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The influence of chosen clinical and demografic factors on progress in reeducation of balance and walk of people after stroke

100%
Dominika F., Bejer A.
Advances in Rehabilitation
|
2013
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vol. 27
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issue 4
31-39
EN
Introduction: The balance improvement and reconstruction of walking function is one of the main post-stroke rehabilitation aims. The aim of the thesis is to define to what extent factors such as stroke, hemiplegia side, age, sex and modifiable risk factors can influence the rehabilitation process. Material and methods: There were patients tested who registered at the rehabilitation unit with partial hemiplegia after the first stroke. The patients were qualified within one month since the stroke, without chronic illnesses apart from risk factors of stroke, participating in 4-week programme of facilitation. There were 50 patients qualified to the test (24 men and 26 women). The average age of the tested was 63 years. The balance and patients walk was evaluated with the use of Tinetti test. Results: The rehabilitation effects are much better in a group of people with the hemorrhagic stroke (p=0,0057) and with the right hemiplegia (p=0,0094). The change of walk evaluation is correlated mostly with the number of risk factors (R= -0,72), on average thenumber of risk factors influenced the change within the balance range (R= -0,56). Age, moderately influences the rehabilitation effects, within the walking function (R = -0,52). Conclusions: Young people achieve better results of rehabilitation, with the right hemiplegia and after hemorrhagic stroke. Sex does not influence the achieved results of facilitation. The bigger number of accompanied risk factors determines the worse effects of rehabilitation.
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Assessment of quality of life among elderly stroke patients - preliminary report

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Bejer A., Kwolek A.
|
2008
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vol. 16
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issue 1
52-63
PL
Celem pracy była ocena wpływu uzyskanych efektów rehabilitacji na jakość życia osób w podeszłym wieku po udarze mózgu z odniesieniem do młodszej grupy wiekowej. Badania przeprowadzone zostały wśród osób po udarze mózgu leczonych w oddziałach rehabilitacji 3. szpitali w województwie podkarpackim od listopada 2006 r. do marca 2007 r. Badaniom poddano 39 osób, które ze względu na wiek zostały podzielone na dwie grupy: grupa I - 21 osób poniżej 65. roku życia oraz grupa II - 18 osób w wieku 65. lat i powyżej. Do pomiaru jakości życia użyto Skalę Jakości Życia po Udarze Mózgu - polską wersją skali Stroke Specific-Quality of Life autorstwa L. Williams i in. (adaptacja kulturowa A. Bejer, A. Kwolek). Do oceny efektów rehabilitacji wykorzystano wskaźnik Barthel (BI), Skalę Oceny Funkcji Motorycznych (MFAS) oraz skalę Samooceny Depresji Becka (BDI). W wyniku rehabilitacji szpitalnej obserwowano poprawę jakości życia osób starszych po udarze mózgu. Zwiększenie sprawności fizycznej osób starszych po udarze mózgu wpływa na poprawę jakości ich życia.
EN
The aim of this research was to assess the impact of rehabilitation on the quality of life (QoL) of elderly stroke patients in comparison to control group of younger people. The research was conducted among patients treated at rehabilitation wards of three hospitals in Podkarpackie voivodeship from November 2006 to March 2007. It covered 39 persons, who were divided to two age groups: Group 1 - 21 person under 65 years old and Group 2 - 18 persons over 65 years old. QoL was measured using a polish version of the Stroke Specific - Quality of Life scale created by L. Williams et al. (cultural adaptation by A. Bejer and A. Kwolek). Effects of rehabilitation were assessed with Barthel index (BI), Motor Functions Assessment Scale and Beck's Depression Inventory (BDI). Hospital rehabilitation resulted in improvement of QoL of elderly stroke patients. Increasing physical fitness in elderly stroke patients has influence on their QoL.
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