USING OF COMPLEX COMPLEMENTARY METHODS, POSTAL, LONG-TERM REHABILITATION IN PATIENTS WITH HEMORAGHIC STROKE IN LATE RECOVERY PERIOD
DOI:
https://doi.org/10.11603/1811-2471.2018.v0.i1.8605Keywords:
rehabilitation, hemorragic stroke, DNA, RNА, nucleic acid, nucleic homoeostasis.Abstract
The goal of the study is to improve the diagnosis and rehabilitation of patients with hemorrhagic stroke in late regenerative period by applying the complex, phased rehabilitation, which is based on the results of clinical and laboratory testing with the diagnostics of nucleic acid metabolism.
Material and Methods. We investigated the effectiveness of rehabilitation using naturopathic treatments, such as: hirudotherapy, apitherapy, acupuncture and manual therapy on 66 patients suffering from the effects of hemorrhagic stroke at the end of the recovery period. For objectification of these studies we used rating scales, which are used at the beginning of treatment, in the first and third months of rehabilitation. When in restorative treatment the multidisciplinary approach (medical, physical, social, professional, labor and psychological rehabilitation) was used together with non- drug products (apitherapy, acupuncture, manual therapy and hirudotherapy), the results in the study group,compared to the control group, were significantly better by the Bartel index (depending on others; P<0.001), MMSE scale (cognitive functions; P<0.001), by the scales of psycho-emotional state diagnosis of Montgomery-Asberg (P<0.001) and Beck (P<0.01). These, with positive dynamics, scales can be considered as the performance criteria for rehabilitation in patients with parenchymal hemispherical hemorrhagic stroke in the late recovery period.
Results. The purpose of the rehabilitation program using non-drug therapies for patients suffering from the effects of hemorrhagic stroke in late recovery period improves the overall functional performance state of patients, reduces spasticity of the affected muscles and disability, improves the psycho-emotional state of the patient.
References
Andriyuk, L.V. (2007) Vid nukleyinovyx kyslot do preparatu Nukleinat [From nucleic acids to Nucleinas drug]. Novyny medytsyny ta farmatsii – News of Medicine and Pharmacy, 14 (220), 35 [in Ukrainian].
Beliaieva, N.M., Yavorenko, O.B. & Kurylenko, I.V. (2016). Medyko-sotsialna reabilitatsiia pry khvorobakh tsentralnoi ta pereferychnoi nervovoi systemy [Medical and social rehabilitation in case of diseases of central and periferic nervous system]. IV Vseukrainskyi forum neirore- abilitatsii ta medyko-sotsialnoi ekspertyzy – mater. nauk.- prakt. konf. – IV Ull-Ukrainian Forum on Neurorehabilitation and Medical and Social Expertize – Materials of Scientific and Practical Conference. Lviv: Litohraf [in Ukrainian].
Verbitskaya, S.V. & Parfenov, V.A. (2011). Reabilitatsiya bolnykh, perenesshykh insult, v poliklinike [Rehabilitation of patients, undergone stroke in polyclinic]. Me- diko-sotsialnaya ekspertiza i reabilitasiya – Medical and So- cial Expertise and Rehabilitation, 3-6 [in Russian].
(2014). Hemorahichnyi insult. Spontannyi vnutrishnomozkovyi krovovylyv. Adaptovana klinichna nastanova, zasnovana na dokazakh [Hemorrhagic stroke. Spontaneous intracerebral hemorrhage]. Dodatok do Nakazu Minister- stva okhorony zdorovia Ukrainy vid 17.04.2014 №75 Adapted clinical guideline based on evidence – Annex to the Order of the Ministry of Health of Ukraine dated April 17, 2014 No. 275. Kyiv [in Ukrainian].
Goldblat, Yu.V. (2011). Fizioterapiya v nevrologii [Physiotherapy in neurology]. Nauka i tekhnika – Science and Technics [in Russian].
Zozulia, I.S. & Zozulia, A.I. (2011). Epidemiolohiia tserebrovaskuliarnykh zakhvoriuvan v Ukraini [Epidemiology of cerebrovasclar diseases in Ukraine]. Ukrainskyi medychnyi chasopys – Ukrainian Medical Journal, 38-41 [in Ukrainian].
Kadykov, A.S. Chernikova, L.A. & Shakhparonova, N.V. (2014). Reabilitatsiya nevrologicheskikh bolnykh [Rehabilitation of neurological patients]. Moscow: MEDpress-inform [in Russian].
Kuprinenko, N. (2015). Deiaki pytannia orhanizatsii dopomohy khvorym na insult v Ukraini ta sviti [Some issues of aid arrangement for patients with stroke in Ukraine and in the world]. Mizhnarodnyi nevrolohichnyi zhurnal – International Neurological Journal, 2 (72), 129-132) [in Ukrainian].
Popova, I.Yu. Stepanenko, I.V. & Likhachova, T.A. (2016). Osoblyvosti provedennia vidnovnoho likuvannia pry tserebrovaskuliarnykh zakhvoriuvanniakh [Peculiarities of restorative treatment at cerebrovascular diseases]. IV Vseukrainskyi forum neiroreabilitatsii ta medyko-sotsial- noi ekspertyzy: mater. nauk.-prakt. Konf – All-Ukrainian Fo- rum of Neurorehabilitation and Medical and Social Exper- tise: Materials of Scientific and Practical Conference. Lviv: Litohraf [in Ukrainian].
Lyseniuk, V.P. Samosiuk, I.Z. & Samosiuk, N.I. (2012.) Reabilitatsiina medytsyna: osnovni poniattia ta definitsii [Rehabilitation medicine: basic concepts and definitions]. Mizhnarodnyi nevrolohichnyi zhurnal – International Neurological Journal, 8 (54), 29-33 [in Ukrai- nian].
Dobkin, B.D. (2016). Rehabilitation and recovery of the patient with stroke. Pathophysiology, Diagnosis and Management, 96-971.
Broderic, J., Conolly, S., & Felmann, E. (2007). Guidelines for the managmentof spontaneous intracerebral haemorrage in adults: 2007 update: a guideline from the American Heart Association. American Stroke Associa- tion Counsil. Stroke, 38, 1-23.
Schroder, A., Abrams, P., & Andersson K.-E. Guidelines on Urinary incontinence. 2009 [Electronic resource]. – Retrieved from: http://www.uroweb.org/fileadmin/tx_ eauguidelines/2009/Pocket/Incontinence.pdf.
Ho Chung, B.P. (2014). Effect of different combinations of physiotherapy treatment approaches on functional outcomes in stroke patients: A retrospective analy- sis. Hong Kong Physiotherapy Journal, 32 (1), 21-27.
Li, X., & Wang, Q. (2013). Chapter Eight – Acupuncture Therapy for Stroke Patients. International Re- view of Neurobiology (Neurobiology of Acupuncture), 111, 159-179.
(2010). Management of patients with stroke: Re- habilitation, prevention and management of complications, and discharge planning. A national clinical guideline. Scottish Intercollegiate Guidelines Network. Edinburgh.
Walker, E.R., Hyngstrom, A.S., & Schmit, B.D. (2016). Influence of visual feedback on dynamic balance control in chronic stroke survivors. Journal of Biomecha- nics, 49 (5), 698-703.
