Rehabilitation after ischemic stroke in the elderly

Abstract

The presented methods of improving NDT Bobath, PNF and motor imagery are more effective in the treatment of people after ischemic stroke in the elderly than traditional methods of treatment. Research that was used for the purposes of this article conducted in the years 2009-2015 prove the effectiveness of these methods. Conclusions Based on the research carried out so far, the effectiveness of the given methods on the process of rehabilitation of a patient after a stroke can be confirmed. The use of both basic therapeutic and supportive methods at the same time gives beneficial results than using them alone.

Bobath and Proprioceptive Neuromuscular Facilitation Methods and Their Application in Stroke - Perception of Occupational Therapists

“…Following the same line of thought, the intervention based on this methodology follows several steps, starting with positioning in a phase of sagging (after the occurrence of stroke), postural control and normalization of the tone (spasticity phase), and normalization of normal movement patterns. 2 In the study The influence of NDT-Bobath and PNF methods on the field support and total path length measure foot pressure (COP) in patients after stroke, authors concluded for a greater improvement, concerning the body balance, with the Bobath approach. 30 The literature review suggests that the intervention of the occupational therapist should meet the needs of the patient and that this intervention should be evaluated and reevaluated at each stage of the rehabilitation process, to provide the appropriate treatment to each patient.…”

“…[14][15][16] It aims to achieve normal patterns of movement, normalization of the tone, control of head and trunk and to minimize abnormal movement patterns. 2 For the application of this method, an in-depth knowledge about the normal sequential development of motor behavior is required. 17 The method under study also encourages bilateral use of the body to model pathological motor patterns and provide a relearning of movements.…”

“…10 The authors of the study "Rehabilitation after ischemic stroke in the elderly" state that the Bobath and PNF methods have improvements and are more effective in treating individuals after stroke in the elderly when compared to other traditional methods. 2 The PNF or Proprioceptive Neuromuscular Facilitation method is an approach that combines patterns in motion diagonals based on neuromuscular facilitation techniques to provoke or facilitate motor responses and improve neuromuscular control and function. It is used to develop muscle strength and endurance, promote joint stability, mobility neuromuscular control, facilitate coordinated movements using the strongest movement patterns to strengthen weaker movement patterns, as well as the creation of pathways for the expression of functional movement patterns and their integration into the central nervous system (CNS) through manual stimulation and verbal instructions to induce patterns of thus improving motor function.…”

“…1 The earlier the intervention process, the more likely it is to recover. 2,3 The approach in Occupational Therapy (OT), aims to provide autonomy to people with specific problems (physical, sensory, psychological, mental, or social) presenting, for a temporary or definitive period difficulty in their occupational performance, 4 aiming at promoting the health and well-being of patients, using various methods of intervention either in isolation or combined. [5][6][7] Thus, the focus of the interven-…”