期刊名称：Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health
印刷版ISSN：1224-7359
出版年度：2014
卷号：14
期号：2
页码：394-398
语种：English
出版社：Ovidius University Press
摘要：Aim.Our study presents correlations between brain atrophy measured by CT-scan/MRI images and clinical diagnostics of these patients and the way in which melotherapy modify possible associated depression.Our study consisted of 110 patients admitted to Neurology Department Constanta between January-December 2012 and diagnosed (by means of brain CT-scan/MRI done in the first days from admission) with diffuse brain atrophy in majority of cases and secondary to a neurologic affection.The patients with vascular brain diseases were divided in 2 groups according to their diagnosis: poststroke and post de generative disease.For all patients we performed BECK depression scale and MMSE and for stroke patients NIHSS scale.First group consisted in 60 patients admitted to Neurology Department with first acute stroke.Brain atrophy was revealed by CT/MRI -scan on 1-3 days from admission.We performed Beck depression scale and applied melotherapy correlated with the degree of depression.Clinical evaluation performed:10% patients with minor disability,10% with severe disability 80% of patients was with moderate disability on NIHSS scale.The musical program consisted in 15 minutes three times a day.Presence of brain atrophy in first days from brain stroke shows clear evidence of underling risk factors: arterial hypertension,diabetes mellitus,atrial fibrillation and presence of associated diseases.The results on first group were: 81% of patients older than 61,arterial hypertension present in 79% of cases and 61% cases with cortical atrophy.On the latest Beck scale evaluation we observed an improved depression in 67% of patients after melotherapy.The second group in our study consisted in 50 patients with one or more strokes in their background.On Beck depression scale we identified 30 patients with medium and severe depression and we conducted a musical program consisting in 15 minutes of music three times a day and after melotherapy,we observe an improvement of depression at 20% of patients.Conclusions.Presence of diffuse brain atrophy associated with other diseases rather than cerebral vascular diseases was in correlation with oldness of underling disease.The age is an important factor of risk.Compensatory capacity is highly variable from subject to subject and thus,the relationship between the location and size of vascular brain injury and the severity of cognitive impairment is variable from subject to subject.Further study must clarify the correlation of brain atrophy and prognostic of an ongoing stroke and the role of music in recuperation of patients with brain atrophy.
