Kinesitherapeutic Approach in Patients With Ischemic Stroke Treated With Venous Thrombolysis

Contemporary health care (HC) practices have been extremely important, especially for patients after ischaemic stroke (IS) who have different degrees of disability and co-morbidities. Objective: To analyze the opinion of IS patients hospitalized in specialized clinics/wards regarding the identification of the specific HC needs and optimization of their management in the period of and after discharge. Material and Methods: For achieving the objective, 114 patients were investigated, representing 22.2% of the response, who were hospitalized for treatment and rehabilitation in specialized clinics/wards on the territory of four medical facilities in the town of Pleven. The study required the use of a complex of sociological and statistical methods: a direct anonymous survey was conducted with questions specially prepared for the purpose to study the opinion, feelings, attitudes and evaluations of the respondents on the investigated issues. Results: The greater share of the surveyed patients 83.3% (95), were dependent on care to varying degrees, and 57.9% (66) were definite that care at home should be supervised by a health professional. Home care for 85.1% (97) of the respondents would be provided by close relatives. Over half of the patients surveyed, 60.5% (69), believed that written home care instructions were required. Conclusion: Despite the preference of the ischaemic stroke patients to be cared for by their relatives, they woke up to the need for ritten guidelines, training and supervision from a health professional/nurse regarding their recovery at home.

Section: Discussionmentioning

confidence: 99%

Ischaemic Stroke Patients and Perspectives for Healthcare Providing

Balaburova¹

2023

“…There is a statistically significant difference and recovery of active movements in ischemic stroke patients who are thrombosed and have motor deficit-hemiplegia [8].…”

Section: Fig 1 Kinesiotape For Upper Limmentioning

confidence: 95%

Application of Mirror Therapy in Patients With Stroke

Filipova¹,

Goranova²,

Popova³

2023

Purpose. The aim of the study was to investigate the effect of mirror therapy as a method of restoring damaged upper limb function in patients with ischemic stroke treated with venous thrombolysis. Materials. Mirror therapy was administered to 10 thrombolyzed patients with ischemic stroke. The patients were treated in the neurological ward of the Multi-profile Hospital for Active Treatment-Blagoevgrad in the period from 2014-2015. After signing a declaration of informed consent of the patients, a Barthel index test was applied before and after hospitalization. The duration of the procedure is 15-20 minutes for 5 days and is part of the general kinesitherapy program. The Prizm statistical package was used for statistical data processing and graphical presentation. Results. The mean age of the studied contingent was 67±2.8 years. Our new and specialized method of kinesitherapy for the recovery of patients treated with venous thrombolysis confirms a significant positive effect (Wilcoxon, ANOVA). Conclusion. The results of our research show that the application of the author's methodology with mirror therapy creates an opportunity to improve the functions in the damaged upper limb and improves the quality of life.

“…Some of these issues are of scientific interest in social and theoretical aspects, and others are directly related to kinesitherapy practice [1]. Another group of authors suggests options for a kinesitherapeutic program with a large number of kinesitherapeutic agents included in the 12-24 hours after the acute cerebrovascular accident [2]. Huang YC et al studied twenty-one stroke patients with hemiplegic upper extremity periarthropathy within 6 months of stroke onset in the rehabilitation department of a medical university hospital in Taiwan [3].…”

Section: Introductionmentioning

confidence: 99%

The Application of Kinesiotape in Thrombolized Patients With Ischemic Stroke

Filipova¹

2023

The aim of the study was to investigate and compare different kinesitherapy techniques and their impact on the recovery of patients with ischemic stroke. Also, to investigate the effect of kinesiotaping on thrombolized patients. Materials and Methods. The study was conducted in 2014-2015 at the General Hospital for Treatment in Blagoevgrad - Neurology Department. The study contingent consisted of 20 patients, 10 of whom had an ischemic stroke and underwent venous thrombolysis (experimental group). In the other ten patients, no innovation was applied (control group). Results and analysis: In patients with a brain accident, the muscles in the affected limbs are hypotonic. From a kinesitherapeutic point of view, it is very important in the hospital setting not to allow a pathological increase in muscle tone without a precondition for spasticity in the muscles and subsequent contracture. In our study, we examined the change in muscle tone using the Ashworth test. All patients were tested on the day of hospitalization, on the 5th day and on the 7th day (the day of hospitalization), on the 30th day. Discussion. Kinesio tape provides maintenance of the affected muscles and causes significant proprioceptive irritation, which helps to restore the existing motor deficit. Conclusion. We believe that the choice of methodology is extremely difficult due to the colorful clinical picture and the general condition of the patient. The combination of different methods could help the patient recover faster.