Orthostatic Reactivity in Patients with Ischemic Stroke in the Chronic Period.
OBJECTIVE
This study aims to trace the influence of specialized kinesitherapeutic methodology (SKTM) on orthostatic reactivity in patients with ischemic stroke in the chronic period (ISChP).


METHODS
An active orthostatic test is used for the evaluation of the orthostatic reactions. The arterial blood pressure and heart rate were defined in the 10 minutes of supine position, before and after 1, 5 and 10 minutes of active upright position. The orthostatic autoregulation is evaluated four times - at the beginning of the study, on the 10th day, on the 1st month and three months after the start of the KT. The classification by Thulesius was used to separate the patients into two groups depending on the type of their orthostatic reactivity.


RESULTS
At the beginning of the study of infringements symptomatic type orthostatic reactivity (SOR) was observed in 24 patients and hypertensive type orthostatic reactivity (HOR) was observed in the remaining 32 patients. Once applied SKTM establish improvement of orthostatic autoregulation for the groups SOR and HOR at the 10th day and the 1st month with a level of significance p <0.05.


CONCLUSIONS
The applied specialized kinesitherapeutic methodology continued later as an adapted exercise program at home, has significantly improved the orthostatic reactivity in patients with orthostatic dysregulation due to the ISChP.
University "Goce Delchev", Faculty of Medical Sciences, Shtip, Republic of Macedonia.
Danche
D
Vasileva
National Sports Academy, Physical Therapy and Rehabilitation, Sofia, Bulgaria.
Daniela
D
Lubenova
Ss Cyril and Methodius University of Skopje, Faculty of Computer Sciences and Engineering, Skopje, Republic of Macedonia.
Marija
M
Mihova
National Sports Academy, Physical Therapy and Rehabilitation, Sofia, Bulgaria.
Kristin
K
Grigorova-Petrova
National Sports Academy, Physical Therapy and Rehabilitation, Sofia, Bulgaria.
Antoaneta
A
Dimitrova
Chronic period; Ischemic stroke; Kinesitherapy; Neurodevelopment treatment; Neurorehabilitation; Orthostatic reactivity