Analysis of the recovery of patients with stroke

Authors: A. Mihaylova, P. Kasnakova,

Abstract

The aim of current study was to assess the role of the rehabilitation for improvement of the functional capacity, the autonomy in the daily routines, ergotherapeutic activities and the quality of life of patients with stroke.

Methods: 47 patients with stroke were included in the research and their functional status was assessed according to the Brunnstrom stages of stroke recovery, the modified Rankin scale, the Barthel index,SubjectiveQualityofLife.

Results: In the beginning of the complex rehabilitation therapy the patients were almost entirely dependent and were notable to accomplish ergoterapeutic activities. At the end of the second rehabilitation course it was found a significant improvement of the general motor skills of the study participating patients (p<0.001). The results of the applied specialized rehabilitation program show that from 25.53 % for stages І and ІІ and 46.81 % for stage ІІІ of Brunnstrom patients from the beginning of the first course of rehabilitation until the end of the second course of rehabilitation recover the motor functions up to 60.47 % for stage ІV and 25.58 % for stages V and VІ. At the end of the second course of rehabilitation program, the patients without significant neurological deficit with mRS (0-2) are 90.69 % and with significant neurological deficit mRS (3-6) are 9.31%.

Conclusion:The results confirmed the efficiency of the applied complex approach, but the recovery is not sufficient in terms of independence of the general movements and the patients’ social integration.

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