THE ROLE OF EARLY REHABILITATION AFTER CAROTID ENDARTERECTOMY IN ACUTE PERIOD OF ISCHEMIC STROKE
Alexandra Viktorovna Polyakova , D. V Tokareva , S. Sh Zabirov , I. A Voznyuk
Russian Journal of Physiotherapy, Balneology and Rehabilitation ›› 2018, Vol. 17 ›› Issue (2) : 98 -101.
THE ROLE OF EARLY REHABILITATION AFTER CAROTID ENDARTERECTOMY IN ACUTE PERIOD OF ISCHEMIC STROKE
The aim of our study was to evaluate the role of early rehabilitation of patients with ischemic stroke after carotid endarterectomy. Material and methods. We examined a group of 28 patients with atherosclerotic carotid stenosis who had CEA in an acute period of stroke and who started rehabilitation in the early period of stroke. Patients of the 1st group were admitted to rehabilitation in the early stages (within 21 days after the stroke), patients of the 2nd group - in the delayed period (more than 60 days after the stroke).The results of treatment were assessed on the NIHSS scale, Rankin scale, Rivermead mobility scale, spasticity was assessed on the Ashworth scale. Results. An analysis of the long-term results of surgical treatment convincingly showed its positive effect on the neurological and neuropsychological status of patients with the most favorable outcomes in performing early rehabilitation.
carotid artery stenosis / carotid endarterectomy / cognitive dysfunction / rehabilitation
| [1] |
Гусев Е.И., Мартынов М.Ю., Камчатнов П.Р. Ишемический инсульт. Современное состояние проблемы. Доктор.Ру. 2013; 5(83): 7-12 |
| [2] |
Brott T.G. Carotid surgery to prevent stroke. Lancet Neurol. 2004; 3(8): 452-3. |
| [3] |
Caplan L.R., Hennerici M. Impaired clearance of emboli (washout) is animportant link between hypoperfusion, embolism and ishemic stroke. Arch. Neurol. 1998; 55(11): 1475-82. |
| [4] |
Loftus I., Paraskevas K., Johal A., Waton S., Heikkila K., Naylor A., Cromwell D. Delays to surgery and pocedural risks following carotid endarterectomy in the UK National Vascular Registry. Eur. J. Vasc. Endovasc. Surg. 2016; 1078-5884(16): 30166-6. |
| [5] |
Яхно Н.Н., Федорова Т.С., Дамулин И.В., Щербюк А.Н., Виноградов О.А., Лаврентьев А.В. Влияние каротидной эндартерэктомии на динамику когнитивных нарушений у пациентов с атеросклеротическим стенозом сонных артерий. Журнал неврологии и психиатрии им. С.С. 2011; 111(3): 31-7 |
| [6] |
Bond R., Rerkasem K., Rothwell P.M. Systematic review of the risk of carotid endarterectomy in relation to the clinical indication for and timing of surgery. Stroke. 2003; 34(9): 2290-303. |
| [7] |
Fosltein M.F., Folstein S.E., McHugh P.R. Mini-mental state. A practical method for grading the cognitive state. Int. J. Psychiatr. Res. 1975; 12: 189-98. |
| [8] |
Starke R., Komotar R., Peterson E., Connolly E. Randomized clinical trial of endovascular stenting vs endovascular for treatment of severe carotid stenosis. Neurosurgery. 2016; 79(2): 20-2. |
| [9] |
Jung J., Choi J., Kim H., Suh S., Seo W. Long term durability and outcomes of carotid stenting and carotid endarterectomy. J. Neurointerv. Surg. 2016; 24(2): 213-20. |
| [10] |
Aziz F., Lehman E., Reed A. Increased duration of operating timr for carotid endartetectomy is associated with increased mortality. Ann. Vasc. Surg. 2016; S0890-5096(16): 30465-4. |
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