Functional Recovery of Patient Whit Ischemic Stroke: Case Report
Abstractvascular lesions of the central nervous system are one of the most important and topical problems in modern neuropathology. Bulgaria is among the first in morbidity and mortality from cerebrovascular diseases. Because of the significant medical and social importance of this pathology resulting in severe disabling of most survivors, we aimed to explore the effectiveness of kinesitherapeutic methodology applied in the recovery of a patient with ischemic stroke. We present a case of a 69-old patient admitted in the Neurological Ward of “St. George Hospital in Plovdiv in 2015, Bulgaria with right hemiparesis due to ischemic stroke in the basin of the left middle cerebral artery. The applied Kinesitherapeutic methodology included various techniques like Kabat’s Bobath’s methods as well as training in equilibrium and walking. The patient obtained satisfactory results in terms of movement of the body and preserving the equilibrium, improvement of voluntary movement of the upper and lower right limb achieved via the help of some compensatory mechanisms. Despite the applied Kinesitherapy, the patient failed to gain independence in daily activities. We ascribe this satisfactory recovery only to the short period of application of kinesitherapeutic methodology. For a better recovery of patients with cerebrovascular disease, a continuous multidisciplinary approach is needed.
Roques CF (1997). Does the global program of rehabilitation improve the autonomy and the reinsertion of the hemiplegic patient? Annales de Réadaptation et de Médecine Physique, 40 (5): 245-254.
Ivanova E, Ryazkova M, Kostadinov D (2005). Rehabilitation of patients with post stroke hemiparesis. Medicine and Sports, 2:12-15.
Bobath B (1990). Adult Hemiplegia Evaluation and Treatment. London: Heinemann, 1990.
Brunnstrom S (1971). Motor Behavior of Adult Hemiplegic Patients. Am J Occup Ther, 25 (1):6-12.
Held JP, Pierrot-Deseilligniy E (1969). Échelle de force du movement. Rééducation mortice des affections neurologiques. Paris, J.B. Bailliere et fils, 31-32.
Michels E (1981). Synergies in Hemiplegia. Clin Manag, 1 (4): 9-16.
Ryazkova M, Kostadinov D (2003). Functional evaluation of patients with hemiparesis. Re-habilitation of patients with post stroke hemi-paresis, Sofia. Medicine and Sports, 4:24-26.
Nastev D (2004). On prophylactics, diagnosis and phased treatment of stroke in acute stage. Sofia. Medicine and Gymnastics, 7:31-45.
Bojinov C (2005). Guide to practical exercises in neurology. Sofia. Medicine and Sports, 9:52-70.
Becheva M, Viteva E (2015). Kinesitherapy in some neurological diseases. MU Plovdiv, 5-16.
Becheva M (2014). Rehabilitation activities in pa-tients with stroke. Nursing, 3:54-61.
Titianova E (2008). Quantitative assessment of asymmetry in gait in patients with chronic spastic hemiparesis. Key issues in neuros-cience. Sofia. Medicine and Sports, 4:11-18.
Bankov St, Gacheva J, Pernov K (2003). Kinesi-therapy in damage to the central motor neu-ron (hemiplegia and hemiparesis). Guide to Ki-nesitherapy, 47-53