THE USE OF A SET OF ADAPTED BOXING EXERCISES FOR NEUROREHABILITATION OF PATIENTS WITH PARKINSON'S DISEASE WHO HAVE UNDERGONE DEEP BRAIN STIMULATION
Introduction. The article is devoted to evaluating the effectiveness of exercises that were used in neurorehabilitation for patients who underwent deep brain stimulation installation surgery. The complex of physical activity is very important in the rehabilitation of patients with neurological diseases such as Parkinson's disease, Tourette's syndrome, dystonia. To date, socialization, treatment, and maintenance of self-care of patients with neurodegenerative diseases remains an urgent health problem.
Aim: To evaluate the effectiveness of a set of adapted boxing exercises in neurorehabilitation in patients with Parkinson's disease who underwent deep brain stimulation by assessing rehabilitation scales.
Materials and methods. Prospective cohort study. The results of neurorehabilitation of patients treated at the clinic of neurology and neurorehabilitation "Shashkin clinic" are presented. The study was conducted among 46 patients with a neurostimulator. The age of patients is from 49 to 75 years, men - 18, women - 28. The patients were divided into 2 groups of 23 people. The main criteria for inclusion in the study: patients with Parkinson's disease – at least stage 2 on the Hyun-Yaru scale, and those who underwent surgery to install a deep brain stimulation system (properly installed neurostimulator, cable and electrodes). Exclusion criteria: patients with surgical complications after deep brain stimulation surgery, with symptoms: delusions, hallucinations, dementia, cognitive disorders; patients who refused the study. The patients were randomly divided into two groups. The 1st group underwent neurorehabilitation without a set of exercises, the 2nd group - with a daily additional load of adapted boxing. Patients were tested for rehabilitation scales before rehabilitation and 2 weeks after neurorehabilitation.
For three rehabilitation scales, the average value of the results of counting points and seconds (Student's t-test for dependent samples), before and after the rehabilitation of two groups of patients, and the results of the final improvement
Conclusions. The inclusion of a set of adapted boxing exercises in neurorehabilitation has a positive effect on the general condition of the patient.
Gani B. Uakkazy1, https://orcid.org/0000-0003-1170-126X
Chingiz S. Shashkin2, https://orcid.org/0000-0001-8662-0574
Gulnar N. Akhmadeeva3, https://orcid.org/0000-0001-5516-0587
Aliya Muratbaykyzy4, https://orcid.org/0000-0001-7236-2746
Zhanibek T. Myrzaev4, https://orcid.org/0000-0003-1887-5721
Askar A. Kozykenov5, https://orcid.org/0009-0005-7017-8677
Ulbosyn Sh . Saltabaeva1, https://orcid.org/0000-0002-5378-3155
Bakytzhan S. Kutybaeva1, https://orcid.org/0000-0003-4172-2424
1 NCJSC «Astana Medical University», Astana c., Republic of Kazakhstan;
2 International Institute of Postgraduate Education, Almaty, Republic of Kazakhstan;
3 Bashkir State Medical University, Ufa c., Russian Federation;
4 Clinic of modern neurology and neurorehabilitation "Shashkin clinic", Almaty c., Republic of Kazakhstan;
5 NCJSC "Semey Medical University", Semey c., Republic of Kazakhstan;
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Uakkazy G.B., Shashkin Ch.S., Akhmadeeva G.N., Muratbaykyzy A., Myrzaev Zh.T., Kozykenov A.A., Saltabaeva U.Sh., Kutybaeva B.S. The use of a set of adapted boxing exercises for neurorehabilitation of patients with Parkinson's disease who have undergone deep brain stimulation // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 56-64. doi 10.34689/SH.2023.25.2.008Related publications:
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