[Effectiveness of kinesitherapy in the recovery of motor functions during the early rehabilitation of patients with traumatic brain injury].
Eighty patients with moderate (n=10) and severe traumatic brain injury (TBI) (n=70) were included in the study. The effectiveness of kinesitherapy in the recovery of motor functions and functional skills of patients was evaluated on the 7th, 27th, 52nd and 81st days after the trauma using the Modified Clinical Outcomes Variable Scale (MCOVS). The early rehabilitation comprised acute, post-acute and recovery periods. According to the MCOVS, patients were assigned to three groups: high effectiveness (78-91 points), moderate effectiveness (39-77 points) and insignificant effectiveness (13-38 points) groups. At the beginning of the acute period of TBI, patient's motor functions were considerably impaired (33,0+/-1,2 points on the MCOVS). At the early period of rehabilitation, the kinesitherapy significantly improved the recovery of functional skills with increasing of MCOVS scores to 64,7+/-2,0. At the end of this stage, the majority of patients with TBI were already independent in mobility-related activities (bed mobility, sitting up, balance maintenance while sitting, walking, wheelchair mobility, using hands), only a few of them still needed another person's care or minimal assistance. The high effectiveness of kinesitherapy was achieved in 27,5% of patients, the moderate effectiveness in 62,5% and insignificant - in 10% patients. Functional skills of patients with moderate and severe TBI recovered most significantly in the post-acute period of disease (on average on the 27th day after the trauma).
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Lendraĭtene
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Krishchiunas
D000328:Adult; D001930:Brain Injuries / Q000503:physiopathology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D018953:Kinesiology, Applied; D008297:Male; D009043:Motor Activity; D015599:Trauma Severity Indices; D016896:Treatment Outcome