ABSTRACT
The authors present an adaptive biotraining technique employing automatic portable devices designed for post-stroke patients with secondary motor disturbances. The principal feasibility of a directed central reorganization and formation of new motoric skills in post-stroke patients with the paresis of upper extremities is demonstrated. The principles of correcting motor disturbances, developed for this cohort of patients, have enabled the authors to theoretically substantiate and introduce into clinical practice this effective method of functional therapy based on the active mobilization of brain reserves.
Subject(s)
Biofeedback, Psychology , Cerebrovascular Disorders/complications , Paralysis/rehabilitation , Rehabilitation/instrumentation , Adaptation, Physiological , Adult , Aged , Arm , Female , Humans , Male , Middle Aged , Muscles/physiopathology , Paralysis/etiology , Paralysis/physiopathologyABSTRACT
The authors give some data on restitutional therapy of 516 patients (400 with sequelae following strokes and 116 with transient disorders of cerebral circulation). Treatment of the first group was made in a neurological ward, the second--in a cardiological sanatorium. The programme of restitutional therapy provided the use of psychosocial and biological methods, an appeal to the personality and stage-by-stage accomplishment of rehabilitative measures. Comprehensive restitutional therapy included psychotherapy, medical-activizing regimes, medical gymnastics, massage, occupational therapy, medicinal therapy, etc. The authors elaborated differentiated complexes of rehabilitative treatment for patients with spastic hemiparesis, normal or decreased tone, as well as for patients with transient disorders of cerebral circulation in conditions of a cardiological sanatorium. The indices of effectiveness were the following: an improvement of the condition in patients after brain strokes--97.8%, in patients with transient disorders of cerebral circulation--94%.
