METHOD FOR MEDICAL REHABILITATION OF PATIENTS WITH SARCOPENIA WITH UNDERLYING CONSEQUENCES OF ACUTE CEREBROVASCULAR DISORDER Russian patent published in 2024 - IPC A61H1/00 A61H7/00 A61N1/18 A61N5/67 

FIELD: medicine.

SUBSTANCE: invention relates to restorative medicine, medical rehabilitation, physiotherapy, methods of sanatorium-and-spa treatment and can be used in elderly patients after acute cerebrovascular disorder (ACVD), in which secondary sarcopenia develops on the background of movement deficit. Complex of actions consists of the following sequential procedures of the basic course of 10 procedures, daily, against the background of drug therapy according to the indications available in the patients and nutritional support: group therapeutic exercises in the gym in the form of general tonic exercises; therapeutic classical massage of the back, upper and lower extremities. Also, laser therapy is performed on the cervical-collar zone, areas of the occipital tuberosities, on the popliteal fossa, cubital veins with low-intensity laser radiation in the infrared range with wavelength of 0.89 mcm, in a pulsed mode with frequency of 80 Hz, a pulse power of 15 W, for 2 minutes per each zone, every second day, alternating with procedures of local vortex baths on lower extremities in course of 8 procedures every second day, with water temperature of 36 degrees, procedure duration is 10 minutes. Additionally, the complex also includes procedures for electrostimulation (ES) of gastrocnemius muscles using the AMF mode on the BTL-4000 apparatus, with a carrier frequency of 4,000 Hz, and frequency of 50 Hz, with an increase in current strength from 0.1 mA to painless muscle contraction, exposure duration of 10 minutes at the current strength at which the painless muscle contraction sensation is maintained, and ES of back muscles by paravertebral technique in lumbar spine – with carrier frequency 4,000 Hz and frequency 50 Hz, duration 10 min. ES is carried out in course of 10 procedures every second day, alternating with magnetic stimulation of the quadriceps muscle of thigh on the Teslamed apparatus, with a magnetic induction power of 80%, frequency of 1 pulse/s, duration of interval of 80 ms, duration of 5 minutes, course of 10 procedures every second day, alternating with ES. Additionally, robotic mechanotherapy is performed on the CON-TREX simulator with biological feedback (BFB) with training of superficial and deep muscles of lower extremities with alternation of periods of training in classical isokinetic mode of complex operation and periods of rest in mode of operation of CON-TREX complex “constant passive movement” (CPM), course of 10 daily trainings.

EFFECT: acceleration (improvement from 7th-8th procedure) of recovery, or significant improvement of muscular functions (strength of trunk muscles, upper and lower extremities, indicators of balance, walking, gait) in senile patients with combined pathology of movements after suffering ACVD with underlying sarcopenia.

1 cl, 1 ex