Effektivnost' i bezopasnost' ranney apparatnoy vertikalizatsii pri tyazhelom i krayne tyazhelom insul'te


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Abstract

Tactics of rehabilitation in acute and hyperacute periods of stroke are discussed in article. Hardware-based methods of verticalization are compared, their efficiency and safety are estimated. Gathered data confirm high efficiency of early mobilization. Safety is provided by multimodal monitoring of physiological rates. "Erigo" device is preferable to tilt table, including lower risk of hemodynamic abnormalities and deep vein of lower limbs thrombosis prophylactics. Predictors of hypotension episodes are: tilt table verticalization, impaired cardiac function, preliminary hemodynamic instability.

References

  1. Hachisuka K. Robot-aided training in rehabilitation. J. Brain Nerve. 2010; 2:133-140.
  2. Jorgensen HS, Nakayama H, Raaschou HO, Vive-Larsen J, St0ier M, Olsen TS. Outcome and time course of recovery in stroke. Part I: outcome. The Copenhagen Stroke Study. Arch Phys Med Rehabil. 1995; 76:399-405.
  3. Salter K, Jutai J, Hartley M, et al. Impact of early vs. delayed admission to rehabilitation on functional outcomes in persons with stroke. J Rehabil Med. 2006; 38(2):113-117.
  4. Paolucci S, Antonucci G, Grasso MG, et al. Early versus delayed inpatient stroke rehabilitation: A matched comparison conducted in Italy. Arch Phys Med Rehabil. 2000; 81(6):695-700.
  5. Johansson BB. Brain plasticity and stroke rehabilitation. The Willis Lecture. Stroke. 2000; 31(1):223-230.
  6. Biernaskie J, Corbett D. Enriched rehabilitative training promotes improved forelimb motor function and enhanced dendritic growth after focal ischemic injury. The Journal of neuroscience. 2001; 21(14): 5272-80.
  7. Risedal A, Mattsson B, Dahlqvist P, Nordborg C, Olsson T, Johansson BB. Environmental influences on functional outcome after a cortical infarct in the rat. Brain research bulletin. 2002; 58(3): 315-21.
  8. Черникова ЛА, Демидова АЕ, Домашенко МА. Эффект применения роботизированных устройств ( "Эриго" и "Локомат") в ранние сроки после ишемического инсульта. Вестник Восстановительной медицины. 2008; 5: 73-75.
  9. Adams HP, Adams RJ, Brott T, Zoppo GJ del, Furlan A, Goldstein LB, et al. Guidelines for the early management of patients with ischemic stroke: A scientific statement from the Stroke Council of the American Stroke Association. Stroke. 2003; 34(4):1056-83.

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