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DOI: https://doi.org/10.22263/2312-4156.2019.2.102

But-Husaim U.U.
The efficacy evaluation of medical rehabilitation methods complex in patients with motor dysfunction of the hand due to acute cerebral circulation disturbances
Grodno State Medical University, Grodno, Republic of Belarus

Vestnik VGMU. 2019;18(2):102-109.

Abstract.
Objectives. To study the efficacy of the medical rehabilitation complex developed on the basis of mirror visual feedback, elements of constraint induced movement therapy, the method of hand motor skills’ training with the use of latex rubber bands and the author’s own method of fine motor skills training in patients with motor dysfunction of the hand caused by acute cerebral circulation of different severity degree.
Material and methods. The study involved 62 patients, divided into 2 comparison groups, matched by sex, age, rehabilitation period, and potential. To analyze the results we used methods for assessing the effectiveness of medical rehabilitation of patients with motor dysfunction of the hand, which were approved by the Ministry of Health of the Republic of Belarus.
Results. The study revealed an intergroup difference in restoring fine motor skills, hand dynamometry indices, the patient’s self-assessment of the upper limb function loss, the severity of anxiety and depression symptoms, which manifests itself in a better result in patients of the clinical group. The prevalence of the increased indicators was also revealed when assessing the life quality of respondents undergoing the proposed complex of medical rehabilitation methods over patients of the control group.
Conclusions. The developed complex, in terms of application in accordance with the algorithm, allows more qualitatively compared with patients undergoing a standard course of medical rehabilitation, to restore the motor skill lost because of acute cerebral circulation disturbance, to improve the degree of self-care, quality of life and leads to a decrease in anxiety-depression symptoms.
Key words: hand motor dysfunction, mirror visual feedback, constraint induced movement therapy, medical hand gymnastics, medical rehabilitation, acute cerebrovascular accident.

References

1. Chistyakova VA, Kataeva NG. Dynamics of motor and emotional disorders, quality of life in stroke recovery period. Biul Sibir Meditsiny. 2011;10(2):98-103. (In Russ.)
2. Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. Lancet Neurol. 2009 Aug;8(8):741-54. doi: http://dx.doi.org/10.1016/S1474-4422(09)70150-4
3. Dohle C, Püllen J, Nakaten A, Küst J, Rietz C, Karbe H. Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial. Neurorehabil Neural Repair. 2009 Mar-Apr;23(3):209-17. doi: http://dx.doi.org/10.1177/1545968308324786
4. Feys HM, De Weerdt WJ, Selz BE, Cox Steck GA, Spichiger R, Vereeck LE, et al. Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke: a single-blind, randomized, controlled multicenter trial. Stroke. 1998 Apr;29(4):785-92.
5. Buccino G, Solodkin A, Small SL. Functions of the mirror neuron system: implications for neurorehabilitation. Cogn Behav Neurol. 2006 Mar;19(1):55-63.
6. Gowland C. Predicting sensorimotor recovery following stroke rehabilitation. Physiotherapy Canada. 1984;36:313-20.
7. Sinbukhova EV, Konovalov NA. Influence of emotional disorders of patients and possibility of their correction by means of art therapy during rehabilitation after neurosurgical treatment. Arkh Vnutr Meditsiny. 2016;6(2):55-60. (In Russ.)
8. Arzy S, Seeck M, Ortigue S, Spinelli L, Blanke O. Induction of an illusory shadow person. Nature. 2006 Sep;443(7109):287.
9. Braun SM, Beurskens AJ, Borm PJ, Schack T, Wade DT. The effects of mental practice in stroke rehabilitation: a systematic review. Arch Phys Med Rehabil. 2006 Jun;87(6):842-52. doi: http://dx.doi.org/10.1016/j.apmr.2006.02.034
10. Chan BL, Witt R, Charrow AP, Magee A, Howard R, Pasquina PF, et al. Mirror therapy for phantom limb pain. N Engl J Med. 2007 Nov;357(21):2206-7. doi: http://dx.doi.org/10.1056/NEJMc071927
11. Kwong EH, Cullen N. Magic And Acquired Brain Injury. Teaching magic tricks to patients as an adjunct to their rehabilitation program. Available from: http://www.magictherapy.com/research/magic-and-acquired-brain-injury. [Accessed 12th Mar 2019]
12. MacIver K, Lloyd DM, Kelly S, Roberts N, Nurmikko T. Phantom limb pain, cortical reorganization and the therapeutic effect of mental imagery. Brain. 2008 Aug;131(Pt 8):2181-91. doi: http://dx.doi.org/10.1093/brain/awn124
13. MacLachlan M, McDonald D, Waloch J. Mirror treatment of lower limb phantom pain: a case study. Disabil Rehabil. 2004 Jul-Aug;26(14-15):901-4.
14. Ramachandran VS, Altschuler EL. The use of visual feedback, in particular mirror visual feedback, in restoring brain function. Brain. 2009 Jul;132(Pt 7):1693-710. doi: http://dx.doi.org/10.1093/brain/awp135
15. Taub E. Constraint-induced movement therapy and massed practice. Stroke. 2000 Apr;31(4):986-8.
16. But-Gusaim VV, Yarosh AS, Pirogova LA, Kvetko OV, Androsyuk IA. Method of medical rehabilitation of patients with motor hand dysfunction of central genesis: instruktsiia po primeneniiu № 014-0218: utv M-vom zdravookhraneniia Resp Belarus' 27.04.2018. Grodno, RB; 2018. 12 р. (In Russ.)
17. But-Gusaim VV, Yarosh AS, Pirogova LA, Stepenkova DV, Tsitko IV. Method for assessing the efficacy of medical rehabilitation in patients with motor hand dysfunction: instruktsiia po primeneniiu № 015-0218: utv M-vom zdravookhraneniia Resp Belarus' 27.04.2018. Grodno, RB; 2018. 12 р. (In Russ.)
18. Smychek VB, Vasil'chenko NI. Methodology for quantitative assessment of rehabilitation potential in patients with brain stroke. Zdravookhranenie. 2012;(6):67-71. (In Russ.)

Information about authors:
But-Husaim U.U. – postgraduate of the Chair of Medical Rehabilitation, Grodno State Medical University,
ORCID: https://orcid.org/0000-0001-7843-2936

Correspondence address: Republic of Belarus, 230009, Grodno, 80, Gorky str., Grodno State Medical University, Chair of Medical Rehabilitation. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Uladzimir U. But-Husaim.

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