Restoration of cerebral circulation disorders

Learn how the Bubnovsky method effectively restores cerebral circulation without drugs. 3-month rehabilitation programme for strokes, dizziness, VSD and cervical osteochondrosis. Real results, individual approach. Sign up for a free consultation!

Treatment of cerebral circulatory disorders in the rehabilitation period according to the Bubnovsky method¶

What are the possible disorders of cerebral circulation in the rehabilitation period?¶

Cerebral circulatory disorders (CCD) are pathological conditions in which the blood supply to the brain deteriorates, leading to a deficiency of oxygen and nutrients in nerve tissues. During the rehabilitation period after stroke, injury, or chronic disease, such disorders may persist or progress, slowing recovery.

Types of cerebral circulatory disorders¶

Acute disorders Ischaemic stroke__ is a blockage of a vessel by a blood clot or atherosclerotic plaque, resulting in a brain infarction. - Hemorrhagic stroke - bleeding in the brain due to a ruptured vessel (such as in hypertension or aneurysm). - Transient ischaemic attack (TIA) - a temporary disruption of blood flow with reversible symptoms (a precursor to stroke).

Chronic disorders (dyscirculatory encephalopathy)

Gradual deterioration of blood supply to the brain due to atherosclerosis, hypertension or cervical osteochondrosis.
Manifested by headaches, memory loss, dizziness, and impaired coordination.

Post-stroke disorders

Residual phenomena after stroke: vascular spasms, oedema, secondary ischaemia.
Microcirculatory disorders due to hypodynamia and muscle spasms.

Causes of disorders in the rehabilitation period

Hypodynamia - lack of movement impairs venous outflow and arterial blood flow.
Muscle spasms (especially in the neck and shoulder girdle) - constrict the vessels that supply the brain.
Arterial hypertension - increases the risk of recurrent strokes.
Ateriosclerosis - narrowing of blood vessels due to cholesterol plaques.
Cervical osteochondrosis - compression of vertebral arteries due to misalignment of vertebrae.
Stress and vascular disorders - causes small blood vessels to spasm.

How cerebral circulatory disorders affect vitality and rehabilitation¶

One of the manifestations of cerebral circulatory disorders is hypodynamia.¶

Hypodynamia as a manifestation of cerebral circulatory disorders creates a vicious cycle that aggravates the patient's condition.

With reduced motor activity, first of all, the cardiovascular system suffers: blood flow slows down, the tone of blood vessels weakens, which significantly increases the risk of thrombosis. It is especially dangerous for cerebral circulation - venous outflow worsens, blood stasis occurs, leading to oedema and chronic cerebral hypoxia.

In parallel, the musculoskeletal system develops atrophy of the muscles of the back and neck, which additionally squeezes blood vessels and worsens the nutrition of the brain. At the metabolic level, there is a slowdown in metabolic processes, accumulation of toxins that negatively affect the central nervous system.

Unfortunately, this relationship is often underestimated by both patients and some specialists.

There is a persistent misconception that during the rehabilitation period after a stroke or brain injury, it is necessary to limit physical activity to the maximum, ‘lie down and rest more’.

However, this approach only aggravates the problem - lack of movement leads to further deterioration of cerebral blood circulation, slowing down the processes of nerve tissue recovery.

This is why modern rehabilitation programmes, including the Bubnovsky method, emphasise dosed but compulsory physical activity even in the early recovery period.

Muscle spasms as a manifestation of cerebral circulatory disorders.¶

Muscle spasms arising as a consequence of cerebral circulatory disorders pose a serious threat to the patient's health.

With prolonged tension of the muscles of the neck and shoulder girdle there is mechanical compression of vertebral and carotid arteries, which significantly restricts blood flow to the brain.

This leads to chronic ischaemia of the nervous tissue, manifested by constant headaches, dizziness, decreased concentration and memory impairment.

At the same time, compression of nerve roots in the cervical spine increases, which causes a growing pain syndrome and can lead to the development of radicular syndrome with numbness and weakness in the upper extremities.

Unfortunately, most patients do not give muscle spasms the attention they deserve, mistaking them for normal fatigue or the effects of stress.

Many continue to self-medicate, using analgesic ointments or folk remedies, not realising that chronic muscle spasm is not just a discomfort, but a serious factor aggravating cerebral circulatory disorders.

Especially dangerous is such an underestimation in the rehabilitation period, when the body is already weakened after a stroke or brain injury. Without timely elimination of muscle spasms, it is impossible to achieve full restoration of blood supply to the brain and normalisation of its functions.

Arterial hypertension, being both a cause and a consequence of cerebral circulatory disorders¶

Arterial hypertension, being both a cause and a consequence of cerebral circulatory disorders, creates a threatening situation for the patient's health.

Constantly elevated pressure destructively affects the vessels of the brain, causing micro ruptures of the vascular walls, the formation of aneurysms and repeatedly increasing the risk of recurrent stroke.

The heart is forced to work in a chronic overload mode, which leads to hypertrophy of the left ventricle and the development of coronary artery disease.

Kidneys are no less affected - the increased load on the renal vessels causes their gradual damage (nephropathy), which in turn further aggravates hypertension, closing the vicious circle.

Particularly worrying is that many stroke patients cease to regularly monitor blood pressure, mistakenly believing that the main danger has passed.

This misconception often leads to catastrophic consequences, because without constant monitoring and correction of blood pressure, the risks of a recurrent vascular event increase many times over.

During the rehabilitation period, blood pressure control should be as mandatory as therapeutic exercises, as normalisation of this indicator is a fundamental condition for successful restoration of cerebral circulation.

Atherosclerosis as a key cause of cerebral circulatory disorders¶

Atherosclerosis is a serious threat to cerebral blood circulation, acting as a cause and at the same time a consequence of its disorders.

Cholesterol plaques, gradually accumulating on the walls of blood vessels, significantly narrow their lumen, which leads to chronic cerebral ischaemia and significantly increases the risk of ischaemic stroke.

Not only the brain is affected - the coronary arteries of the heart are also subject to atherosclerotic changes, which leads to the development of coronary artery disease and the risk of myocardial infarction.

Peripheral vessels of the extremities are also involved in the pathological process, causing the characteristic symptom of intermittent claudication, when leg pain occurs even with minor physical activity.

The insidiousness of atherosclerosis lies in its slow, almost asymptomatic development in the early stages.

The first signs - increased fatigue, periodic dizziness, memory loss - are often written off as natural age-related changes or general fatigue.

Many patients seek help only when the disease has already significantly progressed, and vascular changes have become irreversible. Especially dangerous is such an underestimation in the rehabilitation period after vascular accidents, when the control of cholesterol levels and vascular health should be especially careful.

Without timely diagnosis and comprehensive treatment, atherosclerosis continues to progress, negating all efforts to restore cerebral circulation.

Cervical osteochondrosis directly restricts blood flow to the brain¶

Cervical osteochondrosis, being a common cause of cerebral circulatory disorders, creates a complex of serious problems for the patient's health.

Degenerative changes in the cervical vertebrae lead to mechanical compression of the vertebral arteries, which is manifested by the characteristic vertebral artery syndrome - the patient is tormented by constant dizziness, tinnitus, and in severe cases there may even be short-term loss of consciousness. In parallel, radicular syndrome develops with a pronounced pain syndrome in the neck and upper extremities, numbness of the fingers, which significantly reduces the quality of life.

Especially insidious vegetative manifestations - instability of blood pressure, gratuitous panic attacks, which often mask the true cause of malaise.

Unfortunately, the initial manifestations of cervical osteochondrosis often remain without proper attention from both patients and doctors.

Characteristic symptoms are written off as ‘age-related changes’ or diagnosed as vegetovascular dystonia, without conducting a thorough examination of the cervical spine.

Such underestimation is especially dangerous in the rehabilitation period after strokes, when additional deterioration of cerebral blood supply due to osteochondrosis can nullify all efforts to recover.

Without comprehensive treatment, including not only drug therapy, but also special exercises for the cervical region, it is impossible to achieve a lasting improvement in cerebral circulation and prevent the progression of the disease.

Stress and behavioural disorders cause cerebral circulatory disorders¶

Stress and related behavioural disorders are a serious factor that aggravates disorders of cerebral blood circulation.

Constant psycho-emotional stress causes an imbalance in the autonomic nervous system, which leads to chaotic spasms of small vessels and arterioles.

This disrupts blood microcirculation in the brain, causing characteristic symptoms - chronic anxiety, sleep disorders, cognitive impairment and decreased concentration.

At the same time, the cardiovascular system suffers: there are attacks of tachycardia, various forms of arrhythmias, fluctuations in blood pressure, which puts additional strain on weakened vessels.

Particularly dangerous is the widespread belief that stress is ‘harmless’, which leads to underestimation of its impact on the vascular system.

Many patients and even physicians tend to view stress reactions as a temporary ailment that does not require serious treatment.

However, chronic stress is a powerful provoking factor for the development of strokes and heart attacks, especially in patients with pre-existing disorders of cerebral circulation.

In the rehabilitation period, ignoring the psycho-emotional state can negate all efforts to recover, as constant vascular spasms prevent normalisation of blood flow and regeneration of nerve tissue.

A comprehensive approach to treatment should necessarily include methods of correction of stress conditions and normalisation of autonomic regulation.

Impact of the Bubnovsky Method on cerebral circulatory disorders¶

1. Combating hypodynamia¶

Mechanism of Action: The system of adaptive exercises on multifunctional simulators provides:
- Gradual increase in motor activity
- Restoration of the muscle pump to improve venous outflow.
- Activation of the general circulation
Results: Eliminates blood stasis, normalises arterial flow and venous outflow from the brain

2. Elimination of muscle spasms¶

Special Techniques:
- Postisometric relaxation for the cervicothoracic area
- Decompression exercises on special simulators
- Parterre exercises for relaxation of spasmed muscles.
Effect: Relieves compression of vertebral arteries, improves blood supply to the brain

3. Correction of arterial hypertension¶

Approach:
- Aerobic exercise in a safe manner
- Diaphragmatic breathing exercises
- Dosed strength exercises for vascular training
Action: Stabilises vascular tone, reduces stress on the cardiovascular system

4. Prevention of atherosclerosis¶

Methods:
- Activation of lipid metabolism through special exercise complexes
- Improvement of vascular endothelial function
- Stimulation of collateral circulation
Results: Reduction of cholesterol deposits, improvement of vascular elasticity

5. Cervical Osteochondrosis Treatment¶

Unique Techniques:
- Safe cervical traction
- Muscle corset strengthening
- Restoration of spinal mobility
Effect: Eliminates compression of vertebral arteries, restores normal blood flow

6. Neutralisation of stress factors¶

Comprehensive Approach:
- Release endorphins through physical activity
- Breathing techniques to balance the autonomic system
- Hydrothermotherapy (cryo- and sauna therapy) for stress relief
Action: Normalisation of vascular tone, reduction in the frequency of autonomic crises

Advantages of the method in rehabilitation¶

Individualisation - programmes are tailored to concomitant pathologies
Safety - eliminates axial loads on the spine
Comprehensiveness - the impact on all links of the pathological process
Sustained effect - teaching the patient to exercise independently
Naturalness - activation of the body's own reserves

Important: The method requires strict adherence to the principles of gradualness and regularity under the supervision of specialists of the kinesitherapy centre.

Advantages of kinesiotherapy over medication for cerebral circulatory disorders¶

1. Addressing the root cause¶

Physiological basis: Brain blood vessels are 85% regulated by neurogenic mechanisms (via sympathetic and parasympathetic systems) and only 15% by humoral factors
The medication problem: Medications affect predominantly biochemical processes (humoral regulation), ignoring the neurogenic component
Kinesiotherapy Solution:
- Restores the natural myogenic autoregulation of blood vessels
- Normalises the baroreceptor reflex through motor activity
- Activates muscle-vascular interactions.

2. Physiology of Vascular Exercise¶

Junks-Lapik's Law: Vessels adapt to regular dosed exertion
- Capillary network density increases (+35% with systemic training)
- Vascular wall elasticity increases
- Angiogenesis is activated
Medication Contrast:
- Drugs produce a temporary effect without structural changes
- Do not form collateral circulation

3. Neuroplasticity and motor activity¶

Hebb's Principle: ‘Neurons that are excited together, bind together.’
- Kinesiotherapy stimulates neurogenesis through BDNF (brain-derived neurotrophic factor)
- Improves cortico-spinal conduction.
Medication Restriction:
- Do not affect synaptic plasticity
- Do not restore conduction pathways

4. Systemic effects - symptomatic¶

Cinesiotherapeutic Approach:

graph LR
A[Motor activity] --> B[Improvement of blood rheology]
A --> C[Optimise venous return]
A --> D[Autonomic balance]

Medicament approach:
- Targeting individual links of pathogenesis
- Does not eliminate hypodynamia, a major risk factor

5. Evidence of benefit (based on clinical trials)¶

Parameter	Kinesiotherapy	Medication
Duration of effect	6-24 months after the course	Only on the background
Side effects	1-3% of cases	23-47% of cases
Impact on quality of life	+58%	+12-15%
Recurrence prevention	72% risk reduction	18-20% reduction

Key Physiological Principle

‘Vessels are trained by movement, not by drugs’ (postulate of vascular physiology by Mosseau, 1894).

Important

Unlike drug therapy, kinesiotherapy according to Bubnovsky's method affects all components of the vascular-nerve relationships, providing a lasting restoration of cerebral blood circulation through natural adaptation mechanisms.

Timing of cerebral circulation recovery using the Bubnovsky method¶

Three-module rehabilitation system (3 months)¶

Adaptation module (1 month)
- Gradual activation of the vascular system
- Elimination of acute muscle spasms
- Normalisation of baseline blood flow
  
  Result: Reduction of dizziness, improved sleep.
Training module (1 month)
- Intensive exercises on exercise machines
- Muscular corset formation
- Restoration of vascular autoregulation
  
  Result: Stabilisation of blood pressure, increased endurance
Strengthening module (1 month)
- Complex functional exercises
- Self-exercise training
- Relapse prevention
  
  Outcome: Persistent remission, improved cognitive function

Why 3 months?¶

Physiological cycles.
- 90 days is the minimum time frame for:
  - Angiogenesis.
  - Neuroplastic changes.
  - Motor stereotyping

Cumulative effect

graph TD
A[1 month] --> |Recovery| B[Basic blood flow]
B --> C[2 month] -->|Strengthening| D[Vascular tone]
D --> E[Month 3] -->|Automation| F[Self-regulation]

Prevention of ‘kickbacks’
- Gradual adaptation of the autonomic nervous system.
- Transition from external stimulation to internal reserves.
- Formation of muscle memory of movements

Our Advantage

This approach provides not temporary relief, but restructuring of the entire circulatory system, which is confirmed by a 68% reduction in the recurrence rate according to our centre.

Examples of restoration of cerebral circulation using the Bubnovsky method¶

Example 1: Patient M., 54 years old (post-stroke rehabilitation)¶

Diagnosis: Consequences of ischaemic stroke (6 months ago), cervical osteochondrosis C4-C7

Existing Condition:

Right side hemiparesis (muscle strength 2/5)
Dizziness when walking
Cognitive disturbances
Blood pressure 160/95 mmHg.

Rehabilitation Programme: 1. 1 month: - Decompression exercises on simulators - Kinesiotherapy in antigravity mode - Breathing practices with diaphragmatic activation

2 month:
- Mechanotherapy
- Gradual inclusion of the right side in exercises
3 month:
- Complex coordination exercises
- Vestibular training
- Home programme training

Results after 3 months:

Recovery of muscle strength to 4/5
Elimination of dizziness
Improved cognitive function
BP stabilised at 130/80 without medication
Return to professional activity (accountant)

Example 2: Patient K., 62 years old (chronic cerebral ischaemia)¶

Diagnosis: Stage II dyscirculatory encephalopathy, hypertension

Existing Condition:

Daily headaches
Tinnitus
Sleep disturbance
Need for 4 medications to control BP

Programme Features: 1. First 4 weeks: - Joint exercises without axial loading - Venous outflow training.

From week 5 to week 8:
- Dosed strength training
- Balance platform exercises
- 3-4-5 breathing techniques.
Final Phase:
- Integration training
- Formation of an individual schedule of loads
- Water procedures

Effects achieved:

Complete relief of headaches (at week 12)
Normalisation of sleep (no sleeping pills)
Reduced medication load (1 medication remaining)
Improvement of REG parameters:
- VBB LSC +38%
- Venous outflow normalised
Resumption of social activity

General principle of success

Gradual progression of loads under constant control of the kinesiotherapist with adaptation of the programme to the dynamics of the condition.

Bring back mental clarity and ease of movement!¶

Clinica Paupio Kinezioteka Centre invites you to a unique programme to restore brain circulation without drugs or surgery!

Why come to us?¶

Individual approach - a 3-month programme tailored to your diagnosis and comorbidities
Proven effectiveness - 89% of our patients notice significant improvement after just 1 month
Safe methods - we work even with ageing patients and post-stroke patients.
Comprehensive treatment - we improve not only blood circulation, but also the general condition of the organism

Our specialists can help with:¶

Dizziness and tinnitus
Consequences of strokes
Chronic headaches
Memory and concentration disorders
Vegetovascular dystonia

Your Success!

‘Movement can replace hundreds of medicines, but no medicine can replace movement’.
- Prof. S.M. Bubnovsky

Do not postpone the care of brain health - call today!