缺血性脑卒中患者物理治疗的最新方法

A. O. Ripka, I. Khudetskyy, Y. Antonova-Rafi, S. Kurilo
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引用次数: 0

摘要

本研究的目的是为缺血性中风患者在住院恢复阶段开发一种物理治疗方案,并描述其有效性。材料和方法。本研究采用了以下有效、客观的评估缺血性脑卒中患者功能状态的方法:专门的科学和方法文献分析、临床和仪器研究方法(问卷调查、Berg平衡量表、VAS、MMT Lovett、划线测试星级、站立行走测试、10米测试、Rivermead指数、修正Rankin量表、蒙特利尔认知功能障碍量表、医院抑郁和焦虑量表)、数理统计方法。为了评估缺血性脑卒中患者物理治疗方案的有效性,对住院康复科的20名年龄在45-65岁的患者进行了研究。建议的方法有助于恢复平衡,协调和步态速度,肌肉力量,日常生活活动,自我保健水平,认知能力,减少疼痛综合征,忽视的严重程度,抑郁和焦虑的水平。所提供的材料可用于专门的医疗、康复和卫生设施、医疗中心的活动过程,也可用于专门从事“物理治疗、职业治疗”的高等院校学生的实际学习。该研究于2021年11月至2022年11月在基辅市第六临床医院物理和医疗康复科进行,该医院为患有神经和骨科疾病的患者提供预定的专业医疗服务。结果和讨论。对20例患者进行评估,其中10例为主要组,10例为对照组。两组患者研究参数的初始指标差异无统计学意义(p>0.05)。患者年龄为45 ~ 65岁。康复的有效性在很大程度上取决于专业人员制定的个人计划。该计划的基础是个体方法和患者回归到最充实的生活和适应社会。只有采取全面的方法来恢复失去的功能,才能取得积极的康复效果。结论。根据对照组和主要组的研究结果,可以得出结论,在缺血性脑卒中患者的经典物理治疗方案中加入镜像体操、康复笼内运动疗法、测量后放松、麻痹肌肌肉刺激和意识形态运动训练是对抗该病进展的有效途径
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using the Latest Means in Physical Therapy of Patients with Ischemic Stroke
The purpose of the study was to develop a physical therapy program for people after an ischemic stroke at the inpatient recovery stage and describe its effectiveness. Materials and methods. The following effective and objective methods of assessing the functional state of patients after ischemic stroke were used in the study: analysis of special scientific and methodical literature, clinical and instrumental research methods (survey, Berg balance scale, VAS, MMT Lovett, Cross-out test stars, Stand and Walk Test, 10-meter test, Rivermead Index, Modified Rankin Scale, Montreal Cognitive Dysfunction Scale, Hospital Depression and Anxiety Scale), methods of mathematical statistics. In order to evaluate the effectiveness of the developed program of physical therapy for patients with ischemic stroke, a study was conducted of 20 patients, aged 45-65, at the inpatient rehabilitation department. The proposed method contributes to the restoration of balance, coordination and gait speed, muscle strength, activity in everyday life, level of self-care, cognitive abilities, reduces pain syndrome, severity of neglect, level of depression and anxiety. The presented materials can be used in the process of activity of specialized medical, rehabilitation and health facilities, medical centers, as well as for practical study by students of higher educational institutions specializing in “Physical therapy, occupational therapy”. The study was conducted from November 2021 to November 2022 in the department of physical and medical rehabilitation of Kyiv City Clinical Hospital No. 6, which provides scheduled specialized medical care to patients with neurological and orthopedic pathologies. Results and discussion. 20 patients were evaluated, 10 patients were assigned to the main group and 10 – to the control group. The initial indicators of the studied parameters in patients of both groups did not differ statistically significantly (p>0.05). The age group of patients is from 45 to 65 years old. The effectiveness of rehabilitation largely depends on the individual program developed by a professional. The basis of the programs is an individual approach and the patient's return to the most fulfilling life and adaptation in society. Positive results of rehabilitation are possible only with a comprehensive approach to restoring lost functions. Conclusion. Based on the obtained results of the study of the control and main groups, it can be concluded that the addition of mirror gymnastics, kinesiotherapy in the rehabilitation cage, postisometric relaxation, myostimulation of the plegic muscles and ideomotor exercises to the classical program of physical therapy for patients after ischemic stroke is an effective way to combat progression of this disease
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