Results of the application of a program of physical exercise therapeutic rehabilitation in patient with hemiplegic syndrome post stroke
Keywords:
hemiplegia, rehabilitation, exercise.Abstract
Introduction: the treatment and the rehabilitation of the hemiplegic patient adult it has became an important medical and social problem.Objective: to evaluate the results of the individual program of physical rehabilitation in patient with hemiplegics syndrome post stroke.
Methods: it was carried out prospective study of experimental type in patients with hemiplegic syndrome post stroke and belonging to Policlinic University Educational Cerro, from September of the 2004 to September of the 2009. It was evaluated through the scale of Barthel the level of independence of the patient with regard to the realization of activities of the daily life and of the Tinetti index, clinical measuring instrument of the falling hazard before, during and after the treatment. The study included 44 patients of a universe of 165, of them an experimental group with 22 hemiplegics that carried out the program study object and a group control to which was applied the conventional treatment keeping in mind the age and the time of evolution.
Results: in the patients to which were applied the experimental program; the results were respectively of 95 and 23.5 points for the Barthel index and the test of Tinetti, punctuation higher to the opposing one in the group control.
Conclusions: all the rehabilitate patients achieved improvement, with better results in the experimental group. What demonstrated the benefits of the programs of used treatment.
References
1. Cuba. MINSAP. Anuario estadístico de salud de Cuba (2003). Principales causas de muerte de todas las edades 2002-2003. Disponible en: http: //www. Sld. Cu /servicios /estadísticas / anuario-res. Consultado el 10 de marzo del 2005.
2. Bobath B. Hemiplejía del adulto. Evaluación y tratamiento, 3.ª ed. Buenos Aires: Panamericana; 1993.
3. Pang MY, Eng JJ, Dawson AS, McKay HA, Harris JE: A community based fitness and mobility exercise program for older adults with chronic stroke: a randomized, controlled trial. J Am Geriatric Soc 2005; 53: 1667-74.
4. González M. Rafael y Kindelán Alonso B. Fisioterapia de la hemiplejía. En: Rehabilitación médica, 10a. edición, Barcelona, editorial Masson S.A.; 1997. pp. 130-43.
5. Veliz Martínez PL. Enfermedad cerebrovascular en mayores de 40 años. Tesis doctoral. Estudio epidemiológico en área de salud, Rampa. Hospital docente “Comandante Manuel Fajardo”. 1990.
6. Mant D, Wade D, Winner S. Stroke. In Health care needs assessment: the epidemiologically based needs assessment reviews, 2nd edition, en: Stevens A, Raftery J, Mant J, Simpson S. Oxford. Editorial Radcliffe Medical Press 2004;141-243.
7. Mirallas Martínez, JA. Avances en la rehabilitación del paciente con enfermedad cerebrovascular. Rehabilitación 2004;38:78-85.
8. Hachinski V. Advances in Stroke 2003. Stroke 2003;323-24.
9. Pomeroy V, Tallis R. Neurological rehabilitation: a science struggling to come of age. Physiotherapy Res Int 2002;7:76-9.[medline].
10. Van de Port I, Kwakkel G, van Wijk I, Lindeman E. Susceptibility to deterioration of mobility long-term after stroke: a prospective cohort study. Stroke 2006; 37:167-71.
11. Viel G. La Méthode de Kabat. Facilitation Neuromusculaire par la propioception. Paris: Masson. 1974.
12. Mirallas JA, Seligra A, Redón J. Evolución funcional de los pacientes AVC evaluados y tratados mediante técnicas de Bobath. Rehabilitación 1993;27:129-34.
13. Mirallas JA, Seligra A, Redón J. Estudio comparativo de la evolución funcional de 135 pacientes AVC evaluados mediante escalas de Bobath, Brunnstrom, Mathew, principios de autocuidado de Fugl Meller y Jääskö y capacidad de marcha 1994;28: 17-23.
14. Evers SM, Struijs JN, Ament AJ, van Genugten ML, Jager JH, Bos van den. International comparison of stroke cost studies. Stroke 2004;35:1209-10.
15. Hopki A. Vascular diseases of the nervous system. En: Clinical Neurology a modern approach. Oxford: Oxford University Press 1993;129-68.
16. Krakauer JW. Motor learning: its relevance to stroke recovery and neurorehabilitation. Curr Open Neurol 2006;19:84-90.
17. Lord SE, McPherson K, McNaughton HK, Rochester L, Weatherall M. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil 2004; 85:234-39.
18. Juby LC, Lincoln NB, Berman P. The effect of a stroke rehabilitation unit on functional and psychological outcomes: a randomized controlled trial. Cerebovasc Dis 2006;6:106.
19. Kang HG, Dinowell JB. Separating the effects of age and walking speed on gait variability. Gait Posture 2008;27:572-77.
20. Mirallas JA. Rehabilitación del accidente vascular cerebral en el anciano. Geriátrica 1995;11:398 406.
21. Santos AJ, Usabiaga TB, Ródenas MS, Bárba AE, Aguilar JJ. Eficiencia y efectividad del tratamiento rehabilitador en el hemipléjico. Estudio evolutivo. Rehabilitación 2004; 38:66-71.
22. Armenta Peinado, JA. Contribución del método Brunnstrom al tratamiento fisioterápico del paciente hemipléjico adulto. Fisioterapia 2003;25:40-8.
23. Wagner JM, Dromerick AW, Sahrmann SA, Lang CE. Upper extremity muscle activation during recovery of reaching in subjects with post-stroke hemiparesis. Clin Neurophysiology 2007;118:164-76.
24. Estévez C. Migdalia, Margarita Arroyo M, Cecilia Gonzáles T. La investigación científica en la actividad física: su metodología.Ciudad de la Habana, Editorial Deportes; 2004.
25. Giaquinto S, Buzzelli S, Di Francesco L, Lottarini A, Montenegro P, Nolfe G, et al. Pronóstico de recuperación tras el ictus. Rehabilitación 1999;33:221-29.
26. Cauraugh JH, Kim S. Two coupled motor recovery protocols are better than one: electromyogram-triggered neuromuscular stimulation and bilateral movements. Stroke 2002;33:1589-94.
27. Dursun N. Dursun E. Sade I, Çekmece C. Constraint induced movement therapy: efficacy in a Turkish stroke patient population and evaluation by a new outcome measurement tool. European Journal of Physical and Rehabilitation Medicine 2009; 45(2):165-70.
2. Bobath B. Hemiplejía del adulto. Evaluación y tratamiento, 3.ª ed. Buenos Aires: Panamericana; 1993.
3. Pang MY, Eng JJ, Dawson AS, McKay HA, Harris JE: A community based fitness and mobility exercise program for older adults with chronic stroke: a randomized, controlled trial. J Am Geriatric Soc 2005; 53: 1667-74.
4. González M. Rafael y Kindelán Alonso B. Fisioterapia de la hemiplejía. En: Rehabilitación médica, 10a. edición, Barcelona, editorial Masson S.A.; 1997. pp. 130-43.
5. Veliz Martínez PL. Enfermedad cerebrovascular en mayores de 40 años. Tesis doctoral. Estudio epidemiológico en área de salud, Rampa. Hospital docente “Comandante Manuel Fajardo”. 1990.
6. Mant D, Wade D, Winner S. Stroke. In Health care needs assessment: the epidemiologically based needs assessment reviews, 2nd edition, en: Stevens A, Raftery J, Mant J, Simpson S. Oxford. Editorial Radcliffe Medical Press 2004;141-243.
7. Mirallas Martínez, JA. Avances en la rehabilitación del paciente con enfermedad cerebrovascular. Rehabilitación 2004;38:78-85.
8. Hachinski V. Advances in Stroke 2003. Stroke 2003;323-24.
9. Pomeroy V, Tallis R. Neurological rehabilitation: a science struggling to come of age. Physiotherapy Res Int 2002;7:76-9.[medline].
10. Van de Port I, Kwakkel G, van Wijk I, Lindeman E. Susceptibility to deterioration of mobility long-term after stroke: a prospective cohort study. Stroke 2006; 37:167-71.
11. Viel G. La Méthode de Kabat. Facilitation Neuromusculaire par la propioception. Paris: Masson. 1974.
12. Mirallas JA, Seligra A, Redón J. Evolución funcional de los pacientes AVC evaluados y tratados mediante técnicas de Bobath. Rehabilitación 1993;27:129-34.
13. Mirallas JA, Seligra A, Redón J. Estudio comparativo de la evolución funcional de 135 pacientes AVC evaluados mediante escalas de Bobath, Brunnstrom, Mathew, principios de autocuidado de Fugl Meller y Jääskö y capacidad de marcha 1994;28: 17-23.
14. Evers SM, Struijs JN, Ament AJ, van Genugten ML, Jager JH, Bos van den. International comparison of stroke cost studies. Stroke 2004;35:1209-10.
15. Hopki A. Vascular diseases of the nervous system. En: Clinical Neurology a modern approach. Oxford: Oxford University Press 1993;129-68.
16. Krakauer JW. Motor learning: its relevance to stroke recovery and neurorehabilitation. Curr Open Neurol 2006;19:84-90.
17. Lord SE, McPherson K, McNaughton HK, Rochester L, Weatherall M. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil 2004; 85:234-39.
18. Juby LC, Lincoln NB, Berman P. The effect of a stroke rehabilitation unit on functional and psychological outcomes: a randomized controlled trial. Cerebovasc Dis 2006;6:106.
19. Kang HG, Dinowell JB. Separating the effects of age and walking speed on gait variability. Gait Posture 2008;27:572-77.
20. Mirallas JA. Rehabilitación del accidente vascular cerebral en el anciano. Geriátrica 1995;11:398 406.
21. Santos AJ, Usabiaga TB, Ródenas MS, Bárba AE, Aguilar JJ. Eficiencia y efectividad del tratamiento rehabilitador en el hemipléjico. Estudio evolutivo. Rehabilitación 2004; 38:66-71.
22. Armenta Peinado, JA. Contribución del método Brunnstrom al tratamiento fisioterápico del paciente hemipléjico adulto. Fisioterapia 2003;25:40-8.
23. Wagner JM, Dromerick AW, Sahrmann SA, Lang CE. Upper extremity muscle activation during recovery of reaching in subjects with post-stroke hemiparesis. Clin Neurophysiology 2007;118:164-76.
24. Estévez C. Migdalia, Margarita Arroyo M, Cecilia Gonzáles T. La investigación científica en la actividad física: su metodología.Ciudad de la Habana, Editorial Deportes; 2004.
25. Giaquinto S, Buzzelli S, Di Francesco L, Lottarini A, Montenegro P, Nolfe G, et al. Pronóstico de recuperación tras el ictus. Rehabilitación 1999;33:221-29.
26. Cauraugh JH, Kim S. Two coupled motor recovery protocols are better than one: electromyogram-triggered neuromuscular stimulation and bilateral movements. Stroke 2002;33:1589-94.
27. Dursun N. Dursun E. Sade I, Çekmece C. Constraint induced movement therapy: efficacy in a Turkish stroke patient population and evaluation by a new outcome measurement tool. European Journal of Physical and Rehabilitation Medicine 2009; 45(2):165-70.
How to Cite
1.
Coll Costa J de L, Estévez Perera A, Martín Cordero JE, Estévez Perera A. Results of the application of a program of physical exercise therapeutic rehabilitation in patient with hemiplegic syndrome post stroke. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2012 Apr. 14 [cited 2024 May 16];21(2):68-75. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/9
Downloads
Download data is not yet available.
