Theoretical Foundations of Psychological and Physical Rehabilitation of Patients with Ischemic Stroke

Kharchenko, Yevhen; Комарніцька, Людмила

doi:10.32626/2227-6246.2021-52.275-298

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Also the mechanism of stuttering began to be considered, based on the teachings of I. Pavlov on the higher nervous activity of a man and, in particular, on the mechanism of neurosis . At the same time, some researchers considered stuttering as a main symptom of neurosis (Corbitt, Malone, Haas & Mann, 1996), others -as a special form of it (Kharchenko & Komarnitska, 2021). But in both cases, these complex mechanisms of the development of logoneurosis are identical to the mechanisms of the development of neuroses in general.…”

Section: Results and Their Discussionmentioning

confidence: 99%

The Causes of Logoneurosis in Childhood

Kharchenko

Zavadska

2022

Problems of Modern Psychology

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The purpose of our research is to develop the problem of stuttering in the psychological aspect to reveal its genesis, to understand the behavior of people who stutter in the process of communication, to identify their individual psycho-logical characteristics.research methods. The research methods were the method of observation and the empirical study of patients. The place of organizing the empirical stage of our research was the psychiatric hospital No 1 in Kyiv. With the help of clinical, pathopsychological and anamnestic methods 86 children at the age 312 years old (the average age is 8 ± 0.5 years old) with logoneurosis in anamnesis were diagnosed.the results of the research. The pathogenesis of stuttering is studied and those who stuttered are noted to have various autonomic changes. 84% of peo-ple who stuttered are considered to have autonomic dystonia. Among 98% of people who suffered from logoneurosis, 20% had a high intracranial pressure and extrapyramidal disorders. It is studied that those people who stuttered were born with vasoneurotics. It was quite objectively showed a change in the neu-rovegetative response in those ones who stuttered during seizures: in 100% of cases there was dilation of the pupils (mydriasis), while in a case of people who spoke correctly, the width of the pupils during speech did not change or there was some narrowing (miosis).conclusions. The reasons of logoneurosis are: neuropathic burden of par-ents (nervous, infectious and somatic diseases that weaken or disrupt the func-tions of the central nervous system); neuropathic features of a stuttering person (night terrors, enuresis, irritability, emotional tension); constitutional predisposi-tion (diseases of the autonomic nervous system and increased susceptibility to higher nervous activity, its special predisposition to mental trauma); hereditary burden; brain damage in different periods of the personal development.

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Section: Results and Their Discussionmentioning

confidence: 99%

The Causes of Logoneurosis in Childhood

Kharchenko

Zavadska

2022

Problems of Modern Psychology

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“…In Kyiv, according to the Ambulance Service, 50-60 strokes have been registered daily in recent years. At the same time, disability after a stroke is 3,2% of cases per 10,000 population, no more than 17,2% of people return to their main place of work, and full physical rehabilitation, according to sociological data, is achieved in only 12% of cases (Kharchenko & Komarnitska, 2021; Mykhalchuk, Pelekh, Kharchenko, Ivashkevych Ed., Ivashkevych Er., Prymachok, Hupavtseva & Zukow, 2020).…”

Section: Introductionmentioning

confidence: 99%

Methods of Physical Rehabilitation of Patients With Ischemic Stroke

Mykhalchuk¹,

Kharchenko²,

Ivashkevych³

et al. 2023

Health & Education

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The purpose of our research is to develop and justify the functional method of using physical rehabilitation tools in restoring the motor functions of patients with ischemic stroke in the area of the internal carotid artery, taking into account the psychological state of the patient, the ontogenetic features of the restoration of his/her postural and dynamic functions, and the biomechanical laws of the formation of compensatory changes in the motor system of the individual. Research methods. In the system of measures for physical rehabilitation of patients with ischemic stroke, one of the most important points it is control of the patient’s level of adaptation capabilities. Risk factors from the side of the cardiovascular system are: the degree of atherosclerosis, arterial hypertension, especially the increase in blood pressure over 200 mm Hg. art and diastolic is – more, than 110 mm Hg. art, increased blood viscosity, blood pressure fluctuations, for example, with heart rhythm disorders. Patients, having been included into the research, were selected by the method of randomization using a Table of random numbers (Paired Design Technology was used by us). Patients of the control group received a complex of rehabilitation measures using physical exercises (according to the classical method, proposed by us. To assess the psychological status of the patient, the eight-color test of M. Lüscher was used. The results of the research. According to all patients of the experimental and control groups, during the entire period of inpatient treatment, the following data were analyzed daily: well-being, frequency and nature of pain sensations, other complaints (shortness of breath, palpitations, sleep and mood disorders, tolerability of restorative treatment procedures). A clinical, functional and psychological examination was conducted for all patients before and after the complex rehabilitation course. Conclusions. The study of the initial state of voluntary motility of ischemic stroke patients at the beginning of the physical rehabilitation course showed the presence of disorders of static and dynamic motor function of the arm, leg, coordinated action of the arms and legs, head, trunk, but quite different in their explanation in the studied groups of patients. The state of motor functions of patients with ischemic stroke is characterized in such a way: on the affected side, the maximum values of the volume of active and passive movements of strength and muscle tone are diagnosed in the “hemiparesis” subgroup, the smallest one – is in the “hemiplesia” subgroup. On the side of the lesion lacuna, the most pronounced muscle strength and tone are diagnosed in the subgroup “hemiparesis”, the largest amount of active and passive movements, in turn, there are in the subgroup “plesia + paresis”, “hemiparesis”.

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Theoretical Foundations of Psychological and Physical Rehabilitation of Patients with Ischemic Stroke

Cited by 2 publications

References 3 publications

The Causes of Logoneurosis in Childhood

The Causes of Logoneurosis in Childhood

Methods of Physical Rehabilitation of Patients With Ischemic Stroke

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