The effect of physiotherapy on the functional recovery in patients after stroke in a subacute stage

Dimitrova, Antoaneta and Grigorova-Petrova, Kristin and Lubenova, Daniela and Vasileva, Dance (2020) The effect of physiotherapy on the functional recovery in patients after stroke in a subacute stage. In: The Joint European Stroke Organisation and World Stroke Organization Conference (ESO-WSO 2020), 7-9 Nov 2020, Vienna, Austria.

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Abstract

Background and aims
Neurorehabilitation is a well-established strategy for patients’ recovery after stroke. The aim of the study is to investigate the effect of applied physiotherapy (PT) on the postural control and the gait in patients three months after ischemic stroke.
Methods
24 patients (16 mеn, 8 women, mean age 69.3±2.1) with stroke were studied. The PT sessions were conducted individually, two times daily for 2 weeks in clinical settings. The protocol included techniques for improvement the elasticity of the soft tissues and maintaining the range of movements; exercises for improving the postural control in various anti-gravity positions and the transfers from different starting positions (sitting, standing, walking) in various environmental conditions. The assisted movements, tactile and verbal feedback are used to correct and to achieve better segment alignments for more independent motor control.
Patients were assessed before and after the PT using the Trunk Impairement Scale, Five Times Sit-To-Stand Test, the test "Timed Up and Go" and 10 meters walking test.
Results
All the patients achieved better postural stability (p <0.05), increased their functional strength of the lower limbs and improved their ability for transfers (p <0.05) and their overall mobility (p <0.05). Their increase in walking speed was not significant but the overall improvement trend shows that it is possible for the studied patients to achieve greater independence in their everyday life activities.
Conclusions
The PT program improves the static and dynamic control, coordination of the trunk movements and functional abilities in patients 3 months post ischemic stroke.
Key words
physiotherapy, functional abilities, subacute stroke, geriatric

Item Type: Conference or Workshop Item (Poster)
Impact Factor Value: 4.882
Uncontrolled Keywords: physiotherapy, functional abilities, subacute stroke, geriatric
Subjects: Medical and Health Sciences > Basic medicine
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: Prof. Dance Vasileva
Date Deposited: 16 Nov 2020 09:22
Last Modified: 16 Nov 2020 09:22
URI: https://eprints.ugd.edu.mk/id/eprint/26736

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