Evaluating the quality of life of patients with extrapyramidal complications in the rehabilitation period after a stroke after complex treatment

N. Ovodiuk

Abstract


Introduction. Among the vascular diseases of the brain, the most widespread and grave consequence is a cerebral infarction (CI) which in 78% of cases leads to disability. In a significant proportion of patients who suffered an ischemic stroke there is a complicated motor defect that differs in character and degree and causes postural abnormalities, disorders of movements coordination and is associated with the phenomenon of metabolic diashysis.
Materials and methods of research. To study, we selected a group of patients (civil servants) who suffered an ischemic stroke of working age - 24 patients aged 40 to 60 years with varying degree of motor neurological, emotional-will and mental deficiency for at least 6 months after CI, and those who returned to work. Patients selected from the study group showed varying degree of extrapyramidal disorders. All patients were evaluated for the quality of life by standardized questionnaire SF-36.
Results and discussion. As a result of the study it was found that a number of neurological syndromes and/or complexes of syndroms occurred in patients with dyscirculatory encephalopathy of the working age who suffered an ischemic stroke against a background of arterial hypertension, namely: vestibular ataxic syndrome (62%), cephalgic (72%), cerebral asthenia (88%), amnestic syndrome (82%) and anxiety-depressive syndrome (66%). In women, cerebral asthenia (88.2%), amnestic (76.5%) and anxiety-depressive (82.2%) syndromes were prevalent, cerebral asthenia (90.9%), amnestic syndrome (84.8%), cephalgic ( 78.8%) and anxiety-depressive (78.8%) syndromes were prevalent in men.
Conclusions. Thus, in the course of the study we have found that in order to cure the complications of extrapyramidal disorders after a stroke, it is proposed to involve neurological patients in physiotherapy and reflexotherapy more widely. It is recommended to use standardized quality of life questionnaires to assess the quality of life of patients who have suffered a stroke.

Keywords


extrapyramidal disorders, quality of life, rehabilitation of post-stroke patients, stroke, cardiovascular diseases

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DOI: http://dx.doi.org/10.5281/zenodo.1972217

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Krishtal', N. V., & Gozhenko, A. I. (1989). Role of the hypophyseo-adrenal system in regulating the acid-secreting function of the kidneys. [Rol' gipofizarno-nadpochechnikovoǐ sistemy v reguliatsii kislotovydelitel'noǐ funktsii pochek.] Fiziologicheskii Zhurnal, 35(1), 59-62. Retrieved from www.scopus.com

Krishtal', N. V., Gozhenko, A. I., & Gareeva, E. G. (1994). Mechanisms of renal adaptation to disorders of water-electrolyte balance in metabolic acidosis. [Mekhanizmy pochechnoǐ adaptatsii k narusheniiam vodno-élektrolitnogo obmena pri metabolicheskom atsidoze.] Patologicheskaya Fiziologiya i Eksperimentalnaya Terapiya, (3), 42-44. Retrieved from www.scopus.com

Kryshtal, M. V., Hareieva, E. H., & Hozhenko, A. I. (1993). Response and endocrine mechanisms in the kidney effected by sodium chloride. [Reaktsiia nyrok na hostre navantazhennia natriiem khlorydom ta ǐǐ endokrynni makhanizmy.] Fiziologicheskii Zhurnal, 39(5-6), 56-60. Retrieved from www.scopus.com

Kucher, V. I., Terenozhkina, N. P., & Gozhenko, A. I. (1983). Isolation of fractions containing natriuretic hormone from blood plasma and their testing in in vivo and in vitro experiments. [Vuydelenie iz plazmy krovi fraktsiǐ, soderzhashchikh natriǐureticheskiǐ gormon, i ikh testirovanie v opytakh in vivo i in vitro.] Problemy Endokrinologii, 29(3), 47-50. Retrieved from www.scopus.com

Kukharchuk, A. L., & Gozhenko, A. I. (1985). Effect of progesterone on ion-regulating kidney function. Problemy Endokrinologii, 31(2), 55-58. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille Yu., E., & Loppe, M. (1992). Effect of prostacyclin and its synthetic analogue MM-706 on renal function in sublimate nephropathy. Experimental and Clinical Pharmacology, 55(5), 36-39. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille Yu., E., & Loppe, M. (1992). Influence of prostacycline synthetic analogue on the renal function and the blood aggregate state regulation system in experimental acute renal insufficiency. Gematologiya i Transfuziologiya, 37(9-10), 23-25. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille, I. E., & Loppe, M. (1992). The effect of prostacyclin and its synthetic analog MM-706 on kidney function in corrosive sublimate-induced nephropathy. [Vliianie prostatsiklina i ego sinteticheskogo analoga MM-706 na funktsional'noe sostoianie pochek pri sulemovoǐ nefropatii.] Eksperimental"Naia i Klinicheskaia Farmakologiia, 55(5), 36-39. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., Kokhno, I. S., Gul'chenko, I. I., Grinchenko, P. A., & Osipova, E. R. (1996). The rate of healing of an ulcerous defect in the duodenal bulb in relation to the site (based on video endoscopic data). [Skorost' zazhivleniia iazvennogo defekta lukovitsy dvenadtsatiperstnoi kishki v zavisimosti ot lokalizatsii (po dannym videoéndoskopii).] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (10-12), 117-119. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Mishchenko, V. V. (1999). Dynamic radiation telethermometry in the diagnosis of acute appendicitis. [Distantsionnaia radiatsionnaia dinamicheskaia teplometriia v diagnostike ostrogo appenditsita.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (3), 103-106. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Vasil'ev, V. A. (1995). The efficacy of metabolic therapy in chronic gastritis with secretory deficiency in flight personnel. [Effektivnost' metabolicheskoi terapii pri khronicheskom gastrite s sekretornoi nedostatochnost'iu u lits letno-pod''emnogo sostava.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (9-12), 175-179. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Vasil'ev, V. A. (1997). The use of otsid in treating patients with chronic gastroduodenitis and duodenal peptic ulcer. [Primenenie otsida v lechenii bol'nykh khronicheskim gastroduodenitom i iazvennoi bolezn'iu dvenadtsatiperstnoi kishki.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (4), 118-121. Retrieved from www.scopus.com

Lobenko, A. A., Tarabrin, O. A., Zaporozhchenko, B. S., Gozhenko, A. I., & Kiriliuk, A. A. (1998). The method of integral estimation of a functional status of the hemostatic system. [Sposob integral'noi otsenki funktsional'nogo sostoianiia sistemy gemostaza.] Klinichna Khirurhiia / Ministerstvo Okhorony Zdorov'Ia Ukraïny, Naukove Tovarystvo Khirurhiv Ukraïny, (7), 30-32. Retrieved from www.scopus.com

Milkov, B. O., Gozhenko, A. I., & Shamrei, G. P. (1987). Diagnosis of acute appendicitis with the use of remote heat flow meter based on anisotropic thermoelements. Klinicheskaya Khirurgiya, No. 4, 28-29. Retrieved from www.scopus.com

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Mokienko, A. V., Petrenko, N. F., & Gozhenko, A. I. (2015). Hygienic estimation of biocide actions of ozone at water disinfecting. Water and Ecology, 1, 19-25. Retrieved from www.scopus.com

Nabukhotnyǐ, T. K., Pavliuk, V. P., Gozhenko, A. I., & Kukharchuk, A. L. (1987). Role of breast feeding in providing the newborn infant with thyroid hormones. [Rol' estestvennogo vskarmlivaniia v obespechenii organizma novorozhdennogo gormonami shchitovidnoǐ zhelezy.] Voprosy Pitaniia, (1), 29-31. Retrieved from www.scopus.com

Rakhmanin, I. A., Petrenko, N. F., Mokienko, A. V., & Gozhenko, A. I. (2007). Chlorine dioxide as an agent for optimization of drinking water preparation. Gigiena i Sanitariia, (6), 11-13. Retrieved from www.scopus.com

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Napierała M References in Scopus

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Dolomatov, S. I., Kubyshkin, A. V., Zukow, W. A., Kutia, S. A., Cieslicka, M., Muszkieta, R., & Napierala, M. (2014). Prospects for the replenishment of a feed protein deficit in aquaculture. Russian Journal of Marine Biology, 40(4), 233-240. 10.1134/S106307401404004X

Dragomiretskaya, N., Izha, A., Kalinichenko, N., Szark-Eckardt, M., Klimczyk, M., Cieślicka, M., . . . Zukow, W. (2015). Use of antiviral therapy in patients with chronic hepatitis C. Open Medicine (Poland), 10(1), 209-215. 10.1515/med-2015-0032

Eksterowicz, J., & Napierała, M. (2008). Evaluation of the way of nutrition of the physical education students during summer sports camp. [Ocena sposobu zywienia studentek z kierunku wychowania fizycznego podczas letniego obozu sportowego.] Roczniki Państwowego Zakładu Higieny, 59(1), 75-82. Retrieved from www.scopus.com

Eksterowicz, J., Napierała, M., & Zukow, W. (2016). How the kenyan runner's body structure affects sports results. Human Movement, 17(1), 8-14. 10.1515/humo-2016-0002

Napierała, M., & Nowicki, G. (2004). Recreational activities of bydgoszcz youth at the age of pubescence. [Wypoczynek młodziezy bydgoskiej w wieku pokwitania.] Roczniki Panstwowego Zakladu Higieny, 55(3), 261-268. Retrieved from www.scopus.com

Novikov, N., Dolomatov, S., Zukow, W., Volyanskaya, A., Napierala, M., Hagner-Derengowska, M., . . . Skaliy, A. (2012). Pathogenetic mechanisms of posttraumatic fibrosis of the uterus of white rats. Central European Journal of Medicine, 7(4), 503-510. 10.2478/s11536-011-0168-0

Zukow, W., Kalisz, Z., Muszkieta, R., & Napierala, M. (2011). Acupuncture for rheumatoid arthritis: A randomized, sham-controlled clinical trial. Journal of Acupuncture and Tuina Science, 9(3), 168-172. 10.1007/s11726-011-0502-8


 

Zukow W References in Scopus

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Babelyuk, V. Y., Gozhenko, A. I., Dubkova, G. I., Korolyshyn, T. A., Kikhtan, V. V., Babelyuk, N. V., . . . Popovych, I. L. (2017). Causal relationships between the parameters of gas discharge visualization and principal neuroendocrine factors of adaptation. Journal of Physical Education and Sport, 17(2), 624-637. 10.7752/jpes.2017.02094

Chukhraev, N., Vladimirov, A., Zukow, W., Chukhraiyeva, O., & Levkovskaya, V. (2017). Combined physiotherapy of anxiety and depression disorders in dorsopathy patients. Journal of Physical Education and Sport, 17(1), 414-417. 10.7752/jpes.2017.01061

Chukhraiev, N., Zukow, W., Chukhraieva, E., & Unichenko, A. (2017). Integrative approach to reduction of excess weight. Journal of Physical Education and Sport, 17(2), 563-567. 10.7752/jpes.2017.02085

Dolomatov, S., Sataieva, T., Pazovsky, G., & Zukow, W. (2017). Neuroendocrine effects of helminthiases (A review). Parazitologiya, 51(2), 97-103. Retrieved from www.scopus.com

Dolomatov, S., Zukow, W., & Brudnicki, R. (2013). Role of temperature in regulation of the life cycle of temperate fish. Russian Journal of Marine Biology, 39(2), 81-91. 10.1134/S1063074013020041

Dolomatov, S., Zukow, W., Dzierzanowski, M., Mieszkowski, J., Muszkieta, R., & Klimczyk, M. (2016). Role of nitrates in the adaptation of fish to hypoxic conditions. Water Resources, 43(1), 177-183. 10.1134/S0097807816120046

Dolomatov, S. I., Gozhenko, A. I., Zhukov, V. A., Dolomatova, E. A., & Nasibullin, B. A. (2005). Characteristics of the kidney functional state after a single dose of thyroxine in white rats. Patologicheskaia Fiziologiia i Eksperimental'Naia Terapiia, (1), 16-19. Retrieved from www.scopus.com

Dolomatov, S. I., Hozhenko, A. I., Zhukov, V. A., & Dolomatova, O. O. (2003). Effect of ultraviolet irradiation of human blood on serum concentration of triiodothyronine and thyroxine. [Vplyv ul'trafioletovoho oprominennia krovi liudyny na kontsentratsiiu tryiodtyroninu ta tyroksynu v plazmi.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 49(4), 80-83. Retrieved from www.scopus.com

Dolomatov, S. I., Kubyshkin, A. V., Zukow, W. A., Kutia, S. A., Cieslicka, M., Muszkieta, R., & Napierala, M. (2014). Prospects for the replenishment of a feed protein deficit in aquaculture. Russian Journal of Marine Biology, 40(4), 233-240. 10.1134/S106307401404004X

Dolomatov, S. I., Shekk, P. V., Zukow, W., & Kryukova, M. I. (2011). Features of nitrogen metabolism in fishes. Reviews in Fish Biology and Fisheries, 21(4), 733-737. 10.1007/s11160-011-9212-z

Dolomatov, S. I., & Zhukov, V. A. (2008). Effect of exogenous thyroxin on renal ion-regulating and acid-secreting functions in white rats. Aviakosmicheskaya i Ekologicheskaya Meditsina, 42(1), 62-63. Retrieved from www.scopus.com

Dolomatov, S. I., Zukow, W., Atmazhov, I. D., Muszkieta, R., & Skaliy, A. (2012). The use of hormones indicators in human saliva in diagnosing parodontitis in pregnant women. Indian Journal of Human Genetics, 18(3), 305-309. 10.4103/0971-6866.107982

Dolomatov, S. I., Zukow, W., Novikov, N. Y., Muszkieta, R., Bulatowicz, I., Dzierzanowski, M., . . . Strojek, K. (2012). The regulation of osmotic and ionic balance in fish reproduction and in the early stages of ontogeny. Russian Journal of Marine Biology, 38(5), 365-374. 10.1134/S1063074012050057

Dragomiretskaya, N., Izha, A., Kalinichenko, N., Szark-Eckardt, M., Klimczyk, M., Cieślicka, M., . . . Zukow, W. (2015). Use of antiviral therapy in patients with chronic hepatitis C. Open Medicine (Poland), 10(1), 209-215. 10.1515/med-2015-0032

Dzierzanowski, M., Dzierzanowski, M., Maćkowiak, P., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). The influence of active exercise in low positions on the functional condition of the lumbar-sacral segment in patients with discopathy. Advances in Clinical and Experimental Medicine, 22(3), 421-430. Retrieved from www.scopus.com

Dzierzanowski, M., Dzierzanowski, M., Wrzecion, K., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). Discopathy of the lumbar-sacral segment and its influence on sexual dysfunction. Advances in Clinical and Experimental Medicine, 22(1), 93-100. Retrieved from www.scopus.com

Eksterowicz, J., Napierała, M., & Zukow, W. (2016). How the kenyan runner's body structure affects sports results. Human Movement, 17(1), 8-14. 10.1515/humo-2016-0002

Gorsha, O. V., Aplevich, V. M., & Zukow, W. (2017). Efficiency of kinesiotaping application in the complex rehabilitation of children with idiopathic scoliosis. Journal of Physical Education and Sport, 17(3), 1154-1157. 10.7752/jpes.2017.03177

Ivashchenko, O., Khudolii, O., Iermakov, S., Lochbaum, M., Cieślicka, M., Zukow, W., . . . Yermakova, T. (2017). Methodological approaches to pedagogical control of the functional and motor fitness of the girls from 7-9 grades. Journal of Physical Education and Sport, 17(1), 254-261. 10.7752/jpes.2017.01038

Ivashchenko, O., Khudolii, O., Iermakov, S., Lochbaum, M. R., Cieslicka, M., Zukow, W., . . . Yermakova, T. (2016). Intra-group factorial model as the basis of pedagogical control over motor and functional fitness dynamic of 14-16 years old girls. Journal of Physical Education and Sport, 16(4), 1190-1201. 10.7752/jpes.2016.04190

Kozina, Z., Sobko, I., Yermakova, T., Cieslicka, M., Zukow, W., Chia, M., . . . Korobeinik, V. (2016). Psycho-physiological characteristics of female basketball players with hearing problems as the basis for the technical tactic training methodic in world level teams. Journal of Physical Education and Sport, 16(4), 1348-1359. 10.7752/jpes.2016.04213

Kul'chyns'kyi, A. B., Kyjenko, V. M., Zukow, W., & Popovych, I. L. (2017). Causal neuro-immune relationships at patients with chronic pyelonephritis and cholecystitis. correlations between parameters EEG, HRV and white blood cell count. Open Medicine (Poland), 12(1), 201-213. 10.1515/med-2017-0030

Novikov, N., Dolomatov, S., Zukow, W., Volyanskaya, A., Napierala, M., Hagner-Derengowska, M., . . . Skaliy, A. (2012). Pathogenetic mechanisms of posttraumatic fibrosis of the uterus of white rats. Central European Journal of Medicine, 7(4), 503-510. 10.2478/s11536-011-0168-0

Podrigalo, L., Iermakov, S., Rovnaya, O., Zukow, W., & Nosko, M. (2016). Peculiar features between the studied indicators of the dynamic and interconnections of mental workability of students. Journal of Physical Education and Sport, 16(4), 1211-1216. 10.7752/jpes.2016.04193

Sataieva, T., & Zukow, W. (2014). The respective effects of ethyl alcohol and grape polyphenols upon the morphological index of rat kidneys. Central European Journal of Medicine, 9(6), 866-869. 10.2478/s11536-013-0326-7

Babelyuk, Ye.V., Dubkova, G. I., Korolyshyn, T. A., Holubinka, S. M., Dobrovol’S’Kyi, Y. G., Zukow, W., . . . Popovych, I. L. (2017). Operator of kyokushin karate via kates increases synaptic efficacy in the rat hippocampus, decreases C3-θ-rhythm SPD and HRV vagal markers, increases virtual chakras energy in healthy humans as well as luminosity of distilled water in vitro. preliminary communication. Journal of Physical Education and Sport, 17(1), 383-393. 10.7752/jpes.2017.01057

Zadnipryany, I. V., Sataieva, T. P., Tretiakova, O. S., Kubyshkin, A. V., & Zukow, W. (2017). Grape polyphenols concentrate demonstrates cardioprotection in terms of hypoxic myocardial injury. Russian Open Medical Journal, 6(4)10.15275/rusomj.2017.0404

Zadnipryany, I. V., Tretiakova, O. S., Sataieva, T. P., & Zukow, W. (2017). Experimental review of cobalt induced cardiomyopathy. Russian Open Medical Journal, 6(1)10.15275/rusomj.2017.0103

Zubkova, O., Semenova, V., Samosiuk, I., Zukow, W., Vaslovich, V., & Samosiuk, N. (2014). Analysis of ultrastructural synaptic apparatus in parietal neurocortical and midbrain neurons in animals with experimental mild craniocerebral injury prior to and following magneto-laser therapy. Central European Journal of Medicine, 9(5), 714-721. 10.2478/s11536-013-0338-3

Zukow, W., Kalisz, Z., Muszkieta, R., & Napierala, M. (2011). Acupuncture for rheumatoid arthritis: A randomized, sham-controlled clinical trial. Journal of Acupuncture and Tuina Science, 9(3), 168-172. 10.1007/s11726-011-0502-8