Psychosomatic Medicine and General Practice 2519-8572 Psychosomatic Medicine and General Practice Private Publisher 'Chaban O. S.' 165 616.831-005.4+615.847.8 10.26766/pmgp.v3i4.165 Photomagnetic therapy and craniosacral therapy for rehabilitation patients with chronic brain ischemia at subacute phase Фотомагнітна терапія і краніосакральна терапія для реабілітації хворих з хронічною ішемією головного мозку в підгострій фазі Fedorov Serhii 1 Shupyk National Medical Academy of Postgraduate Education Ukraine sergnsp2011@gmail.com 19 2 2019 3 4 e0304165 © 2019, Serhii Fedorov 2019 Serhii Fedorov This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.

Даний текст є тезами Конгресу: «Психосоматична медицина ХХІ століття: реалії та перспективи». Описане нижче присвячено фотомагнітній терапії та краніосакральній терапії для реабілітації хворих з хронічною ішемією головного мозку в підгострій фазі.

 Keywords Chronic cerebral ischemia photomagnetic therapy craniosacral therapy rehabilitation Introduction

Chronic brain ischemia (CBI) is among leading cerebrovascular pathologies. The development of an rehabilitation, including a combine use of physiotherapy (photomagnetic therapy, PMT) and manual therapy (craniosacral therapy, CST) for CBI patients is an promising task.

 Purpose

The aim was to study the effectiveness of complex rehabilitation patients with CBI according to the results of paraclinical examinations methods in dynamics.

 Method

We conducted clinical, neuropsychological and instrumental (Doppler ultrasound) assessment of 160 patients with CBI. The study groups included patients with CBI who received rehabilitation complex (PMT, CST, and/or their combination). In the control group only medical treatment was used.

 Results

We revealed significant increase in blood flow velocity and improvement of venous outflow (p <0.001) after complex rehabilitation according to Cranial Doppler and positive changes of resistance and pulsation indices vs control group which demonstrated only one-sided improvement of venous outflow.

The neuropsychological tests (Spielberger-Khanin anxiety scale, Beck Depression Inventory) significantly changed in the main group CBI patients: the situational anxiety indices decreased (47.7 ± 3.1 and 36.5 ± 4.2, p <0.01 before and after rehabilitation respectively) and personal anxiety (up to 49.5 ± 4.1 and 37.1 ± 3.0, p <0.01 before and after rehabilitation respectively), Beck Depression Inventory scores improved (mean rate was 18 ± 1.7 before and 9.0 ± 1.3, p <0.01 after rehab). Multiple measurements of vegetative index Kerdo (VIK) indicated changes in the autonomic tone of patients after rehab sessions. We noted predominance of sympathetic effects of the autonomic nervous system (VIK=24.1 ± 3.85) prior to rehab sessions. During rehabilitation VIK scores significant decreased (to 10.7 ± 2.1) in the main group, indicating its shift to the normalization of the autonomic nervous system.

 Conclusions

Thus, rehabilitation complex improves neuropsychological and Cranial Doppler parameters in patients with chronic brain ischemia at the subacute phase.

Competing interests

The author declare that no competing interests exist.

 References