Issue №1-20, 2021

The Experience of Using the Original Complex of Physiotherapy Exercises and Electrical Stimulation during Rehabilitation of the Patient with Pseudobulbar Paralysis

¹ Konstantin B. Petrov

¹ Novokuznetsk State Institute of Further Training of Physicians – Branch Campus of the Russian Medical Academy of Continuous Professional Education, Novokuznetsk, Russian Federation

ABSTRACT

Pseudobulbar paralysis is neurological pathology caused by the interruption of cortical connections with the motor nuclei of the medulla oblongata of various etiologies.

AIM. To describe the original complex of kinesitherapy for pseudobulbar syndrome, adequate to the competencies of physiotherapy exercises instructors and available for home use by relatives of patients.

MATERIAL AND METHODS. The object of observation was a patient with post-traumatic pseudobulbar syndrome, manifested by dysphagia, hypersalivation, anarthria, and bilateral central prosopoplegia. The methods of endo-oral and acupressure massage were used as well as the blockade of trigger points along the interested muscle-tendon meridians. Therapeutic gymnastics techniques were used based on friendly reaction, initiating the activity of the paretic lingual and laryngeal-pharyngeal muscles with the help of their unaffected agonists which were supplemented by electrical stimulation with impulse currents.

RESULTS. The observed two-year catamnesis indicates the presence of a positive effect when using this approach.

CONCLUSION. The described methods of pseudobulbar paralysis kinesitherapy are simple and intuitive, they are suitable for development by nurses, social workers and relatives of patients, which allows them to be used at the third stage of rehabilitation.

KEYWORDS: clinical case, remedial gymnastics, massage, pseudobulbar paralysis, rehabilitation, synergy

Acknowledgments: The study had no sponsorship

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

For citation: The author declare no apparent or potential conflicts of interest related to the publication of this article. For citation: Petrov K.B. The Experience of Using the Original Complex of Physiotherapy Exercises and Electrical Stimulation during Rehabilitation of the Patient with Pseudobulbar Paralysis. Bulletin of Rehabilitation Medicine. 2021; 20(1): 84-95. https://doi.org/10.38025/2078-1962-2021-20-1-84-95

For correspondence: Konstantin B. Petrov, e-mail: kon3048006@yandex.ru

References:

1. Work S., Colamonico J., Bradley W., Kaye R. Pseudobulbar affect: an under-recognized and under-treated neurological disorder. Advances in Therapy. 2011; (28): 586-601.
2. Duus P. Topicheskiy diagnoz v nevrologii: Anatomiya. Fiziologiya. Klinika [Topical Diagnosis in Neurology: Anatomy. Physiology. Clinic]. Moscow. IPTS «Vazar-Ferro». 1995: 381 p. (In Russ.).
3. Girotra T., Forrest L, Wuwei F. Pseudobulbar affect after stroke: a narrative review. Topics in Stroke Rehabilitation. 2018; 8(25): 1-7. https://doi.org/10.1080/10749357.2018.1499300
4. FerroJ.,SantosA.Emotionsafterstroke:Anarrativeupdate. InternationalJournal ofStroke.2020;3(15):243-243.https://doi.org/10.1177/1747493019879662
5. Semenova K.A., Mastyukova Ye.M., Smuglin M.Ya. Klinika i reabilitatsionnaya terapiya detskikh tserebral’nykh paralichey [Clinic and rehabilitation therapy for infantile cerebral palsy]. Moscow. 1972: 328 p. (In Russ.).
6. Lorina L.V., Gryaznova P.A. Kliniko-epidemiologicheskiye osobennosti pozdnego debyuta rasseyannogo skleroza [Clinical-epidemiological Characteristics of Late-onset Multiple Sclerosis]. Doctor.Ru. 2018; 1(145): 6-9 (In Russ.).
7. Xiaoping L., Chen F., Chu J., Bao Y. Effects of nape acupuncture combined with swallowing rehabilitation on dysphagia in pseudobulbar palsy. Journal of Traditional Chinese Medicine. 2018; 1(38): 117-124.
8. Akhutina T.V., Varako N.A., Grigor’yeva V.N., Zinchenko Yu.P., Mikadze Yu.V., Skvortsov A.A., Fufayeva Ye.V. Kliniko-psikhologicheskaya diagnostika i re-abilitatsiya patsiyentov s narusheniyami regulyatornykh funktsiy pri povrezhdeniyakh golovnogo mozga: Klinicheskiye rekomendatsii [Clinical and psychological diagnosis and rehabilitation of patients with disorders regulatory functions for brain damage: Clinical recommendations]. Bulletin of Rehabilitation Medicine. 2015; 4(68): 89-100 (In Russ.).
9. Suvorov A.Yu., Ivanova G.Ye., Belkin A.A., Stakhovskaya L.V. Vertikalizatsiya patsiyenta s riskom vozniknoveniya pit-sindroma [Verticalization of a patient with a risk of PIT-syndrome]. Bulletin of Rehabilitation Medicine. 2015; 4(68): 37-39 (In Russ.).
10. Drobyshev V.A., Gerasimenko O.N., Romanovskaya N.S., Vlasov A.A., Shashukov D.A. Effektivnost’ primeneniya dinamicheskoy elektroneyrostimulyatsii v kompleksnom lechenii bol’nykh v ostrom periode ishemicheskogo insul’ta [Efficiency of using dynamic electroneurostimulation in the complex treatment of patients in the acute period of ischemic stroke]. Bulletin of Rehabilitation Medicine. 2016; 2(72): 64-72 (In Russ.).
11. Budonnaya T.V. Logopedicheskaya gimnastika: Metodicheskoye posobiye [Speech therapy gymnastics: Methodological guide]. St. Peterburg. DETST-VO-PRESS. 2000: 64 p. (In Russ.).
12. Amosova N.N., Balashova I.N., Belkin A.A., Zakharov V.O., Zuyeva L.N., Ivanova G.Ye., Kamayeva O.V., Kir’yanova N.M., Mel’nikova Ye.V., Skoromets A.A., Sorokoumov V.A., Staritsyn A.N., Stakhovskaya L.V., Suvorov A.Yu., Shamalov N.A. Diagnostika i lecheniye disfagii pri zabolevaniyakh tsentral’noy nervnoy sistemy. Klinicheskiye rekomendatsii [Diagnosis and treatment of dysphagia in diseases of the central nervous system. Clinical recommendations]. Bulletin of Rehabilitation Medicine. 2014; 4(62): 99 -115 (In Russ.).
13. Petrov K.B., Mitichkina T.V. Lechebnaya gimnastika pri perifericheskikh nevropatiyakh litsevogo nerva v ostrom periode [Medical gymnastics at peripheral neuropathy an facial nerve in the sharp period]. Exercise therapy and massage, sports medicine. 2007; 9(45): 21-27 (In Russ.).
14. Petrov K.B. Kineziterapiya pri postinsul’tnom bul’barnom sindrome [Kinesitherapy for post-stroke bulbar syndrome]. Exercise therapy and massage, sports medicine. 2013; 5(113): 49-56 (In Russ.).
15. Petrov K.B., Mitichkina T.V. Miovistserofastsial’nyye svyazi v traditsionnom i sovremennom predstavlenii [Myoviscero-fascial connections in the traditional and modern view] Novokuznetsk. LLC “Polygraphist”. 2010: 221 p. (In Russ.).
16. Petrov K.B. Nonspecific reflex-muscular syndrome in pathology propulsion system. Part 4: the trigger points [Nonspecific reflex-muscular syndromes in pathology of the motor system. Part 4. Trigger points]. Exercise therapy and massage, sports medicine. 2015; 4(130): 57-61 (In Russ.).
17. Kotelnikova A.V., Kukshina А.А., Russalova М.А. Vzaimosvyaz’ emotsional’nogo vygoraniya vrachey i priverzhennosti k lecheniyu v protsesse medit-sinskoy reabilitatsii [Relations between MD Burnout and Therapy Compliance during Medical Rehabilitation]. Doctor.Ru. 2018; 1(145): 21-26 (In Russ.).

©

Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.