and the upper limbs of mud sulphide mud with mineralization of 1.5-2.5 g/l, temperature 38-42°C, 10-15 minutes, the course - 7 procedures. Also perform a back massage with a course of 10 procedures and exercise therapy. Prior to and after the rehabilitation course, a neuropsychological study of the cognitive functions of the patient is carried out using the MMSE (Mini-Mental State Examination) scales, the MoCA, the Luria 10 word test, "frontal lobe batteries" (FAB) and determine the quantitative content of the brain-derived neurotrophic factor (BDNF) in the serum. With the improvement of the results of neuropsychological tests in combination with an increase in the level of BDNF in the serum compared with baseline, a conclusion is made about improving cognitive functions and the effectiveness of the rehabilitation course.;EFFECT: method provides an objectification and standardization of the evaluation of the effectiveness of rehabilitation with high efficiency in the recovery of cognitive deficits.;1 cl, 3 ex