Kinesiotherapy of post-stroke patients during the stationary period of rehabilitation

Abstract

Improving the effectiveness of rehabilitation of patients with acute cerebrovascular accident (ACVA), based on the correction of motor disorders, normalization of muscle tone, increasing muscle strength by kinesiotherapy in the stationary period of rehabilitation.The study included 24 patients with a diagnosis of ACVA, aged 50 to 70 years, who were in the stationary period of rehabilitation in the neurological department of Svalyava Central District Hospital, Transcarpathia. The diagnosis was established on the basis of the clinical picture, data of computer tomography, magnetic-resonance tomography, laboratory diagnostics, and anamnesis data. Patients were divided voluntarily into the main group (MG) – 12 people and the control group (CG) – 12 patients. CG patients were treated according to standard methods, as compiled on the basis of “Guidelines for rehabilitation of persons with ACVA “. Patients MG received kinesiotherapy. It includes features of the technique of kinesiotherapy for spastic hemiparesis, positional treatment, kinesiotherapy exercises for fingers and hands, kinesiotherapy exercises for the lower extremities, kinesiotherapy paralysis and the use of kinesiotherapy for vestibular syndrome. Classes in groups were conducted daily, duration 45 minutes, throughout the treatment period (3 weeks). Comparison of the effectiveness of the kinesiotherapy program in patients from MG and CG was performed using functional and neurological tests and scales, namely: testing of muscle spasticity on the Ashford scale, manual muscle test, modified Rankin scale, Scandinavian scale, Bartell index of activity of daily life, Orgogozo test, goniometry. Statistica 7.0 applications were used for mathematical processing of numerical data and IBM SPSS Statistics 21. T – Student’s criterion was used to assess the significance of the difference in the presence of the normal distribution results of study. During studying the condition of the studied patients in the process of rehabilitation, it can be argued that in all groups there is a positive dynamics because of improves neurological and functional status of patients, because of increasing the amplitude of movements in the joints of the upper and lower extremities, reducing muscle spasticity, improving the ability to self-care, increasing mobility and independence in everyday life. These results confirm statistically better efficiency program of physical therapy, received by the patients of the main group.