CLINICAL AND NEUROPHYSIOLOGICAL PECULIARITIS OF MOTOR DEFICIT AND CORRECTION OF COGNITIVE DISORDERS IN CEREBRAL ISCHEMIC HEMISPHERIC POST-STROKE PATIENTS

Cerebral strokes often lead to severe consequences, such as motor disorders and dysfunctions of higher cerebral functions that affect the quality of life. Well-timed diagnosis and correction of the motor and cognitive disorders helps to improve the neurorehabilitation program for post-stroke patients. A total of 45 patients with hemispheric ischemic stroke were examined using a comprehensive approach that included clinical-neurological assessment, neurophysiological testing, and psychodiagnostic evaluation. The following standardized scales were employed: the National Institutes of Health Stroke Scale (NIHSS), Action Research Arm Test (ARAT), Modified Ashworth Scale (MAS), Montreal Cognitive Assessment (MoCA), and the Hospital Anxiety and Depression Scale (HADS). The study revealed an increase in the number of patients presenting with mild to moderate motor deficits, alongside a decrease in those with moderate to severe motor impairments, following complex therapy that included Bilobil Intense. Central motor neuron damage was indicated by significant alterations in electroneuromyographic parameters, particularly reductions in the amplitude of the M-response and H-reflex. At 12 months post-stroke, a progression of cognitive impairment as well as symptoms of anxiety and depression was observed. Furthermore, the severity of motor deficits showed a positive correlation with the intensity of anxiety-depressive symptoms.