Features of stroke course under adaptive kinesitherapy

The modern step in development of restorative medicine for patients with cerebralin farction (CI) is associated with phenotype-oriented medical rehabilitation based on a biomechanical analysis of specific motor impairments that reflect the nature of motor adaptations. The aim of the study was to evaluate the dynamics of adaptive kinematics (ADK)and the clinical picture of CI under the influence of adaptive kinesitherapy (AK). The object of the study were healthy volunteers (n = 92) and a cohort of CI patients treated according to the complex therapy program (groups “P” (n = 50) and “O” (n = 57)) and AK (group “O”) The subject of the study was a comprehensive assessment of the data obtained from clinical testing and biomechanical data in comparison with normal values. As a result of the study, it was found that AK significantly (p < 0.022) improves ADK in patients with various patho biomechanical phenotypes (PBP) of CI. Similarly, AK has a positive effect on the dynamics of the level of daily activity (p < 0.006), mobility level (p < 0.001), gait stereotype function (p < 0.001), and fatigue level (p < 0.001), increasing the overall effectiveness of the complex therapy program (p < 0.003) with an odds ratio of 4.03 (95 % CI 1.44–11.24):5.1 (95 % CI 1.17–22.51) in patients with PBP 1 (p < 0 .02); 8.1 (95 % CI 1.15–55.61)in patients with PBP 2 (p < 0.02), and 7.71 (95 % CI 1.76–33.72) in patients with PBP 3(p < 0.003), with excellent diagnostic quality (AUC = 0.92).

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