Abstract Neurorehabilitation of poststroke cognitive impairments is an important medical problem. The purpose of the present study was to estimate the efficacy of new methods of restoration of ...impaired cognitive functions using computer correction programs. 43 poststroke patients aged 57–69, (male — 23, female — 20) were randomized into two groups. First group patients have been treated with the standard methods and supplementary neuropsychological computer training for 14 days, 25–35 min of duration per day. Control group received standard treatment according to Federal and local medical recommendations. Initial and achieved levels of cognitive functioning were estimated with the use of Mini Mental State Examination, Frontal Assessment Battery, the Clock Drawing Test, the Montreal Cognitive Assessment, Schulte's test, Hospital Anxiety and Depression Scale. We found that including the computer correction programs into the complex protocol of rehabilitation of post-stroke patients confirmed their efficacy in both clinical aspects and the Patient Global Impression Scale. Although the results are encouraging, further studies are required with larger samples and longer follow-up to identify characteristics of those patients who are most likely to benefit from computer training of cognitive functions.
An analysis of the results of domestic and foreign studies as well as the own data on the movement impairment in the paretic arm due to the stroke is presented. Advantages and shortcomings of ...commonly used scales for the assessment of upper limb functioning and possibilities of their using in different stages of stroke are analyzed.
This article considers the possibility of clinical evaluation of gait parameters via application of a non-contact method: human movement video analysis. Patterns of gait impairment against the ...background of central nervous system pathology vary. We made an attempt to determine clinical features of gait impairment against the background of ataxia, hemiparetic gait and Parkinson's disease (PD). The study involved application of Vicon Motion Capture Systems. Tempo-rhythmic characteristics of gait during the stride were determined, the data on angular indices of lower extremity movement in hip, knee and ankle joints were obtained. General changes in the gait parameters in all patients were found: decrease in the gait tempo, gait velocity, the length of the stride and the step, increase in the time of the stride and the step. Among the technical advantages of the method is the possibility of separate assessment of tempo-rhythmic indices for the right and the left lower limbs. Very frequently, pathological changes in PD, the syndrome of central hemiparesis and ataxia only affect one half of the body. This let us objectively evaluate the degree of asymmetry during movement. The following peculiarities were revealed: the left-sided hemiataxia patient demonstrated a later lift of the intact foot from the support surface. The patient with right-sided hemiparesis showed increased time of single support on the paretic right limb. The patient with PD stage 3.0 according to the Hoehn and Yahr scale was observed to have bilateral symptoms, but with certain asymmetry of the right-sided manifestations. Analysis of angular parameters of gait in patients with neurological pathology revealed asymmetry of flexion/extension in the hip, knee and ankle joints in comparison with a healthy person. As a result of the study, peculiarities in gait stereotype alteration against the background of neurological syndromes have been determined. We recommend application of the method of three-dimensional video analysis of movements in expert assessment of gait function impairment.
Goalofthestudy. This project comparedblood pressure (BP)-related endpointsin two cross-sectional surveys of hypertensive patients visiting public outpatient healthcare facilities in the Yaroslavl ...Region of Russia before and after initiation of a comprehensive healthcare system modernization program for hypertension leaded by Department of Health and Pharmacy of Yaroslavl Region.Materials and methods. Hypertension treatment modernization program included making hypertension diagnostics and treatment a priority by setting up a Steering Committee to coordinateand evaluatethe program progression; introduction of hypertension diagnostics and treatment protocol and standards region-wide via an intensive educational program for healthcare professionals; conduction of public education campaign increasingcommunity engagement and hypertension therapyadherence. Two cross-sectional surveys, one at baseline and the other13 monthsafterprograminitiation, were conducted to monitor the evolution of hypertension management. Surveys evaluated BP control rate as a primary measure and mean BP levels and distribution, cardiovascular risk factors, and associated conditions, heart rate levels, and antihypertensive therapy as a secondary measures.Results. Surveys were conducted in 2011 (baseline) and 2012 (1,794 and 2,992 patients respectively) across 38 Regional clinics. BP control levels (
Goalofthestudy. This project comparedblood pressure (BP)-related endpointsin two cross-sectional surveys of hypertensive patients visiting public outpatient healthcare facilities in the Yaroslavl ...Region of Russia before and after initiation of a comprehensive healthcare system modernization program for hypertension leaded by Department of Health and Pharmacy of Yaroslavl Region.Materials and methods. Hypertension treatment modernization program included making hypertension diagnostics and treatment a priority by setting up a Steering Committee to coordinateand evaluatethe program progression; introduction of hypertension diagnostics and treatment protocol and standards region-wide via an intensive educational program for healthcare professionals; conduction of public education campaign increasingcommunity engagement and hypertension therapyadherence. Two cross-sectional surveys, one at baseline and the other13 monthsafterprograminitiation, were conducted to monitor the evolution of hypertension management. Surveys evaluated BP control rate as a primary measure and mean BP levels and distribution, cardiovascular risk factors, and associated conditions, heart rate levels, and antihypertensive therapy as a secondary measures.Results. Surveys were conducted in 2011 (baseline) and 2012 (1,794 and 2,992 patients respectively) across 38 Regional clinics. BP control levels (
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