Issue 1-20, 2021

Original article

https://doi.org/10.38025/2078-1962-2021-20-1-84-95

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

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1 ORCIDKonstantin 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

FUNDING: 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


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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.