Evaluation of the effect of patient-oriented programs on functional activity in patients after cerebrovascular accident at the late stage of medical rehabilitation

Abstract

The consequences of a stroke are manifested by a number of unfavorable functional disorders of the motor apparatus, which leads to a significant deterioration in the patients’ quality of life. In this regard, the prevention of the development of disability and the reduction of the severity of the patients’ condition should come to the fore when creating rehabilitation programs to ensure maximum recovery of functional activity, as well as mental, professional and social adaptation of patients. Material and methods: 120 patients after acute cerebrovascular accident with movement disorders in the form of hemiparesis with increased muscle tone of spasticity type in the late recovery period. At the control points (after treatment, 3 and 6 months after treatment), indicators of patients’ daily activity (self-care and mobility) were assessed according to the Barthel index and criteria for patients’ functional independence were evaluated in accordance with the FIM scale. All patients were divided into 3 groups comparable in terms of clinical and functional characteristics: group 1 (40 patients), who, in addition to the standard treatment complex, were prescribed massage with the pulsed low-frequency electrostatic field from the Khivamat device and broadband modulation currents, group 2 (40 patients), who, against the background of standard therapy and medical rehabilitation, were prescribed physiotherapy methods from the Alpha LED Oxy Light — Spa™ device, and group 3–40 patients who received standard drug therapy and medical rehabilitation (exercise therapy, medical massage, mechanotherapy). Results. The data obtained indicate the advantage of including the pulsed low-frequency electrostatic field and broadband modulation currents in the standard rehabilitation complex in patients with acute cerebrovascular accident, which is confirmed by the indicators of patients’ daily activity (self-care and mobility) according to the Barthel index and the criteria for patients’ functional independence in accordance with the FIM scale. Conclusion. The developed personalized medical rehabilitation complexes, including the pulsed low-frequency electrostatic field and broadband modulation currents, contribute to a significant improvement in daily activity and an increase in functional independence in patients after acute cerebrovascular accident at a late stage of medical rehabilitation.