Issue: 2023, Vol. 28, No. 4
RESTORATION OF STATIC LOCOMOTOR FUNCTIONS IN THE PROCESS OF REHABILITATION BY STABILO- METRIC TRAINING IN PATIENTS WITH ISHEMIC STROKE IN VERTEBRAL BASILAR BASIN IN EARLY RECOVERY PERIOD
- Keywords
- ischemic stroke, stabilometric training, neurorehabilitation.
- Abstarct
- Objective – to estimate the dynamics of motor disorders and stabilometric parameters in stabilometric training in patients with ischemic stroke (IS) in vertebral basilar basin (VBB) in early recovery period. Material and methods. The study was performed in medical rehabilitation department of Bryansk munici- pal hospital No 1. 34 patients were enrolled in the study. The obtained data were evaluated by rehabilitation routing scale (RRS), Rivermead Mobility Index (RMI), Berg Balance Test (BBT). Stabilography was carried out by computer-assisted stabiloanalyzer with biological feedback «Stabilan-01-2» (CJSC «EDB «RHYTHM», city of Taganrog). Stabilographic test and «Target» test were used. Results and discussion. After restorative treatment course average estimation upon RRS decreased from 4,1 ± 0,3 tо 1,9 ± 1,2 points (р < 0,05), RMI reduced from 6,68 ± 2,28 tо 12,24 ± 2,49 points (р < 0,05), risk of falls upon BBT– from 33,59 ± 7,91 tо 46,79 ± 7,48 points (р < 0,05). High risk for falls (44 points and higher upon BBT) after treatment had 29,4 % of the examined patients only (before treatment – 100 %). Trustworthy decrease of R mid-range spread was detected in stabilographic test (from 7,12 ± 4,01 tо 5,77 ± 4,17 мм, р < 0,05). In the evaluation of the examination by “Target” test before and after treatment some trustworthy differences in all parameters were revealed: Q variation, rate of change in the square of the stabilokinesiogram (Vs) from 58,46 ± 92,40 tо 36,65 ± 56,60 mm 2 /sec (р < 0,05), square of the ellipse (Sell.) – from 494,54 ± 715,39 tо 256,71 ± 367,05 mm 2 (р < 0,05). Thus the introduction of stabilometric training in the complex of rehabilitation measures resulted in significant improvement of static locomotor functions in patients. Conclusion. The presence of marked dynamics of stabilometric parameters allowed to recommend stabilometry as an informative method of the assessment of the effectiveness of rehabilitation process.
Vestnik_4_2023-35-39