Methodological aspects of adaptive kinesitherapy

Abstract

The use of robotic technologies in the treatment of post-stroke patients is considered the gold standard of modern rehabilitation. The global disadvantage of most devices is the inability to provide real interaction with the environment (movement in space). The aim of the study was to develop methodological programs using the mobile robotic WO:EX platform. The WO:EX technology allows to perform a wide range of active-passive movements (steps and rotations) with real displacement in space. The study involved 28 individuals (the main group#1 receiving adaptive kinesitherapy (AK) with a clinically confirmed diagnosis of stroke. The leading symptom was hemiparesis. The time after a stroke was 1-3 months. The control group#2 consisted of 16 patients. All patients received complex therapy. АК included: 1)passive articular gymnastics; 2)active-passive walking forward and with side rotations; 3)training step to the side; 4)axial coordination training; 5)training of static and dynamic stability; 6)training of axial support (lower limb); 7)difficult coordinated step; 8)step on the step. Treatment results are objectified by the Bartel index (BI), Rivermid index (RMI), the Scandinavian stroke scale (SSS), and test of the quality of perception of the surrounding space (QPSS).Tabled 1BIRMISSSQPSS#1before42,3+622,5+330,1+457,8+5#1after57,2+840,1+340,6+672,5+4#2before39,5+820,2+729,1+353,6+7#2after45,5+532,5+135,3+760,9+4The obtained data indicate significant (at p <0.05) differences in the both groups before and after treatment, while the results in group # 1 using adaptive kinesitherapy were significantly higher. Open table in a new tab The obtained data indicate significant (at p <0.05) differences in the both groups before and after treatment, while the results in group # 1 using adaptive kinesitherapy were significantly higher. Thus the WO:EX technology allows to achieve greater space mobility and stability.