An integrated rehabilitation approach for cognitive impairments following cerebral infarction

Keywords: cognitive impairment, rehabilitation, elderly, cerebral infarction, metabolism

Abstract

Introduction. The evolving social and cultural landscape necessitates the development of innovative rehabilitation methods to enhance cognitive recovery in elderly patients following cerebral infarction. Aims: to evaluate the efficacy of novel rehabilitation methods to enhance cognitive recovery in elderly patients following cerebral infarction. Materials and methods. The authors propose a rehabilitation protocol supplementing standard therapeutic measures with daily exercise sessions in hypoxic-hypercapnic settings (20 min/session, 30 days, gas concentrations: CO2 – 7%, O2 – 14%). Results. The proposed integrative rehabilitation program, combining standard therapeutic measures with daily exercise sessions in hypoxic-hypercapnic settings, is a promising approach for cognitive rehabilitation in elderly patients following cerebral infarction. A personalized protocol proved particularly effective in addressing individual patient needs. Conclusion. The proposed integrative rehabilitation program established an appropriate foundation for preserving cognitive functions, including speech, memory, attention, and other domains, by enhancing cerebral circulation and metabolic activity in the brain

Downloads

Download data is not yet available.

Author Biographies

S. N. Shilov , Krasnoyarsk State Pedagogical University named after V.P. Astafiev (89 Ada Lebedeva St., Kras-noyarsk, 660049, Russia)

Doctor of Medical Sciences, Professor, Professor of the Department of Correctional Pedagogy, Institute of Social and Humanitarian Technologies

E. A. Chereneva , Krasnoyarsk State Pedagogical University named after V.P. Astafiev (89 Ada Lebedeva St., Kras-noyarsk, 660049, Russia)

Doctor of Psychological Sciences, Head of the Department of Special Psychology, Institute of Social and Humanitarian Technologies

O. L. Belyaeva , Krasnoyarsk State Pedagogical University named after V.P. Astafiev (89 Ada Lebedeva St., Kras-noyarsk, 660049, Russia)

Candidate of Pedagogical Sciences, Associate Professor, Head of the Department of Correctional Pedagogy, Institute of Social and Humanitarian Technologies

A. V. Zharova , Krasnoyarsk State Pedagogical University named after V.P. Astafiev (89 Ada Lebedeva St., Kras-noyarsk, 660049, Russia)

Senior Lecturer, Department of Correctional Pedagogy, Institute of Social and Humanitarian Technologies

References

1. Efremova D.N. Remote technologies of rehabilitation of cognitive functions of elderly people. Sovremennaya terapiya v psikhiatrii i nevrologii = Modern therapy in psychiatry and neurology. 2019;3-4:16–21. (in Russ).
2. Efremova D.N. Modern approaches to development of programs for rehabilitation of cognitive functions for elderly in conditions of treatment in centre of neurology with rehabilitation treatment. Meditsinskii alfavit = Medical alphabet. 2018;3(32):40–41. (in Russ.).
3. Campochiaro P.A. Molecular pathogenesis of retinal and choroidal vascular diseases. Progress in Retinal and Eye Research. 2015;49:67–81. DOI: 10.1016/j.preteyeres.2015.06.002
4. Douglas R.M., Bowden K., Pattison J. et al. Intermittent hypoxia and hypercapnia induce pulmonary artery atherosclerosis and ventricular dysfunction in low density lipoprotein receptor deficient mice. Journal of Applied Physiology. 2013;115(11):1694–704. DOI: 10.1152/japplphysiol.00442.2013.
5. Miyamura M., Ishida K., Katayama K. et al. Cardiorespiratory responses to hypoxia and hypercapnia at rest in vocalists. The Japanese Journal of Physiology. 2003;53(1):17–24. DOI: 10.2170/jjphysiol.53.17.
6. Vagaytseva K.V., Bocharova A.V., Marusin A.V. et al. Development of Multiplex Genotyping Method of Polymorphic Markers of Genes Assoсiated with Cognitive Abilities. Genetika = Genetics. 2018;54(6):719–726. (in Russ.). DOI: 10.7868/S0016675818060139
7. Alekseeva T.M., Kovzelev P.D., Topuzova M.P. Hypercapnic-hypoxic respiratory training as a method of post-conditioning in stroke suvivors. Arterialnaya gipertenziya = Arterial Hypertension. 2019;25(2):134–142. (in Russ.) DOI: 10.18705/1607-419X-2019-25-2-134-142
8. Murik S.E. Omegaelectroencephalography: Formation History and Diagnostic Capabilities of the New Method in Electrophysiology. Izvestiya Irkutskogo gosudarstvennogo universiteta. Seriya Biologiya. Ekologiya = The Bulletin of Irkutsk State University. Series Biology. Ecology. 2018;26:69–85. (in Russ.). DOI: 10.26516/2073-3372.2018.26.69
9. Gribanov A.V., Deputat I.S. The DC Potential of the Brain in Older Women Circumpolar Region. Fiziologiya cheloveka = Human Physiology. 2015;41(3):134–136. (in Russ.). DOI: 10.7868/S0131164615030066
10. Wilson M.H., Imray C.H. The cerebral venous system and hypoxia. Journal of Applied Physiology. 2016;120(2):244–250. DOI: 10.1152/japplphysiol.00327.2015
11. Back SA. Brain Injury in the Preterm Infant: New Horizons for Pathogenesis and Prevention. Pediatric Neurology. 2015;53(3):185–192. DOI: 10.1016/j.pediatrneurol.2015.04.006
12. Kulikov V.P., Bespalov A.G., Yakushev N.N. Effectiveness of training with hypercapnic hypoxia in the rehabilitation of ischemic brain damage in an experiment. Vestnik vosstanovitelnoi meditsiny = Bulletin of Restorative Medicine. 2008;2:59–61. (in Russ.).
13. Aghajanyan N.A., Stepanov O.G., Arkhipenko Yu.V. Adaptation to hypoxia as a method of treatment and prevention of lesions of the gastric and duodenal mucosa. Byulleten eksperimentalnoi biologii i meditsiny = Bulletin of Experimental Biology and Medicine. 2001;132(9):358–360. (in Russ.).
14. Fokin V.F., Ponomareva N.V. Energeticheskaya fiziologiya mozga [Energy physiology of the brain]. Moscow. Antidor Publ. 2003:288. (in Russ.).

References on translit

-
Published
2025-04-01
How to Cite
Shilov, S., Chereneva, E., Belyaeva, O., & Zharova, A. (2025). An integrated rehabilitation approach for cognitive impairments following cerebral infarction. Psychology. Psychophysiology, 18(1), 98-104. https://doi.org/10.14529/jpps250109
Section
Psychophysiology