Objective: gait of patients after stroke.
Stroke is acute vascular disturbance in the brain, which involves sensory and motor systems of the opposite side to the brain lesion. Inability to walk or abnormal gait pattern is one of the biggest problem after cerebral vascular accident, which predispose the stoke survivors to a sedentary lifestyle, which further limits the individual’s activities of daily living and reduces cardiovascular reserves. One of the primary goals for physical therapy is to restore the ability to walk. It is the first step in becoming independent.
In this case the main purposes of this study – to evaluate the influence of the physical therapy of gait of stoke patients.
The tasks to reach the purpose of this study were: 1) to assess the effectiveness of special active walking exercises in order to regain the gait; 2) to assess the effectiveness of balance exercises in order to regain the gait; 3) to compare the effectiveness of different physiotherapy methods.
The study was performed in physical medicine and rehabilitation department of Virsuziglis rehabilitation hospital. Thirty patients after cerebral vascular stoke, took part in this study. They were divided in two groups. The first group’s patients besides the traditional physical therapy performed special active walking exercises. The second group’s patients additionally were applied balance exercises.
These used research methods: “Up and Go” test, Berg balance scale, motor assessment scale, Smidt number, show us the effectiveness of physical therapy. Analyzed groups were evaluated before and after physical therapy.
Hypothesis: traditional physical therapy combined with special active walking exercises, after acute period of stroke, should determine better walking function recovery, than additionally applied balance exercises during traditional physical therapy procedures.
Several conclusions were made in summary of the results of this study:
1) Physical therapy, when additionally applied special active walking exercises, significantly improved walking function (p<0,05);
2) Physical therapy, when additionally applied balance exercises, significantly improved walking function (p<0,05);
3) Additionally performed special active walking exercises was more effective to regain gait ability compared with additionally performed balance exercises, but difference is not significant (p>0,05).
Raktažodžiai: rehabilitation, eisena, gait, reabilitacija, hemiplegia, hemiplegija, insultas, stroke