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Assessment of the effectiveness of dynamic coordination training in patients with brain infarction

https://doi.org/10.51922/1818-426X.2024.2.37

Abstract

The issues of medical rehabilitation of patients after the brain disaster remain relevant in a number of socio-economic aspects. The purpose of the study was to study the effect of complex treatment and medical rehabilitation of patients with a heart attack of the brain based on the new method of training dynamic coordination. The study was attended by 62 patients with a diagnosis of cerebral infarction, randomized in the control (n = 29) and the main (n = 33) research groups. All participants in the study before the start of treatment and after its completion, clinical testing using clinical scales was carried out. To perform a new rehabilitation technique for dynamic coordination training, a robotic exoplatform was used. As a result of clinical testing, it was established that the new method increases the effectiveness of the complex therapy program regulated by the standards of medical care by 37 % (p = 0.008), due to significant effects on the state of walking and neuromuscular skeletal and associated movement functions (OR = 1.37; 95 %CI: 1.1–1.78).

About the Authors

U. A. Lukashevich
Медицинский центр «ЭЛАР» г. Минск
Belarus


V. V. Ponomarev
Институт повышения квалификации и переподготовки кадров здравоохранения УО «Белорусский государственный медицинский университет»
Belarus


S. V. Gubkin
УО «Белорусский государственный медицинский университет»
Belarus


M. I. Tarasevich
УЗ «2 городская клиническая больница г. Минска»
Belarus


S. A. Malkov
УЗ «2 городская клиническая больница г. Минска»
Belarus


E. V. Vyblova
УЗ «2 городская клиническая больница г. Минска»
Belarus


References

1. Béjot, Y., Daubail B., Jacquin A., Durier J., Osseby G. V., Rouaud O., Giroud M. Trends in the incidence of ischaemic stroke in young adults between 1985 and 2011: the Dijon Stroke Registry / J Neurol Neurosurg Psychiatry. – 2014. – Vol. 85(5). – P. 509–513. https://doi.org/10.1136/jnnp-2013-306203.

2. Mozaffarian, D., Benjamin E. J., Go A. S. et al. Heart disease and stroke statistics-2015 update: a report from the American Heart Association // Circulation. – 2015. – Vol. 131(4). – P. e29–322. https://doi.org/10.1161/CIR.0000000000000152.

3. Mackay, J., Mensah G. Atlas of heart disease and stroke. – Geneva: World Health Organization, 2004. – P. 112.

4. World Health Organization: World Health Statistics 2008. – Geneva, Switzerland: WHO Press; 2008. – 180 p.

5. van Duijnhoven, H. J., Heeren A., Peters M. A., Veerbeek J. M., Kwakkel G., Geurts A. et al. Effects of Exercise Therapy on Balance Capacity in Chronic Stroke: Systematic Review and Meta-Analysis // Stroke. – 2016. – Vol. 47. – P. 2603–10. https://doi.org/10.1161/STROKEAHA.116.013839

6. Mehrholz, J., Pohl M. Electromechanical-assisted gait training after stroke: a systematic review comparing end- effector and exoskeleton devices / Journal of Rehabilitation Medicine. – 2012. – Vol. 44, № 3. – P. 193–199. https://doi.org/10.2340/16501977-0943

7. Tse, T., Carey L., Cadilhac D., Koh G. C., Baum C. Application of the World Stroke Organization health system indicators and performance in Australia, Singapore, and the USA // Int J Stroke. – 2016. – № 11(8). – Р. 852–859. https://doi.org/10.1177/1747493016660104

8. Virani, S. S., Alonso A., Aparicio H. J., Benjamin E. J. et al. Heart disease and stroke statistics – 2021 update: a report from the American heart association / Circulation. – 2021. – Vol. 143(8). – P. 254–743. https://doi.org/10.1161/CIR.0000000000000950

9. Tashiro, S., Mizuno K., Kawakami M., Takahashi O. et al. Neuromuscular electrical stimulation-enhanced rehabilitation is associated with not only motor but also somatosensory cortical plasticity in chronic stroke patients: an interventional study // Therapeutic Advances in Chronic Disease. – 2019. – № 10. – P. 1–13. https://doi.org/10.1177/2040622319889259

10. Benjamin, E. J., Virani S. S., Callaway C. W., Chamberlain A. M. et al. Heart disease and stroke statistics – 2018 update: a report from the American heart association / Circulation. – 2018. – Vol. 137. – P. 467–492. https://doi.org/10.1161/CIR.0000000000000558

11. Saunders, D. H., Sanderson M., Hayes S., Johnson L. et al. Physical fitness training for stroke patients (Review) / Cochrane Database of Systematic Reviews. – 2020. – № 3. – P. CD003316. https://doi.org/10.1002/14651858.CD003316.pub7

12. Martino, C. A., Bonnì S., Pellicciari M. C., Giorgi F., Caltagirone C., Koch G. Health-related quality of life (HRQoL) after stroke: positive relationship between lower extremity and balance recovery / Top Stroke Rehabilitation. – 2020. – № 10. – P. 1–7. https://doi.org/10.1080/10749357.2020.1726070

13. 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 // Journal of Clinical Neuroscience. – 2018. – Vol. 48. – P. 11–17. https://doi.org/10.1016/j.jocn.2017.10.048

14. Laufer, Y., Elboim-Gabyzon M. Does sensory transcutaneous electrical stimulation enhance motor recovery following a stroke? A systematic review / Neurorehabil Neural Repair. – 2011. – Vol. 25. – P. 799–809. https://doi.org/10.1177/1545968310397205

15. Stoller, O., de Bruin E. D., Knols R. H., Hunt K. J. Effects of cardiovascular exercise early after stroke: systematic review and meta-analysis // BMC Neurol. – 2012. – № 12. – Р. 45.

16. Nicholson, S., Sniehotta F., Van Wijck F., Greig C. A., Johnston M., McMurdo M. E. T., Dennis M., Mead G. E. A systematic review of perceived barriers and motivators to physical activity after stroke // Int J Stroke. – 2013. – № 8. – Р. 357–364.

17. Mackay-Lyons, M., Thornton M., Ruggles T., Che M. Non-pharmacological interventions for preventing secondary vascular events after stroke or transient ischemic attack // Cochrane Database Syst Rev. – 2013. – № 3. – P. CD008656.

18. Takatori, K., Matsumoto D., Okada Y., Nakamura J., Shomoto K. Effect of intensive rehabilitation on physical function and arterial function in community-dwelling chronic stroke survivors // Top Stroke Rehabil. – 2012. – Vol. 19. – P. 377–383.

19. Mehrholz, J. Electromechanical-assisted gait training after stroke: a systematic review comparing end-effector and exoskeleton devices / J. Mehrholz, M. Pohl // Journal of Rehabilitation Medicine. – 2012. – Vol. 44, № 3. – P. 193–199.

20. The effect of a task-oriented training on trunk control ability, balance and gait of stroke patients / B. H. Kim // J Phys Ther Sci. – 2012. – Vol. 24. – P. 519–522.


Review

For citations:


Lukashevich U.A., Ponomarev V.V., Gubkin S.V., Tarasevich M.I., Malkov S.A., Vyblova E.V. Assessment of the effectiveness of dynamic coordination training in patients with brain infarction. Medical Journal. 2024;(2):37-45. (In Russ.) https://doi.org/10.51922/1818-426X.2024.2.37

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ISSN 1818-426X (Print)