SOME FEATURES OF THE EFFECT OF DIFFERENT METHODS OF MEDICAL REHABILITATION ON THE INTENSITY OF PAIN SYNDROME IN PATIENTS AFTER AN ISCHEMIC STROKE IN THE LATE RECOVERY PERIOD

Post-stroke complications include pain in the upper limb, which affects the performance of simple movements, reduces the level of daily life activity and, as a result, the quality of life of patients. Materials and methods. The paper presents data on the effectiveness of the influence of various methods of medical rehabilitation in the late recovery period in 120 patients with ischemic stroke on pain intensity (according to the digital pain rating scale  and the Verbal Descriptive Pain Assessment Scale), activity of daily life and quality of life . All patients were divided into 3 groups comparable in terms of clinical and functional characteristics: group 1 (40 patients), who, in addition to the standard treatment complex, were prescribed massage with a pulsed low-frequency electrostatic field from the Khivamat apparatus and broadband modulation currents (TSM), group 2 ( 40 patients), who, against the background of standard therapy and medical rehabilitation, were included in physiotherapy methods from the Alpha™ LED Oxy Light - Spa™ device, a group of 3-40 patients who received standard drug therapy and medical rehabilitation (exercise therapy, medical massage, mechanotherapy). Results. The data obtained indicate the advantage of including in the standard complex of medical rehabilitation and treatment of patients who have had ischemic stroke with movement disorders in the form of hemiparesis of a pulsed low-frequency electrostatic field and broadband modulation currents (BWM). In the course of the work, it was proved that the use of the developed rehabilitation program contributes to a significant reduction in pain syndrome, and positively affects the assessment of the quality of life of patients after the course of treatment. This was confirmed by the improvement in the index of activity of daily life and data from scales and questionnaires. Conclusions. Inclusion in medical rehabilitation of patients who have had an ischemic stroke with movement disorders in the form of hemiparesis with an increase in muscle tone of pulsed low-frequency electrostatic massage and broadband modulation currents affects the reduction of pain, the expansion of daily activity and the improvement of the quality of life of patients.