Open AccessThe Experience of Using the Original Complex of Physiotherapy Exercises and Electrical Stimulation during Rehabilitation of the Patient with Pseudobulbar Paralysis
Author(s) -
K.B. Petrov
Publication year - 2021
Publication title -
vestnik vosstanovitelʹnoj mediciny
Language(s) - English
Resource type - Journals
eISSN - 2713-2625
pISSN - 2078-1962
DOI - 10.38025/2078-1962-2021-20-1-84-95
Subject(s) - pseudobulbar palsy , physical medicine and rehabilitation , medicine , physical therapy , paralysis , massage , electrotherapy , rehabilitation , dysphagia , kinesitherapy , hydrotherapy , psychology , surgery , alternative medicine , pathology
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.