Issue 5-93, 2019

Efficiency of robotized mechanotherapy of the complex «lokomat pro» in patients, carrying outsulated

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1 Tihoplav O.A., 1 Ivanova V.V., 2 Guryanova E.A., 1 Ivanov I.N.

1 Republican Clinical Hospital, Cheboksary, Russia
2 I.N. Ulianov Chuvash State University, Cheboksary, Russia


ABSTRACT

The aim of the work is to study the eff ectiveness of locomotor therapy in patients undergoing acute cerebral circulationat the fi rst stage of rehabilitation.In the group of 63 patients, the average age was 64.7 ± 7.19 years, of them with ischemic stroke – 97% of patients, withhemorrhagic stroke – 3% of patients with similar somatic status and neurological defects – the presence of right-sided orleft-sided hemiparesis and treated one group of gravity on the NIHSS scale. The average score on the NIHSS scale was 4.32± 1.2, on the Rivermid scale, 9.64 ± 1.49, on the Harrison scale, 3.58 ± 1.14. All patients had a similar level of rehabilitationpotential on the scale of rehabilitation routing (SHRM) 5.21 ± 1.04 and locomotor therapy was performed on the Lokomatrobotic complex. The control group consisted of 30 patients who received treatment and rehabilitation that was identicalwith the main group, with the exception of classes at the robotic complex.There was a signifi cant improvement in the main group compared with the control group, and to a greater extent inpatients with right-sided hemiparesis. The indicators on the Rankin scale increased: in right-sided hemiparesis by 31.6%, inthe control group – by 26%; with left-sided hemiparesis – by 34.3%, in the control group – by 22%. On the NIHSS scale, withright-sided hemiparesis, the improvement was 41.3%, in the control group – 19.64%, with left-side hemiparesis – 30.6%, inthe control group – by 10.81%. In the group of patients using locomotor therapy, an increase in exercise tolerance by 1.9times was found. In patients with mild paresis (according to the Harrison scale of 4.51), there was no diff erence in the experimentaland control groups. Therefore, for this group of patients, the appointment of locomotor therapy is not appropriate.Patients over 65 years of age have a low effi ciency of classes at the Lokomat Pro complex, in some cases there is a completelack of dynamics or even a negative result.


KEYWORDS: locomotor therapy, rehabilitation, stroke, paresis.


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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.