Using the Latest Means in Physical Therapy of Patients with Ischemic Stroke

Abstract

The purpose of the study was to develop a physical therapy program for people after an ischemic stroke at the inpatient recovery stage and describe its effectiveness. Materials and methods. The following effective and objective methods of assessing the functional state of patients after ischemic stroke were used in the study: analysis of special scientific and methodical literature, clinical and instrumental research methods (survey, Berg balance scale, VAS, MMT Lovett, Cross-out test stars, Stand and Walk Test, 10-meter test, Rivermead Index, Modified Rankin Scale, Montreal Cognitive Dysfunction Scale, Hospital Depression and Anxiety Scale), methods of mathematical statistics. In order to evaluate the effectiveness of the developed program of physical therapy for patients with ischemic stroke, a study was conducted of 20 patients, aged 45-65, at the inpatient rehabilitation department. The proposed method contributes to the restoration of balance, coordination and gait speed, muscle strength, activity in everyday life, level of self-care, cognitive abilities, reduces pain syndrome, severity of neglect, level of depression and anxiety. The presented materials can be used in the process of activity of specialized medical, rehabilitation and health facilities, medical centers, as well as for practical study by students of higher educational institutions specializing in “Physical therapy, occupational therapy”. The study was conducted from November 2021 to November 2022 in the department of physical and medical rehabilitation of Kyiv City Clinical Hospital No. 6, which provides scheduled specialized medical care to patients with neurological and orthopedic pathologies. Results and discussion. 20 patients were evaluated, 10 patients were assigned to the main group and 10 – to the control group. The initial indicators of the studied parameters in patients of both groups did not differ statistically significantly (p>0.05). The age group of patients is from 45 to 65 years old. The effectiveness of rehabilitation largely depends on the individual program developed by a professional. The basis of the programs is an individual approach and the patient's return to the most fulfilling life and adaptation in society. Positive results of rehabilitation are possible only with a comprehensive approach to restoring lost functions. Conclusion. Based on the obtained results of the study of the control and main groups, it can be concluded that the addition of mirror gymnastics, kinesiotherapy in the rehabilitation cage, postisometric relaxation, myostimulation of the plegic muscles and ideomotor exercises to the classical program of physical therapy for patients after ischemic stroke is an effective way to combat progression of this disease