Issue 1-20, 2020

The role of robotic mechanotherapy in mobility restoration in patients with acute cerebrovascular accident

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1 Svyatskaya E. F., 2 Biykuzieva A. A., 2 Ahmedova D. S.

1 Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus
2 Tashkent medical academy, Tashkent, Uzbekistan


ABSTRACT

The most common consequences of a stroke are motor disorders in the form of paralysis and paresis, most often unilateralhemiparesis of varying severity. It is motor disorders that lead to the disruption of such categories of life activity asthe ability to move and self-care, which entails a limitation of patient mobility. The study included 35 patients with motordisorders resulting from acute cerebrovascular accident who underwent medical rehabilitation.Clinical research methods (Ashfort, Rivermid) and mathematical statistics evaluated the positive effects of robotic mechanotherapy,which was used in the rehabilitation of stroke patients.As a result of rehabilitation measures using robotic mechanotherapy, the strength in the hand in 68.2% of the examinedpatients and in the leg in 45.5% significantly increased (p<0.005). In the remaining patients, there was no significant improvementin motor deficiency, but nevertheless, mobility improved in all examined patients and the average value of theRivermid mobility index was 11.4 ± 2.1 out of 15 possible (p<0.001).


KEYWORDS: acute cerebrovascular accident, stroke, paresis, validated scales, Ashfort scale, Rivermid index, robotic mechanotherapy, machine of «Armeo Power», machine of «Lokomat».


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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.