Problem of cognitive and motor impairment in dementia
Abstract
The combination of Alzheimer’s disease in vascular dementia leads to an increase of cognitive impairment and ataxia and worsens prognosis. Translingual neurostimulation has been used to improve dynamic and static balance and gait of several years. A non-pharmacological intervention program for symptoms of dementia can help for neuropsychiatric symptoms. To study the dynamics of cognitive impairment and the quality of life of patients with mixed dementia, depending on the methods of patient care. Methods: Cohort study of 80 cases, from March 2019 to January 2020, moderate and severe cognitive impairment and previously established diagnoses of chronic cerebrovascular ischemia (without any notes about dementia). The quality of life (EQ‑5D VAS) increased in the group 1 in 100 % of cases 23 ± 4.7 points. In the group 2, changes in the quality of life were not statically significant, the average value decreased by 2±0.7 points (p=0,73). The improvement in the stabilometry was confirmed by a statically significant improvement in the mean values of Berg balance scale and dynamic gait index. The use of translingual neurostimulation (PoNS ™) with physical exercises under the control of stabilometry with biofeedback system (H. M otion Lab ™) in patients with high risk of falling can improve gait and balance, including patient with dementia.
About the Authors
A. V. Borisov
Multidisciplinary Rehabilitation Centre «Sputnik in Komarovo»
Russian Federation
Russian Federation
Saint Petersburg
E. M. Vyazgina
Multidisciplinary Rehabilitation Centre «Sputnik in Komarovo»
Russian Federation
Russian Federation
Saint Petersburg
N. E. Ivanova
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation
Russian Federation
Saint Petersburg
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Review
For citations:
Borisov A.V., Vyazgina E.M., Ivanova N.E. Problem of cognitive and motor impairment in dementia. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(2):24-28. (In Russ.)
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