Vasilchenko V. S., Kuryata О. V., Hryshunina N. Y., Lohvynenko V. V., Manin M. V., Somilo О. V.

EFFECT OF COMPLEX PHYSICAL THERAPY ON REDUCING THE DEGREE OF LIFE RESTRICTIONS IN PATIENTS WITH CEREBRAL ISCHEMIC STROKE IN THE LONG-TERM REHABILITATION PERIOD

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Vasilchenko V. S., Kuryata О. V., Hryshunina N. Y., Lohvynenko V. V., Manin M. V., Somilo О. V.

Heading:

PHYSICAL THERAPY AND REHABILITATION

Type of article:

Scientific article

Annotation:

According to statistics, stroke affects about 6 million people annually, and in Ukraine in 2024 more than 110 thousand people suffered from a stroke. Increasing the patient’s safety after a stroke, reducing the level of limitations in their vital activities, and improving the quality of life are among the tasks of physical rehabilitation. The aim of the study was to determine the effectiveness of using targeted treadmill training in a comprehensive physical rehabilitation program for gait and balance disorders in patients in the late rehabilitation period of cerebral ischemic stroke. The process of comprehensive physical therapy of patients after a cerebral ischemic stroke in the long-term rehabilitation period with the use of targeted motor training and gait training on a treadmill. The study involved 11 patients in the late rehabilitation period of stroke: 6 men and 5 women, aged 53-58 years. The course of therapy in the rehabilitation center consisted of 6 months of motor training. Statistical processing was carried out using nonparametric statistical methods implemented in the Statistica 6.1 software packages from StatSoft.The rehabilitation program included interventions: therapeutic exercises for muscle strength, fine motor skills exercises, balance exercises, straight and zigzag gait training, and 30-minute treadmill training. The survey showed a positive effect of the comprehensive physical rehabilitation program: a reduction in spasticity was achieved on the Ashworth scale, the indicator decreased from 2.4±0.3 to 1.5±0.4 points (p<0.05); mobility improved and the risk of falling decreased according to the “Get up and go” test, which decreased from 14.4±0.4 s. to 9.7±0.4 s (p<0.05); The intensity of pain in spastic limbs decreased according to the VAS scale from 38.4±1.4 to 21.4±0.9 points (p<0.1); the Rivermead mobility index increased from 7.1±0.4 to 9.3±0.5 points (p<0.05), which indicated improved coordination and stability during movement; the level of independence in daily activities increased, according to the Barthel index - from 69.0±2.2 to 82.5±3.5 (p<0.05); the upper limb motor function index increased according to the Fugl-Meyer scale from 43.4±2.34 to 51.4±2.61 points (p<0.05), the lower limb motor function index from 27.4±1.43 to 31.3±1.82 points (p<0.05); mobility improved according to the 10-meter walk test, which decreased after rehabilitation interventions from 14.1±0.1s to 10.71±0.8s (p<0.05). A comprehensive approach in the strategies of specialists of the multidisciplinary team with the inclusion of targeted motor training and treadmill gait training contributed to the improvement of indicators of limb motor functions and gait function, balance, which reduced the level of limitations of patients’ activities.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2026 Issue 2, 181, 296-299 pages, index UDC 616.831-005.1-036.86-085:615.825

DOI:

10.29254/2077-4214-2026-2-181-296-299