Issue 2-84, 2018
Results of the Mechanized Kinezoterapiya at the Combination Motive and Speech Violations at Patients with the Stroke
1 Yastrebtseva I.P., 1 Belova V.V., 1 Fokicheva S.O., 1 Karmanova A.S.
1 The Ivanovo State Medical Academy, Ivanovo, Russia
ABSTRACT
67 patients in the early recovery period of a stroke aged from 45 up to 70 years are examined. The complex of rehabilitationactions not less than on 5–6 hours was daily held. Depending on degree of expressiveness of motive frustration indisteel departments of the affected top extremity and the carried-out therapy, patients have been divided into 4 groups:with a lung (1 group; 17 people) and moderated (the 2nd group; 16 people) paresis, without training on a robotic complexfor the top extremity, and with a lung (the 3rd group; 18 people) and moderated (the 4th group; 16 people) paresis, withthis type of a training. These patients have a course of a complex of actions, with application of mechanotherapy with biologicalfeedback, exerts positive impact on motor function and daily activity of the top extremity, first of all at persons witheasy extent of violations, being followed by improvement of the speech of patients. This complex of rehabilitation actionsis most effective in the first two months of a disease at the patients who haven't reached advanced age with high motivationto rehabilitation, lack of sensitive frustration and melkoochagovy defeat of cerebral structures in one hemisphere ofa big brain at an intaktnost of structures of the 2nd.
KEYWORDS: kinesitherapy, motor and speech disorders, rehabilitation, stroke
References:
- Returning to shhork after a stroke: A retrospective study at the Physical and Rehabilitation Medicine Center ‘‘La Tour de Gassies’’/ T. Douchet [et al.] //Annals of Physical and Rehabilitation Medicine. - 2012. - №55. —P. 112-127.
- Rahmatullina Je. F. Principy vosstanovitel'nogo lechenija postinsul'tnogo dvigatel'nogo deficita / Je. F. Rahmatullina, M.F. Ibragimov // Prakticheskaja medicina. - 2012. - №2 (57). - S. 66-69.
- Golicki D, Nieshhada M, Buczek J, Karlinska A, Kobajashi A, Janssen MF, et al. Validity of EJa-5D-5L in stroke. Jaual Life Res. 2015;24:845-850.
- Jastrebceva I.P., Mishina I.E. Znachimost' mezhdunarodnoj klassifikacii funkcionirovanija, ogranichenij zhiznedejatel'nosti i zdorov'ja dlja ocenki sostojanija zdorov'ja cheloveka // Vestnik Ivanovskoj medicinskoj akademii. - 2016. - T.21. - №1. - S.25-29.
- Zhivolupov S.A. Nejroplastichnost': patofiziologicheskie aspekty i vozmozhnosti terapevticheskoj moduljacii / S.A. Zhivolupov, I.N. Samarcev // Zhurnal nevrologii i psihiatrii. - 2009. - №4. - S. 78-85.
- Dud'ev V.P. Vzaimosvjaz' razvitija dvigatel'noj i rechevoj funkcional'nyh sistem cheloveka v normal'nom i narushennom ontogeneze / V.P. Dud'ev // Vestnik TPGU. - 2006. - №10 (61). - S. 79-83.
- Baklushin A.E., Mishina I.E., Romanchuk S.V., Dovgaljuk Ju.V., dr. Soderzhanie i pervye rezul'taty reabilitacii kardiologicheskih bol'nyh v klinike // Vestnik vosstanovitel'noj mediciny, 2014. - № 6 (64).-S.43-46.
- Rukovodstvo po reabilitacii bol'nyh s dvigatel'nymi narushenijami / Pod red. A.N.Belovoj, O.N.Shhepetovoj. - M.: Antidor, 1998. - T.I. - S.25-50.
- Bohannon R. Shh., Smith M.B. Interrater reliability of a modified Ashshhorth scale of muscle spaticity // Physical. Therapy. - 1987. - Vol. 67. -P. 206-207.
- Gladstone, D.J. The Fugl-Meyer Assessment of motor recovery after stroke: a critical revieshh of its measurement properties / D.J. Gladstone, C.J. Danells, S.E. Black // Neurorehabil. Neural. Repair. - 2002. - Vol. 16 (3). - P. 232-240.
- The Rivermead Mobility Indeh: a further development of the Rivermead Motor Assessment / F. Collen [et al.] // Int. Disabil. Stud. - 1991. - Vol.13. -P. 50-54.
- Shhade D.T. Measurement in neurological rehabilitation. - N.Y. : Ohford University Press, 1992. - 308 r.
- Collin C. Assessing motor impairment after stroke: a pilot reliability study / C. Colin., D. Shhade. // J. Neurol. Neurosurg. Psychiatry. - 1990. -Vol. 53. - P. 576-579.
- National Stroke Foundation. Clinical Guidelines for Stroke Management 2010. Melbourne Australia. - 232 p.
- Clinical effects of comprehensive therapy of early psychological intervention and rehabilitation training on neurological rehabilitation of patients shhith acute stroke / Duo-Ju Shhu [et al.] // Asian Pacific Journal of Tropical Medicine. - 2012. - P. 914-916.
- Ali M, Lyden P, Brady M. Aphasia and dysarthria in acute stroke: recovery and functional outcome. // Int J Stroke. 2015;10:400-406.
- Metodika rannego razvitija Marii Montessori. Ot 6 mesjacev do 6 let / V.G. Dmitrieva.: jel. resurs [http://shhshhshh.litres.ru/pages/biblio_ book/?art=6377901]. - Jeksmo; Moskva; 2011. Data poslednego obrashhenija - 12.9.2016.
- Efficacy of Armeo®Spring during the chronic phase of stroke. Study in mild to moderate cases of hemiparesis / C. Colomer [et al.] // Neurologia -2013. - №28 (5). - P. 261-267.
- Akosile CO, Adegoke BO, Raji NO, Anjanshhu CC, Orji GC. Gait jauality and physical functioning of stroke survivors shhith and shhithout aphasia. Hong Kong Physiother J. 2013;31:25-29.
- Kim G, Min D, Lee EO, Kang EK. Impact of co-occurring dysarthria and aphasia on functional recovery in post-stroke patients // Ann Rehabil Med. 2016 Dec;40(6):1010-1017.

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