P-2-01-01
RESULTS OF REHABILITATION OF PATIENTS WHO HAD STROKE
E.I.Zborovsky, T.D.Rjabtseva, K.E.Zborovsky (BRIWCD, Minsk, Republic of Belarus)
Aim: To elaborate a most effective technology of rendering rehabilitative help to the patients who had stroke, on the example of 428 patients.
Methods' The extent of rehabilitative help included: alongside with medication therapy, Bobat, Kabat, and PNF therapeutic medical training, hard and soft splinting, ergotherapy, speech therapy, psychotherapy, and neuropsychological training.
Results: Forty-two percent of the patients retained their working capacity, 81% have been socially adapted, virtually all patients have increased their independence.
Conclusion: The obtained results indicate a need for an early beginning and complex realization of rehabilitation in patients who had stroke.
P-2-01-02
THE CORRELATION BETWEEN BRAIN LESIONS WITH MOTOR RECOVERY IN STROKE PATIENTS
Chia-Ling Chen, Jia-Ing Chung, Mav-Kuen Wong, Pao-Tsai Cheng, Fuk-Tan Tang
(Chang-Gung Memorial Hospital, Taipei, Taiwan)
Cerebrovascular accidents often produce alterations in the ability of tile individual to control movements. It is commonly observed that the motor recovery varied after stroke. Therefore, we will evaluate the relationships of the locations of brain lesion with the motor recovery. In this study, we review magnetic resonance images (MR!) findings on thirty-seven stroke patients with the cortical or subcortical infarct or hemorrhage involved within 1.5 months after onset of stroke. The stroke patients were divided into 3 groups: anterior capsular lesion in group A, posterior or whole capsular lesion in group B, and the other lesions (cortical or non-capsular subcortical lesions) in group C. The muscle tone and motor recovery were assessed by modified Ashworth scale and Brunnstrom's stage, respectively. This study revealed the worst motor recovery in posterior or whole capsular lesion (group B). This may be explained by understanding of posterior capsule that contains the corticospinal tract as well as the projections to and from somatic sensory areas in the parietal lobe.
