ACADEMIC AND RESEARCH PEER-REVIEWED MEDICAL JOURNALISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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Efficiency of the Multidimensional Rehabilitation Using CI Therapy in Left-Side and Right-Side Postapoplectic Hemiparesis

DOI:10.31550/1727-2378-2019-156-1-32-35
For citation: Tarovskaya A.M., Ondar V.S., Gasymly E.D., Subocheva S.A., Prokopenko S.V., Abroskina M.V., Kabysh S.S. Efficiency of the Multidimensional Rehabilitation Using CI Therapy in Left-Side and Right-Side Postapoplectic Hemiparesis. Doctor.Ru. 2019; 1(156): 32–35. DOI: 10.31550/1727-2378-2019-156-1-32-35
8 February 14:15

Study Objective: To compare the efficiency of walking correction based on the Constraint-induced movement therapy (CI therapy) in patients with left-side and right-side postapoplectic hemiparesis syndrome during the period of rehabilitation.

Study Design: Cohort cross-sectional study

Materials and Methods: The study included 50 patients with mild, moderate and pronounced central hemiparesis (24 patients with left-side and 26 patients with right-side hemiparesis) at the age of 28 to 80 years old during the period of advanced rehabilitation and with residual signs of stroke.All patients were treated with conventional neurorehabilitation methods of walking correction (Terra Vital exercycle, massage, physical therapy), as well as CI therapy adapted for walking restoration.

Study Results: According to the Dynamic Gait Index, statistically significant changes in space and time parameters (the risk of falling down has become lower) were recorded. Patients with right-side hemiparesis had the DGI increased from 11.00 [6.00; 13.00] to 16.00 [11.00; 19.75], those with left-sided hemiparesis - from 11.00 [7.00; 14.00] to 15.00 [12.00; 18.00] (both р = 0.000). According to the laser analyser of the traveltime parameters, statistically significant differences were recorded in the following areas: step length of the paretic extremity, step length and duration of the intact extremity. The treatment efficiency, as registered by the DGI scale in both groups, correlated: the index of efficiency in right-side hemiparesis was 0.31 [0.16; 0.45], where as in left-side hemiparesis it was 0.29 [0.20; 0.39].

Conclusion: Walking correction based on CI therapy as a part of multidimensional neurorehabilitation facilitates step symmetry restoration and reduction of the risk of falling down; the walking function and balance improve significantly, and it is efficient both for patients with left-side and right-side postapoplectic hemiparesis.

The study was supported by the Fund for Assistance of Small Enterprises Development in Science and Technology under the UMNIK Programme, subject: “Development of the method to correct the walking function in post-stroke patients with the hemiparesis syndrome” under Contract No. 10842ГУ/2015 dated 29.12.2016.

The authors declare that they do not have any conflict of interests.

A.M. Tarovskaya —Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky of the Ministry of Public Health of Russia; 1 Partisan Zheleznyak Str., Krasnoyarsk, 660022, Russian Federation. E-mail: annatarov@bk.ru

V.S. Ondar —Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky of the Ministry of Public Health of Russia; 1 Partisan Zheleznyak Str., Krasnoyarsk, 660022, Russian Federation. E-mail: annatarov@bk.ru

E.D. Gasymly —Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky of the Ministry of Public Health of Russia; 1 Partisan Zheleznyak Str., Krasnoyarsk, 660022, Russian Federation. E-mail: annatarov@bk.ru

S.A. Subocheva —Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky of the Ministry of Public Health of Russia; 1 Partisan Zheleznyak Str., Krasnoyarsk, 660022, Russian Federation. E-mail: annatarov@bk.ru

S.V. Prokopenko —Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky of the Ministry of Public Health of Russia; 1 Partisan Zheleznyak Str., Krasnoyarsk, 660022, Russian Federation. E-mail: annatarov@bk.ru

M.V. Abroskina —Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky of the Ministry of Public Health of Russia; 1 Partisan Zheleznyak Str., Krasnoyarsk, 660022, Russian Federation. E-mail: annatarov@bk.ru

S.S. Kabysh —Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky of the Ministry of Public Health of Russia; 1 Partisan Zheleznyak Str., Krasnoyarsk, 660022, Russian Federation. E-mail: annatarov@bk.ru

Доктор.ру
8 February 14:15
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