The patients neurodinamic with the brain stroke consequences in the late period rehabilitation

Authors:

Belyanin Oleg Leonidovich — leading researcher of the Department of biomechanical research of the musculoskeletal system of Institute of Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: belynin.oleg41@bk.ru; https://orcid.org/0000-0001-6019-8053.

Gordievskaya Elena Olegovna — PhD in Pedagogical sciences (Cand. Ped. Sci.), senior researcher at the Department of Social and Vocational Rehabilitation of the Disabled of the Institute of Rehabilitation and Habilitation for Disabled, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: elena.gord@bk.ru; https://orcid.org/0000-0002-7617-298X.

Annotation:

Introduction. The article is devoted to the study of quantitative measurements of the degree of impairment of the neurodynamic properties and functions of a disabled person who has suffered acute cerebrovascular accidents, as a pressing issue of medical and social expertise.

Aim. Determination of the state of neurodynamics properties and functions of disabled people after stroke in the late rehabilitation period for their examination when changing the disability group.

Materials and methods. The study was conducted on 44 disabled people with acute stroke with varying degrees of severity of neurological disorders in the late rehabilitation period using objective instrumental computerized methods of testing neurodynamics.

Results. All those examined had disturbances in neurodynamics properties and functions of varying severity which were presented in quantitative form.

Discussion. Mobility and balance of neurodynamics properties are most impaired. In this regard, disorders of various mental functions are also noted. The identified disorders underlie changes in reaction speed and the ability to acquire new skills.

Conclusion. The possibility of quantitative assessment of basic neurodynamics functions using objective computer methods and presenting the results as a percentage reduction relative to the age-sex norm is shown which is necessary to determine limitations by category of life activity of people with disabilities. Instrumental methods make it possible to obtain quantitative indicators of the degree of violations.

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