Stroke as a civilisation-scale problem – physical treatment analysis
Journal Title: Fizjoterapia Polska - Year 2016, Vol 16, Issue 1
Abstract
Introduction. Stroke is one of the most common forms of damage to the central nervous system. In Poland, approximately 60,000 people suffer from stroke every year. Disorders resulting from stroke require the implementation of long-term care and rehabilitation. The main objective of physiotherapy is to restore patient independence in daily living and improve the quality of life of the patient. Aim of study. The aim of the study was to evaluate the effect of physiotherapy on the functional status and quality of life of patients after stroke. Material and Methods. The study comprised 30 patients after stroke (24 patients after ischemic stroke and 6 patients after hemorrhagic stroke) staying at the neurological rehabilitation ward in the St. Luke Specialist Hospital in Końskie. During 8 weeks of hospitalization, the patients underwent intensive rehabilitation. They were examined twice, namely on admission and on the day of discharge. The examination included completing a questionnaire assessing the quality of life on a scale of 1 to 10 points, an assessment of the functional status using the Barthel Index and an assessment of muscle spasticity of the upper and lower limb with the modified Ashworth scale. The results of functional status assessment were compared according to the type of stroke, time from stroke to rehabilitation and the number of concomitant diseases. Moreover, the effect of the comprehensive rehabilitation on the assessment of independence in daily living was studied after treatment, as was the influence of rehabilitation on the degree of spasticity and the use of orthopedic aids. Results and Conclusion. The functional status improved in all patients. Better final results were obtained in patients after ischemic stroke and suffering from fewer comorbidities. The results were better in those whose rehabilitation commenced earlier. The quality of life was significantly higher than before rehabilitation. The degree of spasticity was significantly reduced and the use of orthopaedic aids was improved.
Authors and Affiliations
Ewelina Czerczak, Włodzisław Kuliński
Keywords
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