docruДоктор.РуTitle1727-23782713-2994ООО "ГК "РУСМЕДИКАЛ"10.31550/1727-2378-2022-21-8-6-11docru-25Research ArticleНЕВРОЛОГИЯNEUROLOGYИспользование транскраниальной микрополяризации у пациентов с сочетанием двигательных и речевых нарушений при инсультеUse of Transcranial Direct Current Stimulation in Post-stroke Patients with Motor and Speech Disturbanceshttps://orcid.org/0000-0001-5053-3305ГасанбековаА. Р.GasanbekovaA. R.

Гасанбекова Алина Рустамовна — аспирант кафедры неврологии и нейрохирургии

153012, г. Иваново, Шереметьевский просп., д. 8

8 Sheremetevsky Prospect, Ivanovo, 153012

iv.veronika37@gmail.comhttps://orcid.org/0000-0002-3429-9640ЯстребцеваИ. П.YastrebtsevaI. P.

Ястребцева Ирина Петровна — д. м. н., доцент, профессор кафедры неврологии и нейрохирургии

153012, Иваново, Шереметьевский просп., д. 8

8 Sheremetevsky Prospect, Ivanovo, 153012

ip.2007@mail.ruhttps://orcid.org/0000-0002-3249-1620ДмитриевЕ. В.DmitrievE. V.

Дмитриев Евгений Вячеславович — врач-физиотерапевт Клиники

153012, г. Иваново, Шереметьевский просп., д. 8

8 Sheremetevsky Prospect, Ivanovo, 153012

ew.dmitriew2014@yandex.ruhttps://orcid.org/0000-0001-8044-2121БочковаЕ. А.BochkovaE. A.

Бочкова Елена Александровна — к. м. н., врач-невролог Клиники

153012, г. Иваново, Шереметьевский просп., д. 8

8 Sheremetevsky Prospect, Ivanovo, 153012

bochkova_70@inbox.ruФГБОУ ВО «Ивановская государственная медицинская академия» Министерства здравоохранения Российской ФедерацииРоссияIvanovo State Medical Academy (a Federal Governmentfunded Educational Institution of Higher Education), Russian Federation Ministry of HealthRussian Federation202213022025218НЕВРОЛОГИЯ. ПСИХИАТРИЯ611Copyright © Гасанбекова А.Р., Ястребцева И.П., Дмитриев Е.В., Бочкова Е.А., 20252025Гасанбекова А.Р., Ястребцева И.П., Дмитриев Е.В., Бочкова Е.А.Gasanbekova A.R., Yastrebtseva I.P., Dmitriev E.V., Bochkova E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://docru.elpub.ru/jour/article/view/25Цель исследования

Цель исследования: оценить эффективность транскраниальной микрополяризации (ТКМП) в комплексе реабилитационных мероприятий у пациентов, перенесших ишемический инсульт, с сочетанием двигательных и речевых нарушений.

Дизайн

Дизайн: проспективное исследование.

Материалы и методы

Материалы и методы. Проведено тестирование 77 пациентов в раннем восстановительном периоде ишемического инсульта по Монреальской шкале когнитивной оценки, Госпитальной шкале тревоги и депрессии, Шкале Вассермана, Тесту оценки дизартрии, Шкале восстановления локуса-контроля, Шкале комитета медицинских исследований, Тесту Френчай.

Результаты

Результаты. Сила мышц дистальных отделов парализованной верхней конечности возросла у больных с применением ТКМП на двигательные зоны (p < 0,05). По тесту Френчай показатели в ходе реабилитации улучшились во всех группах исследования (p < 0,05). Результаты по субшкале «внимание» Монреальской шкалы когнитивной оценки, Госпитальной шкале тревоги и депрессии и Шкале восстановления локуса контроля статистически значимо повышались у пациентов при воздействии ТКМП на речевые зоны.

Заключение

Заключение. Применение ТКМП у пациентов с инсультом улучшает когнитивные функции по называнию предметов, осуществлению речевых функций, что сопровождается возрастанием мотивации больных на реабилитацию и лечение и отражается на повышении качества их жизни. Использование ТКМП на двигательные зоны способствует улучшению моторных функций и повышает двигательные возможности больных инсультом. При наложении электродов на речевые зоны отмечается уменьшение тревоги, депрессии и улучшение внимания.

Study Objective

Study Objective: To assess the efficiency of transcranial direct current stimulation (tDCS) as a component of rehabilitation measures in ischemic stroke patients with motor and speech disturbances.

Study Design

Study Design: prospective study.

Materials and Methods

Materials and Methods. We tested 77 patients in the early rehabilitation period after ischemic stroke using Montreal Cognitive Assessment, Hospital Anxiety and Depression Scale, Wassermann Scale, Dysarthria Assessment Scale, Locus of Control Recovery Assessment Scale, Medical Research Committee Scale, Franchay Scale.

Study Results

Study Results. Distal muscle strength in paralytic upper extremity improved in patients who were treated with motor zone tDCS (p < 0.05). Franchay Scale results during rehabilitation demonstrated improvements in all study groups (p < 0.05). “Attention” sub-scale results in Montreal Cognitive Assessment, Hospital Anxiety and Depression Scale, and Locus of Control Recovery Assessment Scale were statistically higher in patients who were treated with speech zone tDCS.

Conclusion

Conclusion. Use of tDCS in stroke patients improves cognitive functions in naming objects, speech functions, and patients’ motivation to rehabilitation grows, positively impacting their quality of life. Use of tDCS in motor zones facilitates motor function improvement and enhances dexterity of stroke patients. When electrodes were used in speech zones, anxiety and depression reduced, while attention improved.

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The authors declare that there are no conflicts of interest present.