Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized Study
INTRODUCTION. Proprioceptive deficits are one of the common sensory impairments after stroke and have a negative impact on motor activity. AIM. Evaluation of the effect of stabilization training on the dynamics of clinical and functional indices and the efficiency of motor rehabilitation in pati...
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| Format: | Article |
| Language: | English |
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Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
2023-02-01
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| Series: | Вестник восстановительной медицины |
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| Online Access: | http://www.vvmr.ru/en/archives/2023/1-22-fevral-2023/mezhdistsiplinarnye-problemy-meditsinskoy-reabilitatsii-i-sanatorno-kurortnogo-lecheniya/2023-22-stabilotrenirovki-v-dvigatelnoi-reabilitacii-bolnyh-posle-insulta-prospektivnoe-randomizirovannoe-issledovanie.html |
| _version_ | 1797387151471542272 |
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| author | Natalia F. Miryutova Liudmila V. Mikhailova Natalia N. Minchenko |
| author_facet | Natalia F. Miryutova Liudmila V. Mikhailova Natalia N. Minchenko |
| author_sort | Natalia F. Miryutova |
| collection | DOAJ |
| description | INTRODUCTION. Proprioceptive deficits are one of the common sensory impairments after stroke and have a negative impact on motor activity.
AIM. Evaluation of the effect of stabilization training on the dynamics of clinical and functional indices and the efficiency of motor rehabilitation in patients after stroke.
MATERIAL AND METHODS. The dynamics of motor (motor functions, activity) and non-motor (cognitive and emotional volitional) consequences of stroke, as well as the quality of life under the influence of complex application of stabilization training with the use of scales (National Institutes of Health Stroke Scale, Medical Research Council Scale, Modified Ashworth Scale of muscle spasticity, «Memory for images» and «10 words», Schulte-Platonov Table, Lusher Color Test, The Hospital Anxiety and Depression Scale), International Classification of Functioning (ICF), EQ-5D questionnaire and stabilography method. The effectiveness of motor rehabilitation was evaluated by the dynamics of the integral index of health level.
RESULTS AND DISCUSSION. After complex rehabilitation in stroke patients the regression of neurological disorders was detected (almost half of patients after rehabilitation showed mild degree of impairment, in 6 % of cases full recovery of paretic leg muscle strength was achieved, the share of patients with severe and moderate paresis decreased, hypertonicity of paretic muscles decreased). Complementing the complex of motor rehabilitation with stable exercise led to a decrease in the degree of functional limitations (in 48.5 % of patients after rehabilitation the Hauser walking index indicated a mild degree of walking disorder, patients became able to walk around the room without using aids, reduced dependence on others in everyday life), improved quality of balance function and quality of life, a positive impact on the psychoemotional state of patients and increased effectiveness of rehabilitation measures.
CONCLUSION. Stabilotraining application in the complex of motor rehabilitation of patients allowed to improve walking and balance functions, psycho-emotional state of patients, to increase their quality of life and, accordingly, to increase the effectiveness of rehabilitation measures after stroke. |
| first_indexed | 2024-03-08T22:20:42Z |
| format | Article |
| id | doaj.art-da2e719ea1b44893913fcafdd3909d42 |
| institution | Directory Open Access Journal |
| issn | 2078-1962 2713-2625 |
| language | English |
| last_indexed | 2024-03-08T22:20:42Z |
| publishDate | 2023-02-01 |
| publisher | Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology |
| record_format | Article |
| series | Вестник восстановительной медицины |
| spelling | doaj.art-da2e719ea1b44893913fcafdd3909d422023-12-18T14:02:12ZengMinistry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and BalneologyВестник восстановительной медицины2078-19622713-26252023-02-012212835https://doi.org/10.38025/2078-1962-2023-22-1-28-35Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized StudyNatalia F. Miryutova0https://orcid.org/0000-0002-4046-4008Liudmila V. Mikhailova1https://orcid.org/0000-0002-3623-0663Natalia N. Minchenko2https://orcid.org/0000-0003-3840-4134 Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency of Russia, Moscow, Russian Federation Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency of Russia, Moscow, Russian Federation Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency of Russia, Moscow, Russian Federation INTRODUCTION. Proprioceptive deficits are one of the common sensory impairments after stroke and have a negative impact on motor activity. AIM. Evaluation of the effect of stabilization training on the dynamics of clinical and functional indices and the efficiency of motor rehabilitation in patients after stroke. MATERIAL AND METHODS. The dynamics of motor (motor functions, activity) and non-motor (cognitive and emotional volitional) consequences of stroke, as well as the quality of life under the influence of complex application of stabilization training with the use of scales (National Institutes of Health Stroke Scale, Medical Research Council Scale, Modified Ashworth Scale of muscle spasticity, «Memory for images» and «10 words», Schulte-Platonov Table, Lusher Color Test, The Hospital Anxiety and Depression Scale), International Classification of Functioning (ICF), EQ-5D questionnaire and stabilography method. The effectiveness of motor rehabilitation was evaluated by the dynamics of the integral index of health level. RESULTS AND DISCUSSION. After complex rehabilitation in stroke patients the regression of neurological disorders was detected (almost half of patients after rehabilitation showed mild degree of impairment, in 6 % of cases full recovery of paretic leg muscle strength was achieved, the share of patients with severe and moderate paresis decreased, hypertonicity of paretic muscles decreased). Complementing the complex of motor rehabilitation with stable exercise led to a decrease in the degree of functional limitations (in 48.5 % of patients after rehabilitation the Hauser walking index indicated a mild degree of walking disorder, patients became able to walk around the room without using aids, reduced dependence on others in everyday life), improved quality of balance function and quality of life, a positive impact on the psychoemotional state of patients and increased effectiveness of rehabilitation measures. CONCLUSION. Stabilotraining application in the complex of motor rehabilitation of patients allowed to improve walking and balance functions, psycho-emotional state of patients, to increase their quality of life and, accordingly, to increase the effectiveness of rehabilitation measures after stroke. http://www.vvmr.ru/en/archives/2023/1-22-fevral-2023/mezhdistsiplinarnye-problemy-meditsinskoy-reabilitatsii-i-sanatorno-kurortnogo-lecheniya/2023-22-stabilotrenirovki-v-dvigatelnoi-reabilitacii-bolnyh-posle-insulta-prospektivnoe-randomizirovannoe-issledovanie.htmlstrokerehabilitationstability training |
| spellingShingle | Natalia F. Miryutova Liudmila V. Mikhailova Natalia N. Minchenko Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized Study Вестник восстановительной медицины stroke rehabilitation stability training |
| title | Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized Study |
| title_full | Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized Study |
| title_fullStr | Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized Study |
| title_full_unstemmed | Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized Study |
| title_short | Stabilotraining in Motor Rehabilitation of Patients after Stroke: a Prospective Randomized Study |
| title_sort | stabilotraining in motor rehabilitation of patients after stroke a prospective randomized study |
| topic | stroke rehabilitation stability training |
| url | http://www.vvmr.ru/en/archives/2023/1-22-fevral-2023/mezhdistsiplinarnye-problemy-meditsinskoy-reabilitatsii-i-sanatorno-kurortnogo-lecheniya/2023-22-stabilotrenirovki-v-dvigatelnoi-reabilitacii-bolnyh-posle-insulta-prospektivnoe-randomizirovannoe-issledovanie.html |
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