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  • Author: Kacper Olak x
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Kacper Olak, Maria Kłoda, Stanisław Szlufik and Edyta Smolis-Bąk

Abstract

Introduction: Rehabilitation after ischemic stroke contributes to activation of the neuromuscular system, supporting the process of the body functionality recovery. It gives opportunity for patients to regain independence. The aim of the study was to evaluate the effectiveness of using selected PNF - Proprioceptive Neuromuscular Facilitation therapy elements on patients after ischemic stroke.

Material and methods: This study included patients 5 days after their ischemic stroke. Patients with preserved ability to communicate logically were qualified on the basis of additional trials (computed tomography or magnetic resonance imaging, ECG or pressure monitoring, echocardiography, carotid ultrasound, neuropsychological or neurologopedic assessment). Exclusion from study was caused by: the lack of consent, second stroke during hospitalization, lack of independence in making decisions, severe dementia. The patients’ evaluation was performed using the following scales: Rivermead Motor Assessment (RMA), Barthel Index, National Institutes of Health Stroke Scale (NIHSS) and Rankin scale. RMA scale assessment was performed three times: before rehabilitation, after 21 days of rehabilitation and before discharge from the hospital. The other scales were used twice: on the day of admission to hospital and on the day of discharge.

Results: The study included 30 patients (7 women and 23 men) after ischemic stroke aged from 40 to 82 years (average 60.8±10.5 years). The average number of days of hospitalization was 56.8±31.9 days. The average value obtained from RMA scale before rehabilitation, after 21 days of rehabilitation and before discharge from the hospital was 16.8±11.28 vs. 24.06±10.62 vs. 26.6±9.46 points. Outcome from remaining scales on admission to hospital and on the day of discharge was: Barthel Index 9.30±6.80 vs. 16.86±4.32 points, NIHSS scale 9.46±3.20 vs. 6.51±3.30, Rankin scale 3.78±0.76 vs. 2.45±0.86. Performed study has shown statistically significant improvement of functional mobility, independence and neurological status in all used assessment scales (p <0.001).

Conclusions: In examined group use of PNF rehabilitation model showed a statistically improvement in functional mobility, independence and neurological status.