Physical therapy of post-stroke patients in the residual period

Abstract

The prevalence of ischemic stroke among people of working age requires a deep analysis of modern technologies of physical therapy at different periods of rehabilitation treatment. The issue of restoring working capacity and preventing repeated acute disorders of cerebral circulation is currently very acute. In modern scientific and methodological literature, more attention is paid to the effectiveness of physical rehabilitation in the acute and early periods of recovery. However, it should be noted that the duration of rehabilitation measures is not limited by time, rehabilitation treatment can occur in a later period, that is, in the residual. Rehabilitation of the effects of a stroke is the subject of close attention of physical therapists. The quality of life of patients depends on the timely and professional conduct of physical therapy at different periods of the disease. It has been proven that the basic method of physical therapy is kinesiotherapy, which must be carried out continuously. When conducting classes in the residual period, the emphasis should be on compensating for impaired functions and re-adaptation of the patient. In the classroom, it is recommended to repeat the training of isolated movements with a gradual transition from one type of movement to another, frequent repetition of complex movements that require more attention, aimed at coordination and balance. In addition to kinesiotherapy, the literature contains recommendations for the use of neurodynamic methods and high-tech robotic techniques. However, most authors note that only a differentiated approach and the complex use of kinesiotherapy with other methods of physical therapy are able to improve the quality of life of patients after an ischemic stroke.