KINESIOTHERAPY OF POST-STROKE PATIENTS AT THE INPATIENT STAGE OF PHYSICAL THERAPY

Abstract

Kinesiotherapy, as one of the leading means of rehabilitation and physical therapy, affects the patient’s body using the therapeutic and restorative effect of physical exercises. The goal of the work: Increasing the effectiveness of rehabilitation and physical therapy of patients who have suffered intracerebral hemorrhage, based on the correction of movement disorders, normalization of muscle tone, increase of muscle strength and coordination by means of kinesiotherapy at the inpatient stage of rehabilitation treatment. Materials and methods: The study included 30 patients with a diagnosis of intracerebral hemorrhage (VMI), aged from 50 to 70 years (average age 60.4±2.3 years), who were at the inpatient stage of rehabilitation treatment in the rehabilitation center of the Ivano-Frankivsk Regional Clinical Hospital. Research results: Based on the obtained data, it is possible to assume the need to include in the rehabilitation program of the early recovery period of patients with intracerebral hemorrhage in combination with the method of adaptive cardiorespiratory reflex training within the framework of the spiral model of physical therapy with further expansion of the motor regime. The use of this technique contributes to increasing the rehabilitation potential for motor deficits, reducing the oxygen demand of the myocardium, preventing early thromboembolic and orthostatic complications, increasing motivation for further restorative treatment, and stabilizing the psycho-emotional state. The need to assess the rehabilitation potential taking into account heart pathology in this category of patients requires the development of new methods and scales in the future. Conclusion: The use of kinesiotherapy tools in the restorative treatment of patients who have undergone intracerebral hemorrhage contributes to the improvement of the neurological status and functional state of the musculoskeletal system of patients by increasing the amplitude of movements in the joints of the upper and lower limbs, reducing muscle spasticity, improving the ability to self-care, increasing mobility and independence in everyday life. These results statistically confirm the greater effectiveness of the developed program of rehabilitation and physical therapy, which was used by the patients of the experimental group.