Journal of Cognitive Neuropsychology

Stroke rehabilitation of patients with upper limb lesion

17^th World Congress on Vascular Dementia and Neurodegenerative Diseases
April 12, 2021 Webinar

Anatoly Belyaev, PhD, Tatyana Kantur, PhD

Pacific State Medical University, Vladivostok, Russia
Primorsky institute of the vertebro-neurology and manual medicine, Vladivostok, Russia
Far Eastern Federal University Medical Center, Vladivostok, Russian Federation

ScientificTracks Abstracts: Jour Cogn Neuropsy

Abstract

Acute cerebrovascular accident remains one of the most frequent causes of disability and mortality in the population. Objective: Study of the effectiveness of complex rehabilitation using the method of functional electrostimulation. Method: 35 patients, aged 27 to 82 years, who had a stroke with consequences in the form of central hemiparesis. Changes were assessed by indicators of muscle strength, range of motion in joints, endurance of muscle groups, modified Ashforth scale, Тест Frenchay Arm and. International Classification of Functioning (ICF). All patients were divided into 2 groups by single blind randomization. The first group - 25 patients, received a standard complex: physical therapy, mirror-therapy, mechanotherapy on the simulator Thera-Vital. The second group - 10 patients, received a standard complex and functional electrostimulation (FES). Results: Patients noted a significant decrease in muscle tone by 15 %, an increase in active movements by 47 %, an increase in muscle strength and endurance by 1,7 times, and an improvement in the functions of capturing items necessary in everyday life, as well as the functions of eating, drinking and caring for themselves. When comparing the two groups, a greater efficiency of rehabilitation was revealed in the second group with the FES method by 18% than in the first group with the standard methods. Conclusions: Effectiveness of the use of FES in the rehabilitation of post-stroke patients has been proven and the method of its application, the protocol for assessing the severity of impairments to motor and functional activity using ICF has been described.

Biography

Anatoly Belyaev, chief specialist in osteopathy and medical rehabilitation of the Russian Ministry of Health for the Far East, professor of institute of clinical neurology and rehabilitation medicine “Pacific state medical university”, director of Institute of Vertebroneurology and Manual Medicine, M.D., Ph.D., professor, honored doctor of the Russia. He has published more than 40 papers in reputed journals and has been serving as an editorial board member of repute.
Tatyana Kantur, chief of rehabilitation medicine division FEFU, Ph.D. He has published more than 60 papers in reputed journals and has been serving as an editorial board member of repute.