Treatment commitment as a factor of effective including additional reality program to rehabilitation of stroke patients

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Abstract

Aim. The current paper presents analysis of adherence to treatment in the effectiveness of rehabilitation measures using the Visual Medicine program in patients with the consequences of stroke.

Methods. The sample consisted of 70 patients with acute stroke. Assessment of the functional state of patients after a stroke was carried out using the Rankin scale. Adherence to treatment was studied using the psycho-diagnostic questionnaire “Level of Compliance”. The state of higher mental functions (HMF) of patients before and after undergoing a course of rehabilitation was assessed using functional neuropsychological tests, assessed by four parameters (rate, accuracy, differentiation, and coordination). In the course of rehabilitation, the software and hardware complex Visual Medicine was used. Statistical processing was performed in the Statistical 10.0 software package.

Results. As a result of the study, a positive dynamics of the restoration of kinesthetic, spatial praxis was revealed. Patients of the experimental group demonstrated more accurate reproduction of the posture of the hands according to the tactile and visual pattern, improved right-left orientation, more efficient implementation of the motor program. It has been reliably established that frequency of occurrence of indicators of social compliance in groups with a different amount of shift in the state of HMF in subjects who underwent rehabilitation using the Visual Medicine program allows us to state that a score of 27 points is the section boundary in relation to the level of shift: upon reaching the dynamics of the recovery of HPF are significantly lower. The results obtained indicate that the higher level of compliance, shows the higher level of the efficiency of restoration of fine motor functions using the program.

Conclusions. Exercises with the program “Visual Medicine” personify the rehabilitation process, which improves the efficiency of restoration of fine motor functions of post-stroke patients. High effectiveness of these exercises achieved due to the high level of social compliance of patients, manifested in a friendly position, the desire to psychologically rely on the doctor, to earn his approval. Conducting a preventive diagnosis of adherence allows optimizing the rehabilitation route of patients during their hospital presence.

About the authors

Anastasia V. Kotelnikova

Moscow Centre for Research & Practice in Medical Rehabilitation, Restorative and Sports Medicine

Email: pav-kotelnikov@yandex.ru
Russian Federation, 105120, Moscow, Zemlyanoy VAL 53/1

Igor I. Nikishin

Moscow Centre for Research & Practice in Medical Rehabilitation, Restorative and Sports Medicine;
Lomonosov Moscow State University

Author for correspondence.
Email: igor@visme.ru
ORCID iD: 0000-0002-4071-7693
Russian Federation, 105120, Moscow, Zemlyanoy VAL 53; 119991, Moscow, Leninskie Gory 1/12

Elena A. Turova

Moscow Centre for Research & Practice in Medical Rehabilitation, Restorative and Sports Medicine

Email: aturova55@gmail.com
Russian Federation, 105120, Moscow, Zemlyanoy val, 53

Ekaterina N. Savostikova

Kursk State Medical University

Email: k.subbota2012@yandex.ru
305041, Kursk, Karl Marx str., 3

Elizaveta I. Rogachkova

I.M. Sechenov First Moscow State Medical University

Email: liza.rogachkova@mail.ru
119146, Moscow, Bolshaya Pirogovskaya, 19/1

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2. Fig. 1. A histogram of average values for the indicators “pace” and “accuracy” for groups with minimum and maximum shift

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3. Fig. 2. The histogram of average values for the indicators of "differentiation" and "coordination" for groups with minimum and maximum shift

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4. Fig. 3. The frequency of indicators of social compliance in groups with different magnitude of the shift

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Copyright (c) 2020 Kotelnikova A.V., Nikishin I.I., Turova E.A., Savostikova E.N., Rogachkova E.I.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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