Том 9, брой 2 - 2013/ Vol. 9, No. 2 - 2013

D. Vasileva 1, D. Lubenova 2
1 University Goce Delchev, Faculty of Medical Sciences – Stip, Former Yugoslav Republic of Macedonia,
2 National Sports Academy Vassil Levski – Sofia, Bulgaria

Objective: To investigate the influence of the specialized physical therapy on functional independence and to compare the impact of usual physical therapy in patients with ischemic stroke in the chronic period.

Material and Methods: The study included 10 patients / 6 in the experimental and 4 in the control group, 6 men and 4 women with chronic right-sided and left-sided hemiparesis after ischemic stroke within 3 months. Subjects were evaluated on performance test of functional independence / FIM / at the beginning, of the 10th day, 1st month and 3 months.

K. Grigorova-Petrova, D. Lubenova, A. Dimitrova
National Sports Academy Vassil Levski – Sofia, Bulgaria

Objective: To study the effect of application of the feedback breathing device and therapeutic exercises on motor deficits and respiratory disorders in patients with ischemic stroke.

Material and Methods: Ten patients (NIHHS – up to 14 points, Glasgow-Liege scale – 20 points) with acute ischemic stroke were studied. Changes of trunk control (Trunk Kontrol Test), pulmonary function (spirometry), inspiratory capacity (feedback breathing device for inspiratory training) were measured before and after physical therapy program.

A. Ryazantseva, V. Alifirova, N. Brazovskaya, A. Pribilskaya
SibGMU – Tomsk, Russia

Objective: Correction of motor disorders in patients with multiple sclerosis using biofeedback training.

Materials and Methods: The study involved 9 patients with a documented diagnosis of MS with pyramidal and cerebellar symptoms. In 5 (55.5%) patients diagnosed with remitting type of the disease (RRMS) in 4 (44.5%) – secondary progressive (SPMS). Disease duration 14,5 ±5,2 years, in 4 patients (44.5%) are dominated by the pyramidal disorders, 2 patients (22.2%) – cerebellar disorders, equal severity - in 3 patients (33.3%).

A. Dimitrova, D. Lubenova, Kr. Grigorova-Petrova
National Sports Academy Vassil Levski – Sofia, Bulgaria

Objective: The purpose of the survey is to study the effect of two physical therapy (PT) programs in patients with Parkinson’s disease (PD).

Material and Methods: Two groups of patients suffering from PD were studied. Each group consists of 8 subjects. In the first group A exercises in open kinetic chain were applied. In the second group B exercises in closed kinetic chain were applied. Both groups participated in 25 PT exercise sessions.

G. Kossekova, T. Monova
Department of Medical Chemistry and Biochemistry, Medical Univercity – Sofia, Bulgaria

Objective: To facilitate implementation of problem-solving oriented e-learning, the aim is to develop a Web-based interactive clinical case with a virtual patient with Parkinson's disease to be solved by the Bulgarian and English speaking preclinical medical students at the Medical University of Sofia.

D. Reznikov
Moscow State University of Medicine and Dentistry – Moscow, Russia

Objective: Identify, describe and make a list of artifacts that are caused by a wide range of electromagnetic radiation: from 3 to 3000 MHz.

Materials and Methods: Original method of research (has no analogues in clinical practice) has been developed.
Nihon Kohden donates equipment for research; Volynskaya Bolnica Hospital #1 of the Department for Presidential Affairs of the Russian Federation provides support in the format of advisers and equipment; Center of Speech Pathology and Neurorehabilitation provides support in the format of advisers; The Ministry of Education and Science of the Russian Federation provides administrative support.

B. Ralcheva 1, K. Hadjolyan 1, S. Andonova-Atanasova 2

1 Medical University – Varna,
2 Second Clinic of Neurology, University Hospital St. Marina – Varna, Bulgaria

(Student Presentation)

M. Del Sette 1, S. Ricci 2, E. Giorli 1, M. Cotroneo 3
1 Neurology Unit – La Spezia, Italy,
2 Stroke Unit – Città di Castello, Italy,
3 Department of Neurology University of Messina – Messina, Italy

Objective: sonothrombolysis (ST) can increase the penetration of circulating tPA into the thrombus, promote the breaking and cleaving of the fibrin polymers, and improve the binding affinity of tPA to fibrin. A recent Cochrane Review of all the randomized studies published on ST reported significantly more recanalizations and better clinical outcome, with no effect on mortality. The ultras study is a pilot study aiming at defining efficacy of ST in acute ischemic stroke.

J. Powers 1, R. Seip 2, W. Shi 2
1 Philips Ultrasound, Bothell – WA, USA, 
2 Philips Research, Briarcliff – NY, USA

For many years existing ultrasound devices have been used for sonothrombolysis (STL) research in-vitro, in animals, and even in humans. These have included laboratory transducers, physiotherapy devices, and diagnostic ultrasound systems.

F. Tranquart 1, B. Petit 1,2, E. Bihel 1, Y. Bohren 1, F. Yan 1, E. Allemann 2, M. Arditi 1, J. M. Hyvelin 1
1 BRACCO SUISSE SA – Plan Les Ouates, Switzerland, 
2 School of Pharmaceutical Sciences, University of Geneva, University of Lausanne – Geneva, Switzerland

Rapid restoration of vascular flow is the primary goal of acute stroke treatment, while improvement in patient’s outcome is the ultimate benefit of such treatments. Among different treatment schemes, sonothrombolysis has been used in in vitro tests, in preclinical trials and to a lesser extent in clinical trials, even though the exact underlying mechanism has not been fully clarified.

M. Siebler
Mediclin / Essen Kettwig, Department of Neurorehabilitation / University of Duesseldorf – Essen, Germany

In this tutorial, we demonstrate physical principles, which are relevant in the practical routine in ultrasound diagnostics. Beside the interaction of ultrasound with the tissue, basics of the effects of frequency, propagation velocity, pulse repetition frequency, scattering and beam formation are illustrated.

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