STABILOMETRIC ANALYSIS OF MOTOR DISORDERS IN PATIENTS WITH ISCHEMIC STROKE IN THE CAROTID ARTERY IN THE EARLY REHABILITATION PERIOD

Abstract

The purpose of the study is to analyze stabilometric parameters for motor disorders in patients with an ischemic stroke in the carotid artery in the early rehabilitation period and to monitor their dynamics under rehabilitation therapy with biofeedback (BFB) stabilization training.
 Materials and Methods. The study involved 24 patients aged 44–75. We chose the patients with mild and moderate motor impairments who were at the second stage of medical rehabilitation at Bryansk City Hospital No. 1. The patients suffered stroke 1–6 months ago. The stabilographic study was carried out on a BFB stabiloanalyzer “Stabilan-01-2” (RITM, Taganrog). The stabilometric training consisted of 7–10 sessions and included various computer games taking into account the type of paresis, the severity of coordination disorders and individual load tolerance. At the beginning of therapy, training lasted 5–10 minutes but gradually it increased up to 15–20 minutes. MS EXCEL and IBM Statistica 12.0 were used for statistical analysis of the obtained data. The Wilcoxon test was used to assess the dynamics. All obtained differences were significant (p≤0.05).
 Results. During the study, a change in stabilometric parameters was noted towards a decrease in the main parameters of the stabilographic test (“Frontal spread” (p=0.049), “Mean spread” (p=0.045)) and the Romberg test (“Mean spread” with eyes closed (p=0.046) and “Time rate of statokinesigram area” with eyes closed (p=0.043)), which indicated an improvement in the patients’ motor skills during rehabilitation therapy.
 Conclusions. The results of the analysis allow us to consider stabilization training with biofeedback an effective treatment modality in the early rehabilitation period for patients with ischemic stroke in the carotid artery.