Central European Journal of Sport Sciences and Medicine

ISSN: 2300-9705     eISSN: 2353-2807     DOI: 10.18276/cej.2015.4-02
CC BY-SA   Open Access 

Lista wydań / Vol. 12, No. 4/2015
Assessment of Impact of Early Stroke Rehabilitation on Hip Joint Mobility of the Affected Leg in Patients after Cerebrovascular Accidents

Rok wydania:2015
Liczba stron:7 (17-23)
Słowa kluczowe: hip joint kinesiotherapy motion range physiotherapy stroke stroke rehabilitation
Autorzy: Wioletta Łubkowska
Faculty of Physical Education and Health Promotion, University of Szczecin, Poland

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

Tomasz Zdeb
Medical Clinic Spondylus, Szczecin, Poland

Abstrakt

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.
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