Influence of kinesitherapy on orthostatic reactivity in patients with ischemic stroke in the chronic period

Vasileva, Dance and Lubenova, Daniela and Nikolova, Milena and Mihova, Marija (2015) Influence of kinesitherapy on orthostatic reactivity in patients with ischemic stroke in the chronic period. In: Seventh National Congress of Physiotherapists in Bulgaria, 5-7 June 2015, National Sports Academy "Vassil Levski", Bulgaria.

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Prezentacia 6.06.2015 No.1.7D.Vasileva, D.Lubenova, M.Nikolova, M.MIhova.pdf - Presentation

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Abstract

Summary This study aims to trace the influence of specialized kinesitherapeutic methodology (SKTM) on orthostatic reactivity in patients with ischemic stroke in the chronic period (ISChP). The survey was conducted with 56 patients with ISChP (32 men and 24 women, mean age 63.2±8.8 years old, weight 77.9±10.1 kg, height 169.2±6.4 cm and duration of disease up to 1 year). An active orthostatic test is used for the evaluation of the orthostatic reactions. The arterial blood pressure and heart rate were defined in the 10 minutes of supine position, before and after 1, 5 and 10 minutes of active upright position. All patients were treated with a specialized 10-day SKTM, which later continues to be performed by patients as an adapted exercise program at home for a period of three months. The orthostatic autoregulation is evaluated four times - at the beginning of the study, on the 10th day, on the 1st month and three months after the start of the KT. The classification of Thulesius was used to separate the patients into two groups depending on the type of their orthostatic reactivity. Results At the beginning of the study of infringements symptomatic type orthostatic reactivity (SOR) was observed in 24 patients and hypertensive type orthostatic reactivity (HOR) was observed in the remaining 32 patients. Once applied SKTM establish improvement of orthostatic autoregulation for the groups SOR and HOR at the 10th day and the 1st month with a level of significance p <0.05. Conclusion The applied specialized kinesitherapeutic methodology continued later as an adapted exercise program at home, has significantly improved the orthostatic reactivity in patients with orthostatic dysregulation due to the ISChP. Keywords: Kinesitherapy, Orthostatic reactivity, Ischemic stroke, Chronic period, Neurodevelopment treatment, Physical activity

Item Type: Conference or Workshop Item (Lecture)
Additional Information: None of the authors or their institution received commercial financial assistance related to this study. This work was partially supported by the University "Goce Delchev" - Shtip, Macedonia and the National Sports Academy "Vasil Levski" - Sofia, Bulgaria.
Uncontrolled Keywords: Kinesitherapy, Orthostatic reactivity, Ischemic stroke, Chronic period, Neurodevelopment treatment, Physical activity
Subjects: Medical and Health Sciences > Clinical medicine
Social Sciences > Educational sciences
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Dance Vasileva
Date Deposited: 28 Sep 2015 10:14
Last Modified: 28 Sep 2015 10:14
URI: http://eprints.ugd.edu.mk/id/eprint/13856

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