The effectiveness of the inclusion of spatially oriented motor therapy in comprehensive rehabilitation programs for patients with spastic hemiparesis after stroke

Abstract

The aim of the study — the evaluation of the effectiveness for restoring the functional abilities with Neurac method in patients undergoing stroke. Materials and methods. The study included 20 participants, they were divided into 2 groups, the first group — the patients who undergoing the stroke (main group): the main group of patients received a base standard rehabilitation program (kinesiotherapy, mechanotherapy on cyclic apparatгs, massage) and additional trainings in Redcord in Redsord system. The control group — a base standard rehabilitation program. The duration of the rehabilitation course was 14 days. Results and consideration. As a result of the study in both groups (main and control) as compared with the initial findings were better results of Berg Balance Test: 44,4±0,5 in the first group and 43,6±0,8 in the second group vs. 48±0,3 and 45,3±0,5 (р≤0,05). Although in patients of the first group after restoring treatment course with using method of Neurac method it was authentic lesser disturbance of everyday life activity: in estimating Bartel Index 86,9±0,5 vs. 80,1±0,7 (initial) (р≤0,05), what was significantly higher be comparison with control group results. In estimating 10 minutes walking test: 16,82±5,4 in the main group 2020 2 vs. 22,6±3,33 (initial) (р≥0,05), what was although significantly higher in comparison with the second group. By estimating walking on C-mill treadmill the middle speed in first and it second groups was 0,90±0,1 vs. 0,84±0,3 with 0,80±0,2 vs. 0,84±0,3 (ibitial) (р≥0,05). Conclusion: the obtained results point at the effectiveness of using Neurac method in restoring treatment programs for patient undergoing stroke for elevation of the stabilization of trunk, improvement of balance (in static, in functional movements, in walking), independence level in real life terms. An additional point is that this kind training can promote significantly positive influence on the patient’s motivation for actualization of active movement to improvement of the social and domestic adaptation, increase of motor and functional abilities.