Neurophysiological Parameters in Patients after Coronary Bypass Grafing Depending on the Success of Rehabilitation Using the Dual Task Method

D. S. Kupriyanova; Куприянова Д. С.; I. V. Tarasova; Тарасова И. В.; O. A. Trubnikova; Трубникова О. А.; A. S. Sosnina; Соснина А. С.; I. N. Kukhareva; Кухарева И. Н.; I. D. Syrova; Сырова И. Д.; O. L. Barbarash; Барбараш О. Л.

doi:10.31857/S0131164622600641

Neurophysiological Parameters in Patients after Coronary Bypass Grafing Depending on the Success of Rehabilitation Using the Dual Task Method

Authors: Kupriyanova D.S.¹, Tarasova I.V.¹, Trubnikova O.A.¹, Sosnina A.S.¹, Kukhareva I.N.¹, Syrova I.D.¹, Barbarash O.L.¹
Affiliations:
1. Research Institute of Complex Issues of Cardiovascular Diseases
Issue: Vol 49, No 2 (2023)
Pages: 18-26
Section: Articles
URL: https://rjmseer.com/0131-1646/article/view/663977
DOI: https://doi.org/10.31857/S0131164622600641
EDN: https://elibrary.ru/MTRCEU
ID: 663977

Cite item

Full Text

Open Access
Restricted Access

Access granted
Restricted Access

Subscription Access

Abstract

The impact of cognitive rehabilitation using the method of dual tasks on the neurophysiological parameters of patients with postoperative cognitive dysfunction (POCD) in the early postoperative period of coronary artery bypass grafting (CABG) under cardiopulmonary bypass was analyzed. The study included 96 male CABG patients. All the patients underwent a detailed neuropsychological and electroencephalographic study before and after CABG. At 2–3 days after surgery, POCD was diagnosed all patients, and they were randomly divided into two groups: with training (n = 54) and without training (n = 42). Starting from 3–4 days of the postoperative period, a daily course of cognitive training was carried out using a dual task (simultaneous performance of the cognitive and physical components). The POCD diagnosis was repeated at the end of the training course (8–11 days). It was found that patients who successfully completed the training (with no POCD at 8–11 days) demonstrated a decrease of the theta-1 power, while in all patients with POCD these indicators increased compared to preoperative data. The topographic features of theta1 rhythm changes were found in the left parietal areas of the cortex, which may indicate impaired perfusion in these regions of the brain.

Keywords

cognitive rehabilitation, EEG, coronary artery bypass grafting, dual task method, postoperative cognitive dysfunction.

References

Talamonti D., Vincent T., Fraser S. et al. The Benefits of Physical Activity in Individuals with Cardiovascular Risk Factors: A Longitudinal Investigation Using fNIRS and Dual-Task Walking // J. Clin. Med. 2021. V. 10. № 4. P. 579.
De Vito A., Bernstein J., Weitzner D. et al. The Effects of Cardiovascular Risk Factors on Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Performance in Cognitively Healthy Older Adults // Arch. Clin. Neuropsychol. 2021. V. 36. № 2. P. 165.
Zhao E., Lowres N., Woolaston A. et al. Prevalence and patterns of cognitive impairment in acute coronary syndrome patients: A systematic review // Eur. J. Prev. Cardiol. 2020. V. 27. № 3. P. 284.
Трубникова О.А., Тарасова И.В., Барбараш О.Л. Нейрофизиологические механизмы и перспективы использования двойных задач в восстановлении когнитивных функций у кардиохирургических пациентов // Фундаментальная и клиническая медицина. 2020. Т. 5. № 2. С. 101. Trubnikova O.A., Tarasova I.V., Barbarash O.L. [Neurophysiological mechanisms and perspective for the use of dual tasks inrecovering cognitive function after cardiac surgery] // Fundamental and Clinical Medicine. 2020. V. 5. № 2. P. 101.
Tang V.L., Jing B., Boscardin J. et al. Association of Functional, Cognitive, and Psychological Measures With 1-Year Mortality in Patients Undergoing Major Surgery // JAMA Surg. 2020. V. 155. № 5. P. 412.
Relander K., Hietanen M., Rantanen K. et al. Postoperative cognitive change after cardiac surgery predicts long-term cognitive outcome // Brain Behav. 2020. V. 10. № 9. P. e01750.
Ludyga S., Gerber M., Pühse U. et al. Systematic review and meta-analysis investigating moderators of long-term effects of exercise on cognition in healthy individuals // Nat. Hum. Behav. 2020. V. 4. № 6. P. 603.
Greaves D., Psaltis P., Davis D. et al. Risk Factors for Delirium and Cognitive Decline Following Coronary Artery Bypass Grafting Surgery: A Systematic Review and Meta-Analysis // J. Am. Heart Assoc. 2020. V. 9. № 22. P. e017275.
Bech S.R., Kjeldgaard-Man L., Sirbaugh M.C. et al. Attentional Capacity during Dual-task Balance Performance Deteriorates with Age before the Sixties // Exp. Aging Res. 2021. V. 48. № 1. P. 86.
Akin H., Senel A., Taskiran H., Kaya Mutlu E. Do motor-cognitive and motor-motor dual task training effect differently balance performance in older adults? // Eur. Geriatr. Med. 2021. V. 12. № 2. P. 371.
Gallou-Guyot M., Mandigout S., Combourieu-Donnezan L. et al. Cognitive and physical impact of cognitive-motor dual-task training in cognitively impaired older adults: An overview // Neurophysiol. Clin. 2020. V. 50. № 6. P. 441.
Cisneros E., Beauséjour V., de Guise E. et al. The impact of multimodal cognitive rehabilitation on executive functions in older adults with traumatic brain injury // Ann. Phys. Rehabil. Med. 2021. V. 64. № 5. P. 101559.
Sarasso E., Agosta F., Piramide N. et al. Brain activity of the emotional circuit in Parkinson’s disease patients with freezing of gait // Neuroimage Clin. 2021. V. 30. P. 102649.
Johansson H., Ekman U., Rennie L. et al. Dual-Task Effects During a Motor-Cognitive Task in Parkinson’s Disease: Patterns of Prioritization and the Influence of Cognitive Status // Neurorehabil. Neural Repair. 2021. V. 35. № 4. P. 356.
Тарасова И.В., Трубникова О.А., Кухарева И.Н., Барбараш О.Л. Методические подходы к диагностике послеоперационной когнитивной дисфункции в кардиохирургической клинике // Комплексные проблемы сердечно-сосудистых заболеваний. 2015. № 4. С. 73. Tarasova I.V., Trubnikova O.A., Kukhareva I.N., Barbarash O.L. [Methodological approaches to the diagnosis of postoperative cognitive dysfunction in cardiac surgery clinic] // Complex Issues of Cardiovascular Diseases. 2015. № 4. P. 73.
Тарасова И.В., Вольф Н.В., Куприянова Д.С и др. Изменения вызванной синхронизации/десинхронизации электрической активности коры мозга у кардиохирургических пациентов с послеоперационной когнитивной дисфункцией // Сибирский научный медицинский журн. 2021. Т. 41. № 2. С. 12. Tarasova I.V., Volf N.V., Kupriyanova D.S. et al. [Сhanges in event-related synchronization/desynchronization of brain electric activity in cardiosurgical patients with postoperative cognitive dysfunction] // Siberian Scientific Med. J. 2021. Т. 41. № 2. P. 12.
Schumacher J., Taylor J.P., Hamilton C.A. et al. Quantitative EEG as a biomarker in mild cognitive impairment with Lewy bodies // Alzheimers Res. Ther. 2020. V. 12. № 1. P. 82.
Benwell C.S.Y., Davila-Pérez P., Fried P.J. et al. EEG spectral power abnormalities and their relationship with cognitive dysfunction in patients with Alzheimer’s disease and type 2 diabetes // Neurobiol. Aging. 2020. V. 85. P. 83.
Жаворонкова Л.А., Шевцова Т.П., Морареску С.И. и др. Интракортикальные связи при выполнении двойных задач – моторных и счетно-логических или пространственно-образных // Физиология человека. 2019. Т. 45. № 2. С. 16. Zhavoronkova L.A., Shevtsova T.P., Moraresku S.I. et al. Intracortical connections in dual tasks including motor and computing – logical or spatial–visual components // Human Physiology. 2019. V. 45. № 2. P. 126.
Fallahtafti F., Boron J.B., Venema D.M. et al. Task specificity impacts dual-task interference in older adults // Aging Clin. Exp. Res. 2021. V. 33. № 3. P. 581.
Ghai S., Ghai I., Effenberg A.O. Effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis // Clin. Interv. Aging. 2017. V. 12. P. 557.
Ljubisavljevic M.R., Oommen J., Filipovic S. et al. Effects of tDCS of Dorsolateral Prefrontal Cortex on Dual-Task Performance Involving Manual Dexterity and Cognitive Task in Healthy Older Adults // Front. Aging Neurosci. 2019. V. 11. P. 144.
Li K.Z.H., Bherer L., Mirelman A. et al. Cognitive Involvement in Balance, Gait and Dual-Tasking in Aging: A Focused Review From a Neuroscience of Aging Perspective // Front. Neurol. 2018. V. 9. P. 913.