Peculiarities of rehabilitation of the patients presenting with cardioembolic stroke with concomitant chronic cardiac insufficiency
Tat'yana Viktorovna Isaeva , Konstantin Viktorovich Lyadov , Tat'yana Vladimirovna Shapovalenko , Irina Vladimirovna Sidyakina , Marina Rostislavovna Makarova , T V Isaeva , K V Lyadov , T V Shapovalenko , I V Sidyakina , M R Makarova
Russian Journal of Physiotherapy, Balneology and Rehabilitation ›› 2011, Vol. 10 ›› Issue (6) : 10 -15.
Peculiarities of rehabilitation of the patients presenting with cardioembolic stroke with concomitant chronic cardiac insufficiency
The present work was designed to estimate the safety and efficacy of the application of a combination of rehabilitative modalities during the acute period of cardioembolic stroke (CES) in 28 patients displaying different degree of decompensation of the cardiac function. The study has demonstrated that the use of "passive" rehabilitative measures, such as postural therapy, respiratory gymnastics, selective massage, and neuromuscular electrostimulation, is safe for the patients who experienced cardioembolic stroke and suffer decompensation of the cardiac function (functional class II and III chronic heart failure). It is emphasized that the introduction of active therapeutic modalities into the programs of combined rehabilitative treatment (e.g. verticalization, active remedial gymnastics, and subsequent walking training) may further worsen decompensated cardiac function in 53.5% of the patients with class III chronic heart failure; in such a case, an immediate correction of the prescribed treatment is needed. However, the majority of the patients benefit from the proposed regimen showing the improved working capacity, tolerance of physical exercises, and motor function, reduced severity of the stroke, and a higher degree of functional independence.
cardioembolic stroke / chronic cardiac insufficiency / rehabilitation / verticalization / remedial gymnastics
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