Experience of using gait adaptability training in medical rehabilitation of patients after cerebrovascular accident in the late recovery period

Abstract

The article presents the treatment data of 80 patients who had an ischemic stroke with movement disorders in the form of hemiparesis with increased muscle tone in the lower limb due to spasticity. The patients were divided into 2 groups comparable in terms of clinical and functional characteristics: group 1 included patients who, in addition to standard treatment, had gait adaptability training with video reconstruction on the C–Mill biofeedback system (BFB), and group 2 consisted of 40 people who underwent a course of standard drug therapy and medical rehabilitation (exercise therapy and medical massage). The characteristics of the main static and locomotor parameters were assessed according to the C–Mill data and the Tinetti assessment tool, and the range of motion in the lower extremities was assessed according to goniometry data at all control points (before and after treatment, 3 and 6 months after treatment). The obtained data indicate the benefit of including gait adaptability training in the standard complex of medical rehabilitation of patients who have undergone acute cerebrovascular accident with motor disorders in the form of hemiparesis with post-stroke spasticity of the lower extremity. This was confirmed by the normalization of the parameters of the gait adaptability, namely, a decrease in the duration of free gait (step cycle) by an average of 32 %, an increase in the frequency of a free gait step by an average of 30 % and in the length of a free gait step by 16 % immediately after treatment, with the results maintained at all control points.