THE IMPORTANCE OF EARLY COMPLEX OCCUPATIONAL THERAPY IN ACUTE CEREBRAL CIRCULATORY DISORDERS
DOI:
https://doi.org/10.32782/health-2023.3.17Keywords:
Therapeutic gymnastics, kinesiotherapy, acute cerebrovascular accidentAbstract
Physical therapy of brain damage, in particular occupational therapy, is an important part of the recovery process after severe cerebrovascular accident. This component of rehabilitation helps patients to restore functions that may be impaired, such as motor skills, coordination, balance, muscle strength, and cognitive abilities. Kinesiotherapy in the acute period of stroke is carried out in the form of therapeutic gymnastics, the main elements of which are position therapy, passive active and static exercises. An adequately selected set of exercises activates the blood supply to immobilized tissues, prevents muscle atrophy and joint contractures, which is the basis for further training in walking and self-care. To evaluate the effectiveness of the influence of early complex therapeutic gymnastics on the musculoskeletal system of the lower extremities due to acute cerebrovascular accident. Materials and methods the theoretical basis of the study is the analysis of scientific thematic sources. The practical study was conducted on the basis of the neurological department of the Central City Hospital in Rivne. In total, 26 people took part in the experiment, who were evenly divided into two groups: the main and control groups of 13 patients each. The main neurological consequences of the patients were left and right hemiparesis with significant motor disorders, deterioration of coordination and balance, reduced muscle strength and endurance. Patients of the control group were treated according to the method approved in the medical institution, and the main group, in addition to the main treatment, used the therapeutic gymnastics proposed by us. Comparative measurements during testing showed that the strength of the lower extremity flexor muscles of patients in the main group was 7.11±1.05 points, against 5.23±1.24 points (out of a possible 11) in the control group, that is, improved by 17.09 %. The average results of the assessment of the strength of the extensor muscles of the lower extremity of patients in the main group were obtained at the level of 6.33±0.99 points, against 5.29±1.1 points of patients in the control group (out of a possible 13), that is, increased by 8.66 %. Early complex therapeutic gymnastics is an effective means for restoration of the musculoskeletal system after acute cerebrovascular accident in the recovery period.
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