PATIENTS WITH HEMIPARESIS AND MYOFASCIAL PAIN SYNDROME DURING THE IMPLEMENTATION OF THE PHYSICAL REHABILITATION PROGRAM

Abstract

Introduction. Hemorrhagic stroke causes significant deviations in the psycho-emotional, moral-volitional and social spheres. Kinesiotherapy is a new effective method used in rehabilitation and physical therapy programs for post-stroke patients with myofascial pain syndrome. This publication presents the results of the study of the quality of life of post-stroke patients before and at different times after complex kinesiotherapy, as well as the characteristics of the answers related to the quality of life after the program of combined rehabilitation and physical therapy are given.
 The aim of the study is to substantiate the inclusion of kinesiotherapy in the basic rehabilitation and physical therapy programs for post-stroke patients with myofascial pain syndrome.
 Materials and methods. The study included 105 patients aged 57 to 64 with a verified diagnosis of hemorrhagic stroke complicated by myofascial pain syndrome." The SF-36 general questionnaire was used to assess the quality of life.
 Results. It was established that indicators of the quality of life of post-stroke patients before implementation programs of rehabilitation and physical therapy are significantly reduced on most scales of physical, mental and social functioning; the quality of life profile of patients is characterized by compression and deformation. Conducting kinesiotherapy with acupuncture is accompanied by a marked improvement in quality of life indicators of post-stroke patients with myofascial pain syndrome. Responses related to the quality of life, in the form of improvement or stabilization, were registered in the majority of post-stroke patients with myofascial pain syndrome after complex kinesiotherapy – in 96% of patients after a combined program of rehabilitation and physical therapy and in 87% of patients after kinesiotherapy.
 Conclusions. The profile of the quality of life of patients with hemiparesis indicates its compression and deformation, which is caused by a significant decrease in indicators that characterize the physical, mental and social scales of functioning. Long-term monitoring of such patients after the implementation of the author's physical rehabilitation program indicates a stabilization of the quality of life, which is manifested by a pronounced improvement in the profile of 96% of post-stroke patients with myofascial pain syndrome after complex and in 87% of patients in combination with acupuncture.