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Title: Experience of using triple therapy in cognitive impairments in post-stroke patients

Abstract

Introduction: Post-stroke cognitive impairment is a decline in memory, attention, and intellect caused by a stroke and manifesting within three months afterward. The main symptoms include memory deterioration, rapid mental fatigue, difficulty shifting attention, and a reduced ability to generalize and analyze. To evaluate the effectiveness of using a tDCS device for cognitive impairments in patients who have suffered a stroke in the acute period.

Materials and Methods :A total of 54 patients with acute cerebrovascular accident were examined. All patients were divided into 2 groups. The first group included 25 patients, and the second group included 29 patients. The examination was conducted according to the Mini-Cog test, both before and after treatment. The first group consisted of patients who were prescribed a TDS device for 10 days, with sessions lasting 10-15 minutes. The second group included patients who received only neuro-correction using the Montessori method. After completing the treatment course, a follow-up control examination was conducted according to the Mini-Cog test (used by doctors worldwide. It is conducted as follows: 1. Ask the patient to remember and repeat after you the following words: Forest, Bread, Window, Chair, Water. 2. Then ask them to draw a clock inside a circle with the hands showing 11:10 ('Clock Drawing Test'). 3. After that, ask them to recall the words they memorized).

 Results: After a 10-day course of treatment, the following results were obtained: in the first group of patients, cognitive skills improved by 45%, and according to the MiniCog test, logical thinking and concentration increased by 35%. The sensory sphere recovered by 38%, unlike in the second group, which underwent neurocorrection using the Montessori method, where cognitive skills improved by only 15%. In the first group, 10 patients fully regained concentration, whereas in the second group, this number was only 5 people.

Conclusions: As a result of the conducted study, it was found that the use of a TDS device as part of 'Triple Therapy' in the neurorehabilitation of post-stroke patients has a positive effect and significantly improves cognitive skills, which further prevents the risk of developing dementia and other diseases.