Abstract
(1) Background and purpose: SPIDER (Strengthening Program for Intensive Developmental Exercises and activities for Reaching health capability) is dedicated for patients suffering from Cerebral Palsy, Sclerosis Multiplex, Spinal Bifida, Spinal Muscular Atrophy and strokes. Authors proposed a computer model for the evaluation patient’s condition and the rehabilitation progress. (2) Methods: The 2-year-old and 76-year-old patients with neurological problems, who underwent individual therapy included balancing and coordination practising with SPIDER device. The model comparing the forces, which act during the therapy process, such as the expander and gravity forces, was worked out using Matlab software. (3) Results: The model allowed controlling the changes into the patients centre of gravity forces continuous adjustment and postural stability during any patient’s movement. After rehabilitation sessions, lasted for 28 days during which patients received the progress information and the therapist got the numeric data, regarding the period of the therapy. (4) Conclusions: The first patient was able to move, dramatically improved the ability to balance and coordination. The second one presented change in gait, improvement in mobility, motor function and decreased fall risk. The proposed computer model gives information about the forces acting to the patient body. The physiotherapist can evaluate the progress of patient verticalization and receive information, in the form of numbers and charts.
Highlights
Stroke is the main cause of adult long-term disability, frequently leading to significant gait and trunk control impairment [1]
The improvement is still going on, but the lack of continuation of the therapy in SPIDER to consolidate the effects or abandoning the exercises may lead to regression
It will be necessary to use biofeedback, which will enable the patient to actively participate in the rehabilitation process
Summary
Stroke is the main cause of adult long-term disability, frequently leading to significant gait and trunk control impairment [1]. Motor-skill exercises can help improve patient muscle strength and coordination [2]. In this part of rehabilitation physical therapists are involved. They help relearn movements such as walking and keeping balance [3]. With disabilities caused by a stroke, can effectively improve their ability to walk and carry out daily activities introducing dedicated exercises and training. Exercises are aimed to increase muscle strength, improve fitness and as the final result to enhance general health [5]. Symmetrical body-weight distribution training may improve sit-to-stand performance and decrease the number of falls in case of patients stroked out [6,7]
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