FEATURES OF FUNCTIONAL RESERVES IN POST-STROKE PATIENTS DURING REHABILITATION USING VARIOUS METHODS
DOI:
https://doi.org/10.11603/1811-2471.2025.v.i4.15782Keywords:
intracerebral stroke, rehabilitation, functional tests, physical therapy, physical activityAbstract
SUMMARY. The relevance of the study is determined by the need for individualisation and accurate dosing of physical activity in patients in the early post-stroke period. Incorrectly selected exercise intensity can have an adverse effect on the body, while correctly dosed exercise is the key to improving the psycho-emotional state and restoring motor activity.
The aim – to justify the feasibility of determining the functional reserve of the body of patients with intracerebral stroke in the early stages of rehabilitation in order to adjust and individualise their motor regime, physical activity and the intensity of rehabilitation exercises.
Material and Methods. The study was conducted at the Ivano-Frankivsk City Council City Clinical Hospital No. 1. It involved 18 patients divided into the main (n=9, Feldenkrais method) and control (n=9, standard programme) groups. To assess functional status, the orthostatic test, Genchi test, Stange test, and Robinson test were used. Testing was conducted before and after rehabilitation sessions. Anxiety levels were also assessed.
Results. After exercise according to the standard programme, the number of patients with unsatisfactory results (especially in the Robinson test) increased, indicating a significant load on the cardiovascular system. When using the Feldenkrais method, the number of patients with "excellent" and “good” ratings increased by 31.3 %, while the number with ‘unsatisfactory’ ratings decreased by 9.6 %. A decrease in high levels of personal anxiety was also recorded in the Feldenkrais group.
Conclusions. The use of functional tests is an accessible and effective tool for operational control. The Feldenkrais method is more adequate for early post-stroke rehabilitation, improving functional indicators and psycho-emotional state. Intensive methods are recommended for patients with a positive response, and bed rest is recommended for those with a negative response.
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