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METHOD COMPLEX REHABILITATION OF PATIENTS WITH CENTRAL spastic paresis UPPER LIMB

机译：上肢中央痉挛性轻瘫患者的综合治疗方法

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FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to neurology, and can be used in complex rehabilitation of the patients with central spastic paresis of upper extremities. For this purpose, first under block anaesthesia of branches of a brachial plexus, hand bracing is performed from an axillary approach. In bracing, a rigid bandage is applied to a level of the lower one-third of forearm 2 cm higher than a wrist joint. It is followed with physioprocedures every 15-30 minutes in the following order: paraffin-ozokerite applications or cryotherapy during 20 min, electrical myostimulation of extensor muscles of hand and fingers, massage of the affected extremities, physiotherapy exercises, mirror therapy. Thereafter, the hand is placed in the brace and fixed with an elastic bandage. The bracing time is 3-4 hours 1-2 times a day. A number of the physioprocedures of each type makes 15-20 procedures in the course. The bracing period is 3 weeks to 3 months, and the brace is used till muscle tone recovery, and also active finger extension. For one year after the suffered stroke, the rehabilitation courses are repeated for 3-4 times a year, further the therapeutic courses are performed 2 times a year.;EFFECT: method allows ensuring considerable recovery of motor functions disordered by a local brain damage and activation of neuroplasticity mechanisms of the central nervous system for a shorter period of time in the given category of patients due to optimal selection of a therapeutic regimen and more effective bracing.;2 ex
机译：技术领域本发明涉及医学，即神经病学，可用于上肢中央痉挛性轻瘫患者的复杂康复。为此，首先在臂丛神经分支的阻滞麻醉下，从腋窝入路进行手撑。在支撑中，将刚性绷带应用到比腕关节高2 cm的前臂下三分之一的位置。随后按以下顺序每15-30分钟进行一次物理操作：在20分钟内应用石蜡-石蜡或冷冻疗法，手和手指伸肌的肌电刺激，对患肢的按摩，理疗练习，镜面疗法。之后，将手放在支架中并用弹性绷带固定。支撑时间为3-4小时，每天1-2次。在此过程中，每种类型的许多物理过程都需要进行15到20个程序。支撑期为3周至3个月，并一直使用直至肌肉恢复，并且手指主动伸展为止。中风后的一年内，每年重复进行3-4次康复课程，每年还进行两次疗程。效果：该方法可确保因局部脑损伤和由于治疗方案的最佳选择和更有效的支撑，在给定类别的患者中，中枢神经系统的神经可塑性机制在较短的时间内被激活。2ex

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