Tag: udar mózgu

Stroke as a civilisation-scale problem – physical treatment analysis

Ewelina Czerczak, Włodzisław Kuliński

E. Czerczak, W. Kuliński – Stroke as a civilisation-scale problem – physical treatment analysis. FP 2016;16(1);24-35

Abstract
Introduction. Stroke is one of the most common forms of damage to the central nervous system. In Poland, approximately 60,000 people suffer from stroke every year. Disorders resulting from stroke require the implementation of long-term care and rehabilitation. The main objective of physiotherapy is to restore patient independence in daily living and improve the quality of life of the patient. Aim of study. The aim of the study was to evaluate the effect of physiotherapy on the functional status and quality of life of patients after stroke. Material and Methods. The study comprised 30 patients after stroke (24 patients after ischemic stroke and 6 patients after hemorrhagic stroke) staying at the neurological rehabilitation ward in the St. Luke Specialist Hospital in Końskie. During 8 weeks of hospitalization, the patients underwent intensive rehabilitation. They were examined twice, namely on admission and on the day of discharge. The examination included completing a questionnaire assessing the quality of life on a scale of 1 to 10 points, an assessment of the functional status using the Barthel Index and an assessment of muscle spasticity of the upper and lower limb with the modified Ashworth scale. The results of functional status assessment were compared according to the type of stroke, time from stroke to rehabilitation and the number of concomitant diseases. Moreover, the effect of the comprehensive rehabilitation on the assessment of independence in daily living was studied after treatment, as was the influence of rehabilitation on the degree of spasticity and the use of orthopedic aids. Results and Conclusion. The functional status improved in all patients. Better final results were obtained in patients after ischemic stroke and suffering from fewer comorbidities. The results were better in those whose rehabilitation commenced earlier. The quality of life was significantly higher than before rehabilitation. The degree of spasticity was significantly reduced and the use of orthopaedic aids was improved.

Key words:
stroke, treatment, physiotherapy

Pobierz/Download/下載/Cкачиваете Download for free (only English version)

Body Weight Supported Treadmill Training with Parestand system as walking therapy of patients early after stroke: a pilot study

Beata Stach, Marcin Błaszcz, Aleksandra Bober, Mariola E. Wodzińska, Joanna Zyznawska

B. Stach, M. Błaszcz, A. Bober, M. E. Wodzińska, J. Zyznawska – Body Weight Supported Treadmill Training with Parestand system as walking therapy of patients early after stroke: a pilot study. FP 2016;16(2);54-63

Abstract

Background. Body Weight Supported Treadmill Training (BWSTT) is high intensive and task-specific gait therapy for stroke patients. Effectiveness of BWSTT is repeatedly proven, however superiority of that training over overground walking is often contested. It is rarely practised and investigated method in Poland.
Patients and Methods. 20 patients in the early post-stroke rehabilitation phase able to walk. All patient participated in traditional physiotherapy based on Bobath and PNF concepts. Experimental group (10 people) additionally received Body Weight Supported Treadmill Training. Control group (10 people) additionally received overground walking. Baseline and postintervention assessments included Berg Balance Scale, Timed Up & Go, 10 m Time Walking Test and 6 Minute Walk Test.
Results. Both groups showed statistically significant improvement in all outcome measures (P<0,05). Group BWSTT increased distance by 108,4±75,7 m and control grouop by 57±51,3 m in 6 Minute Walk Test. Difference between the groups was not statistically significant (p=0,28). Group BWSTT shortened time in Timed Up & Go by 9±1,4 seconds and control group by 2,7±1,1 seconds. Difference between the groups was not statistically significant (p=0,63). Group BWSTT improved by 7,0±3,7 points, and control group by 6,6±4,4 points in Berg Balance Scale. Difference between the groups was not statistically significant (p=0,88). Group BWSTT increased gait velocity by 0,25±0,13 m/s, and control group by 0,28±0,13 m/s. Difference between the groups was not statistically significant (p=0,96).
Conclusions. Either Body Weight Supported Treadmill Training or overground walking could improve balance, reduce risk of falls, increase endurance and velocity of gait in walking subacute stroke patients. BWSTT could have tendency to more effective increasing gait endurance.

Key words:
stroke, hemiparesis, physiotherapy, rehabilitation, gait

Pobierz/Download/下載/Cкачиваете Download for free (only English version)
1 2 3