22. European Stroke Conference 795 Rehabilitation and reorganisation after stroke The use of virtual reality technology in the rehabilitation of patients with acute cerebral stroke. I.G. Smolentseva1, N.A. Amosova2, O.A. Maslyuk3 Federal medical biophysical center n.a. A.I. Burnazian, Moscow, RUSSIAN FEDERATION1, Federal medical biophysical center n.a. A.I. Burnazian, Moscow, RUSSIAN FEDERATION2, Feder-al medical biophysical center n.a. A.I. Burnazian, Moscow, RUSSIAN FEDERATION3 Introduction. In the last few decades in the world have used virtual reality technology in rehabilita-tion of patients with stroke. However, this method is often used in the rehabilitation of the chronic phase of stroke and upper limb paresis. Materials and methods. The study included 25 patients at 3-20 days after a cerebral stroke (24 pa-tients with ischemic stroke, and 1 patient with hemorrhagic stroke), mean age was 57,1 ± 0,6 years. 18 patients in the control group matched for age, severity of stroke and the time period after a stroke to the main group. Average NIHSS score in the study group was 8,6 ± 4,1 points, and in the control group - 8,1 ± 1,9 points, i.e. most of the patients were with mild to moderate severe stroke. Exclu-sion criteria were: presence of aphasic disturbances, dementia, severe comorbidity, rough pathology of the organs of vision. Design: In the study group of patients used markerless interactive virtual reality rehabilitation system with biofeedback NIRVANA, the control group in a standard rehabilita-tion 766 © 2013 S. Karger AG, Basel Scientific Programme program. Results. Against the background of recovery in the main group of patients had reduced neurologi-cal deficits NIHSS score at 39,1% vs. 24.4% in the control group. 3 months after stroke by 50% (p <0.005) increased Barthel ADL index in the study group, and 41,1% (p <0.05) in the control group. In addition, in the study group was significantly was a decrease anxiety, apathy and improved psy-chomotor functions. The motivation for the rehabilitation of the patients in the study group was higher than in controls. Conclusion. The use of specially designed programs NIRVANA allowed to work on a comprehen-sive post stroke motor, affective, and cognitive impairment. 796 Rehabilitation and reorganisation after stroke Language impairment in right hemisphere (RH) stroke patients : A group study in short re-habilitation S.M. Deme1, N.C. Hreniuc2, D.C Jianu3, D.S. Ioncu4, St. Kory-Calomfirescu5 “Vasile Goldis” Western University of Arad, Arad, Romania, Faculty of Medicine, Arad, RO-MANIA1, “Vasile Goldis” Western University of Arad, Arad, Romania, Faculty of Medicine, Arad, ROMANIA2, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania,, Timiso-ara, ROMANIA3, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania,, Ti-misoara, ROMANIA4, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Ro-mania,, Cluj-Napoca, ROMANIA55 Background: Patients with right hemisphere damage had difficulty in interpreting abstract language, such as metaphors, or responding to humor appropriately. There is evidence that the RH is selec-tively involved in processing negative emotions, pessimistic thoughts and unconstructive thinking styles. Methods: Semantic aspects of language were examined in 35 patients with cardiogenic brain embo-lism criteria in RH stroke admitted in the Arad Neurology Clinic during 2010–2012 and 35 nonvas-cular depressive patients. We used NIHSS scale , CT-scan/MRI , the Right Hemisphere Language Battery ,Hamilton test and Minimental State (MMSE) for evaluating and compare language distur-bance. Results: The mean age was 64.2+/-3.68 yrs at stroke patients and 54+/-6.7 yrs at depressive patients. RH stroke patients presented a major hemispheric ischemic stroke syndrome in the territory of the middle cerebral artery (MCA), NIHSS mean >/=13.8, the MRI showed hyper T2 lesions primarily in the MCA territory, in all stroke cases. Only two language tests differed significantly: Metaphor picture poorer for the RH stroke cases; P<0.005, CI95%, and discourse analysis poorer for RH stroke cases; P< 0.04 CI95%. Conclusion: We find a possible correlation between similarities in behavior of the RH stroke pa-tients in short rehabilitation and the patterns of nonvascular depressed patients but the difficulty of discourse analysis techniques and the persistent problems of conversations after 6 weeks give the functional outcome . The cognitive and pragmatic problems may impact the overall ability to com-municate effectively.
Karger_ESC London_2013
To see the actual publication please follow the link above