RESUMEN

AIM: To assess the role of music therapy in the recovery of motor, speech and autonomic functions in patients with ischemic stroke (II). MATERIAL AND METHODS: Forty-five patients with II in the middle cerebral artery were examined. The patients were randomized into three groups (main, comparison and control) of 15 individuals each. With patients of the first and the second groups on the 3rd, 5th, 7th and 9th days of the rehabilitation period the special set of exercises with music and without that respectively was fulfilled. The third group received a basic set of physical exercises (a control group).The third group was control. Dynamics of patients' state was estimated by the NIHSS, the Rivermead Mobility Index, the Action Research Arm Test and the modified scale for speech evaluation on the 2nd, 4th, 6th, 8th and 10th day of disease. A study of cardiorespiratory synchronization was conducted since the 6th day of stroke. RESULTS AND CONCLUSION: The statistically significant efficacy of music therapy was shown for all parameters. The authors suggest that neuroplasticity may underlie the mechanisms of the programs used in the study.

Asunto(s)

Musicoterapia , Rehabilitación de Accidente Cerebrovascular/métodos , Accidente Cerebrovascular/terapia , Anciano , Ejercicio Físico , Femenino , Humanos , Masculino , Plasticidad Neuronal , Habla , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/fisiopatología , Resultado del Tratamiento

RESUMEN

OBJECTIVE: To evaluate an individual 10-year risk of stroke in patients with chronic cerebral ischemia, identify predictors of this risk and assess its dynamics during therapy with actovegin. MATERIAL AND METHODS: The measures of autonomic homeostasis were estimated in 54 patients with chronic brainstem ischemia. The dynamics of these indexes during therapy with actovegin was studied. RESULTS AND CONCLUSION: Chronic cerebral ischemia, mostly vertebrobasilar ischemia, is correlated with an increasing individual 10-year risk of stroke. A high positive pharmacologic effect of actovegin on the central and peripheral structures of the autonomic nervous system in chronic cerebral ischemia has been shown. A mediated hypotensive effect of actovegin due to humoral, metabolic and neurogenic influences on a vessel wall has been demonstrated.