[The effect of neurorehabilitation on the functional state and muscle tone of upper limb in patients after ischaemic stroke].
Rehabilitation of upper limb in patients after ischemic stroke is a major challenge for modern neurorehabilitation. Function of upper limb of patients after ischemic stroke returns on the end of the rehabilitation comparing with another parts of the body. Below presents two groups of patients after ischemic stroke who were rehabilitated with use of the following methods: kinesiotherapy combined with NDT- Bobath method and kinesiotherapy only. The aim of this study was to assess the impact of kinesiotherapy only and NDT- Bobath method combined with kinesiotherapy on the functional state and muscle tone of upper limb in patients after ischemic stroke.


METHODS
The study involved a group of 40 patients after ischemic stroke with motor control and muscle tone problems of upper limb. Patients were divided into two groups, each of them included 20 people. Upper limb in group I was rehabilitated with the use of kinesiotherapy exercise however group II with the use of kinesiotherapy exercise combined with NDT- Bobath method (Neurodevelopmental Treatment Bobath). To evaluate the patients before and after rehabilitation muscle tone Asworth scale was used and to assess functional status Rivermead Motor Assessment (RMAIII) scale was used.


RESULTS
After 5 weeks of rehabilitation in group II in majority patients were observed decrease of muscle tone and improvement in upper limb functional status. In group I the muscle tone were also decreased and functional status were better but in smaller impact than in II group.


CONCLUSIONS
Classical kinesiotherapy combined with the NDT-Bobath method gives better results in neurorehabilitation of upper limb than the use of kinesiotherapy exercises only in patients after ischemic stroke.
Paulina
P
Klimkiewicz
Anna
A
Kubsik
Agnieszka
A
Jankowska
Marta
M
Woldańska-Okońska
D000328:Adult; D000368:Aged; D001132:Arm / Q000503:physiopathology*; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D006801:Humans; D018953:Kinesiology, Applied / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009129:Muscle Tonus / Q000502:physiology*; D018482:Muscle, Skeletal / Q000503:physiopathology*; D020127:Recovery of Function / Q000502:physiology*; D020521:Stroke / Q000503:physiopathology*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome