ADAPTIVE KINESITERAPY IN THE CORRECTION OF SPATIAL ORIENTATION DEFECTS IN POST-STROKE PATIENTS
The aim of the research was the development and clinical approbation of the concept of personalized rehabilitation of patients who had a cerebral stroke in the early recovery period, based on the quantitative identification of the defect of the spatial orientation function.
Materials and methods.The study involved 59 people: the control group — 26 healthy volunteers, the group of patients No. 1 who received complex treatment with the same type of adaptive kinesitherapy program — 18 people and the group of patients No. 2 included 15 individuals (individuals in the group 62.7 [68.9 / 61.1] years) who received complex treatment with a personalized program of adaptive kinesitherapy compiled based on the results of the evaluation of the quality function of the perception of the surrounding space, the quality of the perception of curvilinear objects and the quality of the perception of rectilinear objects.
Results. The study found that the application of the technique of personalized adaptive kinesitherapy is a clinically justified approach to achieve better results, due to the improved function of the organization of the qualitative structure of cyclic locomotion and the quality of perception of the surrounding space.
Vladislav A. Lukashevich 1,
Vladimir V. Ponomarev 1,
Mechislav I. Tarasevich 2
1 Belarusian Medical Academy of Postgraduate Education,
2 2nd Clinical Hospital, Minsk, Minsk, Republic of Belarus
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References:
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2. Lukashevich V.A, Ponomarev V.V., Mankevich S.M., Tarasevich M.I. Adaptivnaya kineziterapiya v kompleksnoy reabilitatsii postinsul'tnykh patsientov [Adaptive kinesitherapy in the comprehensive rehabilitation of post-stroke patients]. Innovatsionnye tekhnologii v meditsine [Innovative technologies in medicine]. 2018. T 6. № 4. рр.295-305. [in Russian]
3. Sidorovich E.K. Rol' fenotipirovaniya po kriteriyam ASC v ustanovlenii variabel'nosti etiopatogeneticheskikh mekhanizmov i razrabotke skhem fenotip-orientirovannogo lecheniya infarkta mozga pri aterockleroze ekstrakranial'nykh arteriy [The role of phenotyping according to ASC criteria in establishing the variability of etiopathogenetic mechanisms and the development of schemes for phenotype-oriented treatment of cerebral infarction in atherosclerosis of extracranial arteries]. Lechebnoye delo [Medical business]. 2016. No 4. pp. 7–16. [in Russian]
4. Bruni M.F., Melegari C., De Cola M.C., Bramanti A., Bramanti P., Calabrò R.S. What does best evidence tell us about robotic gait rehabilitation in stroke patients: A systematic review and meta-analysis. J. Clin Neurosci. 2018. Vol. 48. P. 11–17.
5. Campos T.F., Barroso M.T., de Lara Menezes A.A. Encoding, storage and retrieval processes of the memory and the implications for motor practice in stroke patients. NeuroRehabilitation. 2007. Vol. 26. №2. Р.135-142.
6. Descloux V., Maurer R. Cognitive map recall test: A new specific test to assess topographical disorientation. Appl. Neuropsychol Adult. 2018. Vol. 25. №2. Р.91-109.
7. Glasauer S., Amorim M.A., Viaud-Delmon I., Berthoz A. Differential effects of labyrinthine dysfunction on distance and direction during blindfolded walking of a triangular path. Exp Brain Res. 2002. Vol. 145. №4. P. 489–497.
8. Kaski D., Quadir S., Nigmatullina Y., Malhotra P.A., Bronstein A.M., Seemungal B.M. Temporoparietal encoding of space and time during vestibular-guided orientation. Brain. 2016. Vol. 139, №2. P. 392–403.
9. Lamontagne A., De Serres S.J., Fung J., Paquet N. Stroke affects the coordination and stabilization of head, thorax and pelvis during voluntary horizontal head motions performed in walking. Clin. Neurophysiol. 2005. Vol. 116. №1. P. 101–111.
10. Lukashevich U. Adaptive kinezitherapy in early rehabilitation of patients with mild coordination defects. World Science. 2017. Vol. 6. № 4 (20). P. 4–7.
11. Miller E.L., Murray L., Richards L., Zorowitz R.D., Bakas T., Clark P., Billinger S.A. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke. 2010. Vol. 41. P. 2402–2448.
12. Nigmatullina Y., Hellyer P.J., Nachev P., Sharp D.J., Seemungal B.M. The neuroanatomical correlates of training-related perceptuo-reflex uncoupling in dancers. Cereb Cortex. 2015. Vol. 25. №2. P. 554–562.
13. Nys G.M., Van Zandvoort M.J., De Kort P.L., Jansen B.P., Van der Worp H.B., Kappelle L.J., De Haan E.H. Domain-specific cognitive recovery after first-ever stroke: a follow-up study of 111 cases. J Int Neuropsychol Soc. 2005. Vol. 11 №7. P. 795–806.
14. Rasquin S.M., Verhey F.R., Lousberg R., Winkens I., Lodder J. Vascular cognitive disorders: memory, mental speed and cognitive flexibility after stroke. J Neurol Sci. 2002. Vol. 15. № 203-204. P. 115–9.
15. Seemungal B.M. The cognitive neurology of the vestibular system. Curr Opin Neurol. 2014. Vol. 27, №1. P. 125–132.
16. Snaphaan L., de Leeuw F.E. Poststroke memory function in nondemented patients: a systematic review on frequency and neuroimaging correlates. Stroke – 2007. Vol. 38, №1. P. 198–203.
17. Yavuzer G., Oken O., Elhan A., Stam H.J. Repeatability of lower limb three-dimensional kinematics in patients with stroke. Gait Posture. 2008. Vol. 27. №1. P. 31–35.
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Lukashevich V.A., Ponomarev V.V., Tarasevich M.I. Adaptive kinesiterapy in the correction of spatial orientation defects in post-stroke patients // Nauka i Zdravookhranenie [Science & Healthcare]. 2019, (Vol.21) 3, pp. 108-115.Related publications:
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