The СOVID-19-associated lesion of the nervous system: treatment tactics and rehabilitation measures in outpatient settings

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Abstract

The purpose of the study is to study neurological disorders and evaluate the effectiveness of treatment and rehabilitation measures in a military polyclinic in patients who have undergone COVID-19. The major forms and clinical manifestations of neurological complications of COVID-19 were analyzed in 70 patients (39 women and 31 men, mean age 43.9±6 years) who had the disease only 6 months ago. Patients with predominant psycho-emotional disorders accounted for 43.5%, with symptoms of damage to the central nervous system – 30.7%, with damage to the peripheral nervous system – 25.8%. Rehabilitation of patients who have undergone COVID-19 should begin as early as possible and be multidisciplinary focused, including both pharmacological and non-pharmacological (physiotherapy, cognitive and olfactory training) methods of treatment. Comprehensive rehabilitation of patients showed a fairly high efficiency: in all groups, the number and severity of complaints decreased, anxiety and depression decreased, neurotrophic functions of peripheral nerves improved.

About the authors

V. N. Loginov

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: oiosifova@yandex.ru

заслуженный врач РФ, полковник медицинской службы запаса

 

Russian Federation, Moscow

O. A. Iosifova

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: oiosifova@yandex.ru

кандидат медицинских наук

Russian Federation, Moscow

I. G. Retinskaya

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: oiosifova@yandex.ru

кандидат медицинских наук

Russian Federation, Moscow

A. S. Novozhilov

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: oiosifova@yandex.ru
Russian Federation, Moscow

T. A. Rudakova

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: oiosifova@yandex.ru
Russian Federation, Moscow

Yu. A. Yukhnovets

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: oiosifova@yandex.ru
Russian Federation, Moscow

S. A. Shapovalova

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: oiosifova@yandex.ru

кандидат медицинских наук

Russian Federation, Moscow

O. V. Kunina

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: oiosifova@yandex.ru

кандидат медицинских наук

Russian Federation, Moscow

E. S. Shuklina

9th Medical Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: oiosifova@yandex.ru
Russian Federation, Moscow

V. L. Glotko

Branch No.2 of the S.M.Kirov Military Medical Academy

Email: oiosifova@yandex.ru

доцент, подполковник медицинской службы запаса

Russian Federation, Moscow

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Copyright (c) 2022 Loginov V.N., Iosifova O.A., Retinskaya I.G., Novozhilov A.S., Rudakova T.A., Yukhnovets Y.A., Shapovalova S.A., Kunina O.V., Shuklina E.S., Glotko V.L.


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