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.
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.
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Information about authors:
But-Husaim U.U. – postgraduate of the Chair of Medical Rehabilitation, Grodno State Medical University,