METHOD OF EARLY REHABILITATION IN ACUTE PERIOD OF STROKE UNDER CONDITIONS OF REANIMATION AND INTENSIVE CARE DEPARTMENTS Russian patent published in 2013 - IPC A61H1/00 A61B5/205 A61H31/00 A61B5/01 A61B5/145 

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, in particular to neurology resuscitation, rehabilitology and can be applied for early rehabilitation of patients in acute period of stroke. For this purpose monitoring and drug correction of arterial pressure (AP), cardiac activity, main parameters of homeostasis are carried out to patient. In case if level of systolic arterial pressure (SAP) not higher than 220 mm Hg, diastolic pressure (DAP) not higher than 120 mm Hg is observed in patient suffering from arterial hypertension, and if in patients who do not suffer from arterial hypertension or in case of thrombotic therapy level of SAP is not higher than 185 mm Hg, DAP level is not higher than 100 mm Hg, body temperature is not higher than 39°C, heart rate is not less than 45 or not more than 120 beats per minute, acute irregularity of heart rhythm is absent, saturation of blood is not less than 92% and frequency of breathing, if patient breathes independently, is not more than 30 respirations per minute, and if in carrying out artificial lungs inhalation desynchronisation of patient with ALI apparatus is absent, robotised mechanothramy of arms and legs on training apparatus MOTOmed letto is carried out simultaneously against the background of drug correction and under control of monitoring of AP, HR, blood saturation, body temperature and breathing frequency parameters. On the first day passive round motions of legs for 40 minutes at rate 20 turnings per minute and with change of direction - "forward-backward" after each 5 minutes, and then round motions by arms for 30 minutes at rate 20 turns per minute and the same change of direction are performed, and on the second day and all following days time of passive round motion by legs is increased until 60 minutes, duration of mechanotherapy course being 21 days.

EFFECT: method makes it possible to achieve acceleration of rehabilitation in case off neurological deficit at early stage and reduce thrombosis frequency in the system of inferior vena cava.

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