Korchazhkina N B, Mikhailova A A, Koneva E S, Kotenko K V
Petrovsky Russian Scientific Center for Surgery of Ministry of Education and Science of Russia, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2021;98(6. Vyp. 2):5-10. doi: 10.17116/kurort2021980625.
Every year in the world more than 15 million patients suffer from acute cerebrovascular accident. A special role in the organization of medical care for patients after acute cerebrovascular accident should be assigned to measures to improve the prevention of clinical manifestations and comprehensive rehabilitation.
To study the effect of broadband modulation currents on the manifestations of spasticity and on cognitive functions in patients after an ischemic stroke in the late recovery period.
The article presents data on the effectiveness of the use of broadband modulation currents in the late recovery period of medical rehabilitation of patients with ischemic stroke. The study included 80 patients who underwent ischemic stroke with movement disorders in the form of hemiparesis and increased muscle tone by the type of spasticity in the late recovery period. Control group patients (40 people) underwent standard drug therapy and medical rehabilitation, patients of the main group (40 people) received broadband modulation currents against the background of standard drug therapy and medical rehabilitation. The severity of spasticity and impaired motor function of the arm and leg was assessed according to the modified Ashfort Spasticity Scale (MAS) and goniometry parameters; the analysis of indicators of impairment of cognitive functions according to the data of the Montreal Cognitive Assessment Scale (MoCA) was carried out.
After the course of treatment in patients of the main group, at all control points, there was a statistically significant positive dynamics of a decrease in spasticity, both in the proximal and in the distal parts of the upper limb, according to the modified Ashforth Spasticity Scale (MAS), while in the patients of the control group, only positive trend. After the course of treatment, a significant advantage of the influence of the developed method on cognitive impairment of functions in patients of the main group, who received broadband modulation currents, was revealed. This was confirmed by the increase in the total indicator of the MoCA scale to 26.7±0.6 points, which corresponded to the reference values. In patients of the control group, less pronounced results were obtained, the total indicator of the MoCA scale was 25.1±1.0 points, which was below the norm.
The data obtained indicate that the inclusion of broadband modulation currents in the medical rehabilitation program contributes to a significant decrease in the severity of spasticity, increases the range of motion in the affected limb, and has a positive effect on the cognitive functions of patients.
全球每年有超过1500万患者罹患急性脑血管意外。在为急性脑血管意外患者组织医疗护理时，应特别重视采取措施改善临床表现的预防和全面康复。
研究宽带调制电流对缺血性脑卒中恢复期患者痉挛表现及认知功能的影响。
本文介绍了在缺血性脑卒中患者医疗康复恢复期使用宽带调制电流的有效性数据。该研究纳入了80例在恢复期出现偏瘫形式的运动障碍且肌张力以痉挛类型增加的缺血性脑卒中患者。对照组患者（40人）接受标准药物治疗和医疗康复，主要组患者（40人）在标准药物治疗和医疗康复的基础上接受宽带调制电流治疗。根据改良Ashworth痉挛量表（MAS）和测角参数评估痉挛的严重程度以及手臂和腿部运动功能障碍；根据蒙特利尔认知评估量表（MoCA）的数据对认知功能障碍指标进行分析。
主要组患者经过一个疗程的治疗后，在所有对照点，根据改良Ashforth痉挛量表（MAS），上肢近端和远端的痉挛程度均有统计学意义的显著下降的积极动态变化，而对照组患者只有积极趋势。经过一个疗程的治疗后，发现所开发方法对接受宽带调制电流的主要组患者的功能认知障碍有显著优势。MoCA量表总指标增加到26.7±0.6分，与参考值相符，证实了这一点。对照组患者的结果不太明显，MoCA量表总指标为25.1±1.0分，低于正常水平。
所获得的数据表明，在医疗康复方案中加入宽带调制电流有助于显著降低痉挛的严重程度，增加患侧肢体的活动范围，并对患者的认知功能产生积极影响。
