RU2009130174A - METHOD FOR INTEGRATED REHABILITATION OF PATIENTS WITH CENTRAL SPASTIC PARESIS OF UPPER EXTREMITIES - Google Patents
METHOD FOR INTEGRATED REHABILITATION OF PATIENTS WITH CENTRAL SPASTIC PARESIS OF UPPER EXTREMITIES Download PDFInfo
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- RU2009130174A RU2009130174A RU2009130174/14A RU2009130174A RU2009130174A RU 2009130174 A RU2009130174 A RU 2009130174A RU 2009130174/14 A RU2009130174/14 A RU 2009130174/14A RU 2009130174 A RU2009130174 A RU 2009130174A RU 2009130174 A RU2009130174 A RU 2009130174A
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- orthosis
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Abstract
Способ реабилитации больных с центральным спастическим парезом верхних конечностей, включающий фармакотерапию, ортезирование, физиолечение, отличающийся тем, что ортезирование проводят под проводниковой анестезией ветвей плечевого сплетения из аксилярного доступа, причем жесткую повязку накладывают до уровня нижней трети предплечья на 2 см выше лучезапястного сустава, лечение на первом этапе проводят в стационаре, при этом процедуры проводят в последовательности: парафино-озокеритовые аппликации или криотерапия в течение 20 мин, электромиостимуляция разгибателей кисти и пальцев, массаж пораженных конечностей, лечебная физкультура, зеркальная терапия, общее количество физиопроцедур - 15-20, с перерывом между физиопроцедурами 15-30 мин, причем после зеркальной терапии, инструктор по лечебной физкультуре укладывает кисть в ортез и фиксирует его эластичным бинтом, время ношения ортеза составляет 3-4 ч, время использования ортеза составляет от 3 недель до 3 месяцев, при наличии выраженного повышения мышечного тонуса в пальцах кисти, ношение ортеза рекомендуют также в течение ночи, при необходимости вводят миорелаксанты в индивидуально подобранных дозах, при наличии динамических контрактур, вводят ботулинический токсин в спастичные мышцы руки, а через 10-14 дней назначают вышеописанный комплекс реабилитационных мероприятий, также после выписки пациента из стационара режим ношения ортеза подбирают индивидуально в зависимости от степени мышечного тонуса: по 3-4 ч 1-2 раза в день, длительность использования определяют в зависимости от состояния пациента, также в течение года после перенесенного инсульта курсы ком A method for the rehabilitation of patients with central spastic paresis of the upper extremities, including pharmacotherapy, orthosis, physiotherapy, characterized in that the orthosis is carried out under conduction anesthesia of the brachial plexus branches from axillary access, and a hard dressing is applied to the lower third of the forearm 2 cm above the wrist joint, treatment at the first stage, they are carried out in a hospital, while the procedures are carried out in the sequence: paraffin-ozocerite applications or cryotherapy for 20 minutes, thromiostimulation of extensors of the hand and fingers, massage of the affected limbs, physiotherapy exercises, mirror therapy, the total number of physiotherapy procedures is 15-20, with a break between physiotherapy 15-30 minutes, and after mirror therapy, the physiotherapy instructor puts the brush in the orthosis and fixes it elastic bandage, the wearing time of the orthosis is 3-4 hours, the time of using the orthosis is from 3 weeks to 3 months, in the presence of a pronounced increase in muscle tone in the fingers, wearing an orthosis is also recommended for eyes, if necessary, muscle relaxants are administered in individually selected doses, in the presence of dynamic contractures, botulinum toxin is injected into the spastic muscles of the arm, and after 10-14 days the above complex of rehabilitation measures is prescribed, also after discharge of the patient from the hospital, the orthosis wearing regimen is selected individually depending on degrees of muscle tone: 3-4 hours 1-2 times a day, the duration of use is determined depending on the condition of the patient, also within a year after a stroke courses com
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RU2009130174/14A RU2422167C2 (en) | 2009-08-05 | 2009-08-05 | Method of complex rehabilitation of patients with central spastic paresis of upper extremities |
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RU2009130174/14A RU2422167C2 (en) | 2009-08-05 | 2009-08-05 | Method of complex rehabilitation of patients with central spastic paresis of upper extremities |
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RU2009130174A true RU2009130174A (en) | 2011-02-10 |
RU2422167C2 RU2422167C2 (en) | 2011-06-27 |
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RU2009130174/14A RU2422167C2 (en) | 2009-08-05 | 2009-08-05 | Method of complex rehabilitation of patients with central spastic paresis of upper extremities |
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Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
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RU2471415C1 (en) * | 2011-07-01 | 2013-01-10 | Федеральное Государственное Учреждение "Научно-Исследовательский Детский Ортопедический Институт Имени Г.И. Турнера" Министерства Здравоохранения И Социального Развития Российской Федерации | Method of determining type of surgical treatment of upper extremity in children with infantile cerebral paralysis |
RU2513418C1 (en) * | 2012-12-19 | 2014-04-20 | Ирина Львовна Солонец | Method for complex rehabilitation of patients in early rehabilitation period of cerebral apoplexy |
RU2550049C2 (en) * | 2013-07-22 | 2015-05-10 | Общество с ограниченной ответственностью "ОРТОТЕРАПИЯ" | Method for systemic rehabilitation of patients suffering from forearm and hand plegia |
RU2755579C1 (en) * | 2020-12-08 | 2021-09-17 | федеральное государственное бюджетное учреждение "Национальный медицинский исследовательский центр имени В.А. Алмазова" Министерства здравоохранения Российской Федерации | Method for treatment of hand spasticity in patients with chronic impairment of consciousness |
RU2767139C1 (en) * | 2021-07-05 | 2022-03-16 | Федеральное государственное бюджетное учреждение "Новокузнецкий научно-практический центр медико-социальной экспертизы и реабилитации инвалидов" Министерства труда и социальной защиты Российской Федерации | Method for recovery of hand function in patients with upper extremity paresis |
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RU2422167C2 (en) | 2011-06-27 |
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