| Popis: |
Stroke is one of the most relevant public health issues due to high mortality and long-lasting disability rates around the world and in Lithuania. As a consequence, stroke patients stay with such functional disorders as motoric, self-care, and cognitive dysfunctions, that impair their life satisfaction. Complex rehabilitation improves functional status in stroke patients. However, the recovery of functional status in stroke patients is different even if stroke diagnosis is the same. Aim of the study: to establish factors, influencing the effectiveness of second stage rehabilitation, and to evaluate their predictive value in stroke patients. Goals of the study: 1. to evaluate clinical and functional status, motoric and cognitive dysfunctions and its dynamics during second stage rehabilitation in stroke patients; 2. to establish the effectiveness of complex second stage rehabilitation depending on patients' age, gender, type of stroke, damage localization, and severity of stroke; 3. to establish the factors, influencing the effectiveness of rehabilitation and to evaluate their predictive value in stroke patients. Our study demonstrated, that older age, damage in left brain hemisphere, and severity of neurologic condition as measured at baseline all are related with subsequent functional status at the end of second stage rehabilitation. The study investigated, that low rehabilitation effectiveness during second stage rehabilitation on general functional status is predicted by severe motoric and cognitive dysfunctions, unilateral neglect syndrom, urinary incontinence, heart and joint diseases. |
