Klimkiewicz Paulina, Klimkiewicz Robert, Jankowska Agnieszka, Kubsik Anna, Widłak Patrycja, Łukasiak Adam, Janczewska Katarzyna, Kociuga Natalia, Nowakowski Tomasz, Woldańska-Okońska Marta
Klinika Rehabilitacji I Medycyny Fizykalnej Usk Im. Wam, Kierunek Fizjoterapii Wydziału Wojskowo-Lekarskiego Uniwersytetu Medycznego W Łodzi, Łódź, Polska.
Wiad Lek. 2018;71(2 pt 2):271-277.
Introduction: In this article, the authors focused on the symptoms of ischemic stroke and the effect of neurorehabilitation methods on the functional status of patients after ischemic stroke. The aim of the study was to evaluate and compare the functional status of patients after ischemic stroke with improved classic kinesiotherapy, classic kinesiotherapy and NDT-Bobath and classic kinesiotherapy and PNF.
Materials and methods: The study involved 120 patients after ischemic stroke. Patients were treated in the Department of Rehabilitation and Physical Medicine USK of Medical University in Lodz. Patients were divided into 3 groups of 40 people. Group 1 was rehabilitated by classical kinesiotherapy. Group 2 was rehabilitated by classic kinesiotherapy and NTD-Bobath. Group 3 was rehabilitated by classical kinesiotherapy and PNF. In all patient groups, magnetostimulation was performed using the Viofor JPS System. The study was conducted twice: before treatment and immediately after 5 weeks after the therapy. The effects of applied neurorehabilitation methods were assessed on the basis of the Rivermead Motor Assessment (RMA).
Results: In all three patient groups, functional improvement was achieved. However, a significantly higher improvement was observed in patients in the second group, enhanced with classical kinesitherapy and NDT-Bobath.
Conclusions: The use of classical kinesiotherapy combined with the NDT-Bobath method is noticeably more effective in improving functional status than the use only classical kinesiotherapy or combination of classical kinesiotherapy and PNF patients after ischemic stroke.
引言：在本文中，作者聚焦于缺血性中风的症状以及神经康复方法对缺血性中风患者功能状态的影响。本研究的目的是评估和比较缺血性中风患者在接受改良经典运动疗法、经典运动疗法与神经发育疗法 - 鲍勃ath法以及经典运动疗法与本体感觉神经肌肉促进法后的功能状态。
材料和方法：本研究纳入了120例缺血性中风患者。患者在罗兹医科大学康复与物理医学系USK接受治疗。患者被分为3组，每组40人。第1组采用经典运动疗法进行康复治疗。第2组采用经典运动疗法与神经发育疗法 - 鲍勃ath法进行康复治疗。第3组采用经典运动疗法与本体感觉神经肌肉促进法进行康复治疗。在所有患者组中，均使用Viofor JPS系统进行磁刺激。研究分两次进行：治疗前和治疗后5周即刻。根据里弗米德运动评估（RMA）评估所应用的神经康复方法的效果。
结果：在所有三个患者组中均实现了功能改善。然而，在第2组患者中观察到显著更高的改善，该组采用经典运动疗法与神经发育疗法 - 鲍勃ath法相结合。
结论：对于缺血性中风患者，经典运动疗法与神经发育疗法 - 鲍勃ath法联合使用在改善功能状态方面比仅使用经典运动疗法或经典运动疗法与本体感觉神经肌肉促进法联合使用明显更有效。
