Assessment of Impact of Early Stroke Rehabilitation on Hip Joint Mobility of the Affected Leg in Patients after Cerebrovascular Accidents

• Authors: Wioletta Łubkowska , Tomasz Zdeb , Bożena Mroczek
• Languages of publication: EN

Abstracts

EN

One of the main priorities of stroke rehabilitation is regaining patients’ independence in basic everyday activities. This paper is aimed at assessing impact of early stroke rehabilitation on hip joint mobility of the affected leg in patients after cerebrovascular accidents. The study included 30 subjects (13 men and 17 women) aged on average ±66.1, with hemiparesis, who were treated at the stroke unit and participated in a 4-week rehabilitation program. Measurements of passive and active motion ranges were conducted with a goniometer in both limbs: healthy and affected ones by stroke. There were statistically significant differences in motion ranges between healthy and affected limbs. Examination I revealed that affected limbs amounted to only 40% of physiological range, while in Examination II, the result reached 73%. The most significant motion limitations were noted in terms of bending, adduction and internal rotation, while the least significant in terms of external rotation and abduction. Exercises used during early stroke rehabilitation of hemiparesis patients considerably increased active motion ranges and maintained passive motion ranges in the hip joint of the affected limb. Patients with right-sided hemiparesis experienced much better improvement in hip joint motion of the affected limb. The 4-week period was insufficient to mobilize patients and help them regain full active mobility in the hip joint of the affected limb. These patients required further physiotherapy, until they fully regained functionality.

Keywords

EN

hip joint; kinesiotherapy; motion range; physiotherapy; stroke; stroke rehabilitation

Discipline

• MEDICINE: MEDICINE

• Publisher: Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
• Journal: Central European Journal of Sport Sciences and Medicine
• Year: 2015
• Volume: 12
• Issue: 4
• Pages: 17-23

Contributors

author

Wioletta Łubkowska

• Faculty of Physical Education and Health Promotion, University of Szczecin, Poland

author

Tomasz Zdeb

• Medical Clinic Spondylus, Szczecin, Poland

author

Bożena Mroczek

• Department of Humanities in Medicine, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Poland

References

• Becker B.E. Aquatic Therapy: Scientific foundations and clinical rehabilitation Applications. Am Acad Physical Med Rehab. 2009; 1 (9): 859–872.
• Bundesarbeitsgemeinschaft für Rehabilitation. Empfehlungen zur Neurologischen Rehabilitation von Patienten mit seweren und schwersten Hirnschädigungen in den Phasen B und C. Vom 2. November 1995.
• Chon Ch.S, Oh W.D, Shim H.J. Watsu approach for improving spasticity and ambulatory function in hemiparetic patients with stroke. Physiother Res Int. 2009; 14 (2): 128–136.
• Członkowska A., Sarzyńska-Długosz I., Krawczyk M. An evaluation of the accessibility of early post-stroke comprehensive rehabilitation in Poland. Neurol Neuroch Pol. 2006; 40 (1): 10–15.
• Flis D., Bejer A. The influence of chosen clinical and demografic factors on progress in reeducation of balance and walk of people after stroke. Adv Rehabil 2014; 27 (4): 31–39.
• Grochulska A., Jastrzębska M. Improvement in functional performance of people suffering from brain stroke – the role of a nurse. Probl Pielęg. 2012; 20 (3): 300–309.
• Jajor J., Nonn-Wasztan S., Rostkowska E., Samborski W. Specifics of movement rehabilitation in the elderly. Now Lek. 2013; 82 (1): 89–96.
• Jaracz K., Kozubski W. Znaczenie wsparcia społecznego dla jakości życia chorych po udarze mózgu. Neurol Neuroch Pol. 2006; 40 (2): 140–150.
• Karakiewicz B., Żułtak-Bączkowska K., Mroczek B. Modern ways of therapy and rehabilitation of disabled persons – computer supported rehabilitation of cognitive functions among patients after neurological problems. Przew Lek. 2011; 1: 231–234.
• Kjellstrom T., Norrving B., Shatchkute A. Helsingborg Declaration 2006 on European stroke strategies. Cerebrovasc Dis. 2007; 23 (2–3): 231–241.
• Kwolek A., Szydełko M., Domka E. The limits of contraindications to post-stroke rehabilitation. Udar Mózgu. 2005; 7 (1): 31–37.
• Luk J.H.K. Rehabilitation in older people: know more, gain more. Hong Kong Med J. 2012; 18 (1): 56–59.
• Łubkowska W., Szark-Eckardt M., Żukowska H. The application of the Halliwick concept in therapeutic and corrective swimming. In: Psychomotor Therapy and Physical Self-Concept, eds. T. Louková, B. Hátlová, A. Adámková Ségard. University of J.E. Purkyné in Usti nad Labem, Czech 2015: 109–118.
• Mazur R. (eds.) Neurologia kliniczna. Via Medica, Gdańsk 2007.
• Mazurek J., Blaszkowska A., Rymaszewska J. Rehabilitation after stroke – current guidelines. Now Lek. 2013; 82 (1): 83–88.
• Nalazek A., Szark-Eckardt M., Gawinecka-Mykaj B., Łubkowska W. A comprehensive approach to water treatment. In: Stan, perspektywy i rozwój ratownictwa, kultury fizycznej i sportu w XXI wieku, t. II, eds. M. Napierała, A. Skaliy. Problemy Kultury Fizycznej i Sportu. University of Economy, Bydgoszcz 2015: 372–377.
• Nowotny-Czupryna O., Rudzińska A., Czupryna K., Lambeck J. Możliwości zastosowania terapii w wodzie u pacjentów z niektórymi dysfunkcjami narządu ruchu. Fizjoter Pol. 2001; 1 (1): 67–73.
• Nyka W., Jankowska B. Zasady wczesnej rehabilitacji chorych z udarem niedokrwiennym mózgu. Forum Med Rodz. 2009; 3 (2): 85–91.
• Postępowanie w udarze mózgu. Wytyczne Grupy Ekspertów Narodowego Programu Profilaktyki i Leczenia Chorób Układu Sercowo- Naczyniowego POLKARD. Neurol Neuroch Pol. 2008; 4 (supl. 3): 203–288.
• Rosławski A., Skolimowski T. Badania czynnościowe w kinezyterapii. Wrocław: Wydawnictwo AWF Wrocław 2000.
• Schwamm L.H., Pancioli A., Acker J.E., Goldstein L.B., Zorowitz R.D., Shephard T.J., Moyer P., Gorman M., Johnston S.C., Duncan P.W., Gorelick P., Frank J., Stranne S.K., Smith R., Federspiel W., Horton, K.B., Magnis E., Adams R.J. Recommendations for the Establishment of Stroke Systems of Care: Recommendations From the American Stroke Association’s Task Force on the Development of Stroke Systems. Stroke. 2005; 36 (3): 690–703.
• Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews 2013; 9 (CD000197).
• The World Health Organization MONICA Project (monitoring trends and determinants in cardiovascular disease): a major international collaboration. WHO MONICA Project Principal Investigators. J Clin Epidemiol. 1988; 41 (2): 105–114.
• Wiszniewska M., Kobayashi A., Członkowska A. Postępowanie w udarze mózgu. Skrót Wytycznych Grupy Ekspertów Sekcji Chorób Naczyniowych Polskiego Towarzystwa Neurologicznego z 2012 roku. Pol Prz Neurol. 2012; 8 (4): 161–175.

• Document Type: article