Improving motor independence after supratentorial unilateral stroke in the chronic period

Vasileva, Dance and Lubenova, Daniela (2017) Improving motor independence after supratentorial unilateral stroke in the chronic period. In: 3rd Congress of the Bulgarian Society of Neurosonology and Cerebral Hemodynamics and Regional Teaching Course of the EAN, 5-8 Oct 2017, Sofia, Bulgaria.

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Abstract

Functional independence is the ability to perform day-to-day activities without help. Achieving it allows the sick to have unlimited participation in activities that matter to them. Whether there is a physical disability, participation in daily life activities and the performance of various activities is quite important for the health and welfare of the sick. It has been shown that physically active people have a lower risk of stroke and fatal outcome than those with low physical activity. The aim of this study is to evaluate the effect of the specialized kinesitherapy methodology (SKTM) on the motor independence in patients with supratentorial unilateral stroke in the chronic period (SUSChP). Material and Methods The study was conducted with 67 patients with SUSChP (56 patients included in the experimental group - 32 men and 24 women, with duration of the disease 7.8 ± 2.0 months, and 11 patients in the control group - 9 men and 2 women, with duration of the disease 7.3 ± 1.5 months). To evaluate the changes is used Functional Independence Measure test - FIM. In the patients from the experimental group is applied treatment with a specialized 10-day KT, continued later as an adapted exercise program at home for a period of 1 month. Control patients are following a conventional 10-day KT. In SKTM principles of modern neurorehabilitation and motor learning as opposed to usual kinesitherapy. It is based on the fundamental principles of modern neurorehabilitation, namely: to be individualized, intensive and specifically - tailored and focused on the individual needs of the patient; be realized with the active participation of the patient and his family, with prolonged use so as to ensure that care tailored to the needs of the patient throughout his life to achieve recovery and relief of late complications of the disease. Specialized kinesitherapeutic methodology conforms to the principles of motor learning. They are: specificity of the task, active participation of the patient repetition adaptation of complexity, feedback variability "contextual interference". Results After applied SKTM, highest tendency towards improvement of the motor independence is established in the 1st month, with a level of significance during treatment p <0.001. Conclusion The applied SKTM in the experimental group later continued as an adapted exercise program at home, significantly improved the motor independence of the patients with supratentorial unilateral stroke in chronic period compared with the usual kinesitherapeutic methodology applied in the control group. Keywords: Chronic period, Kinesitherapy, Motor independence, Stroke.

Item Type: Conference or Workshop Item (Poster)
Uncontrolled Keywords: Chronic period, Kinesitherapy, Motor independence, Stroke.
Subjects: Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Dance Vasileva
Date Deposited: 18 Oct 2017 09:55
Last Modified: 18 Oct 2017 09:55
URI: http://eprints.ugd.edu.mk/id/eprint/18330

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