[Recovery of social and everyday skills after a complex of functional spatially oriented rehabilitation in elderly patients with cerebral stroke].

Autor:	Derevyashkina GV; Sechenov First Moscow State Medical University, Moscow, Russia.; Group of companies «MEDSI», Otradnoe, Russia., Koneva ES; Sechenov First Moscow State Medical University, Moscow, Russia.; Group of companies «MEDSI», Otradnoe, Russia., Shapovalenko TV; Group of companies «MEDSI», Otradnoe, Russia., Bisheva DR; Sechenov First Moscow State Medical University, Moscow, Russia., Sidyakina IV; Group of companies «MEDSI», Otradnoe, Russia., Konev SM; Sechenov First Moscow State Medical University, Moscow, Russia.; Group of companies «MEDSI», Otradnoe, Russia., Mikhailova AA; Petrovsky National Research Centre of Surgery, Moscow, Russia., Zhumanova EN; Group of companies «MEDSI», Otradnoe, Russia., Lyadov KV; Moscow Rehabilitation Center LLC, Khimki, Russia.
Jazyk:	ruština
Zdroj:	Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury [Vopr Kurortol Fizioter Lech Fiz Kult] 2022; Vol. 99 (4. Vyp. 2), pp. 5-10.
DOI:	10.17116/kurort2022990425
Abstrakt:	Objective: To analyze the effectiveness of social recovery (trip to the store by bus and making purchases) in elderly patients with stroke in the right middle cerebral artery undergoing a course of specialized trainings in a complex of functional spatially oriented rehabilitation. Material and Methods: The study involved 44 patients with previous stroke (mean age 70.8±3.1 years) randomized into 2 equal groups: main group - basic standard of rehabilitation (exercises with instructor, mechanotherapeutic technique with cyclic simulators, massage of paretic limbs) and training of social adaptation in a complex of functional spatially oriented rehabilitation; control group - basic standard of rehabilitation alone. Duration of rehabilitation course was 14 days. To determine mean norm of timing of complex training of socially significant skill, we asked 23 volunteers without severe comorbidities to perform tasks of functional spatially oriented rehabilitation. Results: After complex rehabilitation program, we found significant dynamics of time necessary for the following actions: "take a bag and hang it over shoulder", "open the pockets of the bag with a zipper (2 pockets)", "take the jacket off the hanger and put it on", "take the products from the basket and put in the pocket". Moreover, the main group was characterized by significantly lower impairment of daily activity (Barthel score 66.3±4.5 vs. baseline 45.7±4.9, p <0.05), improvement of functional independence (FIM score 76.7±1.5 vs. baseline 65.2±3.1, p >0.05). These values turned out to be significantly better than in the control group. Conclusion: These results indicate the effectiveness of functional spatially oriented rehabilitation in elderly patients with cerebral stroke. This approach increases personal independence in daily life and improves overall quality of life.
Databáze:	MEDLINE
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