The dynamics of the return of lost functions in patients undergoing physiotherapy following surgical treatment of post-traumatic paracerebral hematomas
Journal Title: Fizjoterapia Polska - Year 2014, Vol 14, Issue 3
Abstract
The objective of this study is to determine the impact of early physiotherapy on the dynamics of the recovery of the ability to perform daily activities, improvement in functional status, reduction in neurological deficits and change in the consciousness status in patients following surgical treatment of post-traumatic paracerebral hematomas.The study material consisted of 86 patients undergoing surgical treatment of post-traumatic paracerebral hematomas. All patients were divided into two groups with the type of kinesitherapy performed as the main differentiating factor.The grade of neurological deficit was assessed by the International Scale of Muscle Weakness, modified Barthel Index, and Rankin Scale, while consciousness was assessed on the basis of the Glasgow Coma Scale.The return of lost function in patients undergoing rehabilitation according to selected PNF patterns and elements of Bobath therapy as compared to patients subjected to conventional kinesitherapy was characterized by better dynamics, particularly within the initial days, and progressed at a significantly higher rate. However, no relationship of this kind was observed for the recovery of consciousness. Patients have the highest potential for the return of lost functions in the early postoperative period (days 1-5).
Authors and Affiliations
Grażyna Brzuszkiewicz-Kuźmicka, Stanisław Kuźmicki, Zbigniew Śliwiński, Maria Kłoda, Michał Sobstyl, Agata Kuźmicka
Keywords
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