| Abstract [eng] |
European Union countries occur every year about one million strokes that disrupts the normal human functions. Patients after a stroke about 30 to 66 percent. vulnerable upper limb function, resulting in impaired independence in daily activities The aim – to analyze the restoration of arm function after stroke using a computerized arm training system. Methods. A quantitative research. Used instruments: Lovett test, modified Functional Independence Measure (FIM), Mini-Mental State Examination (MMSE). The applied statistical treatment. The sample consisted of 60 patients, of which 33 men and 27 women. Subjects were randomly divided into two groups: the study group (30 patients) and control (30 patients). 30 (50 percent) patients underwent computerized arm training system „HandTutor“, and 30 (50 percent) patients (control group) - not been used „HandTutor“, but used traditional means of rehabilitation. Results. Computerized arm training system „HandTutor“ can be used for evaluation and training of arm and wrist, and restore functional ability and improve locomotor, sensory and cognitive disorders after stroke. Investigative arm upper extremity rehabilitation before scoring average of 27,2 points and statistically not different from the control group of patients arm function assessment scores. Computerized arm training system in complex with other rehabilitation methods significantly improved arm function restoration (improved 12,5 points), as well as using conventional upper extremity reconstruction methods (improved 12 points). Patients after stroke, self-independence skills is decreased. All patients self-independence skills scores by an average of 25,9 points, while the study group patients' independence skills mean score – 23,8 points (not statistically significant). The complex of rehabilitation measures, using both new methods (study group) and old normal arm function recovery methods (control group), the average self-independence skills improved by 11,9 points, study group – 13,6 points. In both groups, a statistically significant (p<0,001) difference. Assessing arm function interfaces with the independence of patients after stroke showed that arm function were statistically significantly associated with self-change rehabilitation processes. |
