ORTHOPEDIC REHABILITATION EFFICIENCY IN POSTINSULT PATIENTS

Aim. The aim of the study was to specify the locomotor system disorders in postinsult patients, to assess the efficiency of orthopedic rehabilitation. Materials and methods. Examination of 122 postinsult patients was carried out. There were 65 men (53,28 %) and 57 (46,72 %) women. The mean age was 60,42 ± 1,19 years. Orthopedic status and pain syndrome were assessed. Statics and walking patterns were studied. To determine vegetative function, Credo index (CI) and stress level (SL) were calculated by special formulas. Results. In the clinical picture of primary motor disorders, the most significant were musculo-tonic disorders. Joint contractures were detected in all the examined patients. Pelvic, crural, feet, vertebral asymmetry was registered. Gonarthrosis was revealed in 35 (28,67 %) patients, coxarthrosis - in 45 (36,89 %). Combination of degenerative-dystrophic changes in the spinal column and joints was noted in 38 (31,15 %) patients. Seventy three (59 %) patients had the elevated stress level. Modern materials for immobilization were used; orthopedic apparatuses for walking and orthopedic footwear were produced to liquidate contractures. Orthopedic rehabilitation of postinsult patients was carried out by means of modern equipment using robotic technique. Reduced pain syndrome and leg spasticity was observed. Conclusions. The changed set pattern was characterized by normalization of the position of the body mass center in the frontal plane. Walking was distinguished by improvement of joint functioning. Normalization of bioelectric muscular activity was registered.

Stroke, locomotor system pathology, orthopedic rehabilitation, robotic technique