The dissertation is devoted to the theoretical generalization and practical solution of the problem of improving walking skills in people of the second mature age after a cerebral stroke.
The purpose of the study is to develop a physical therapy program aimed at correcting gait for people of the second mature age after a cerebral stroke at the recovery stage.
The object of the study is physical therapy for people after a cerebral stroke.
Methods:
1) theoretical analysis and synthesis of literature sources - conducted to study the relevance of the research question, to identify scientific evidence-based means of physical therapy as an important part of the correction of gait skills.
2) clinical and instrumental research methods were aimed at assessing the quality and efficiency of gait; they included Chedoke-McMaster Stroke Assessment, Ashworth scale, goniometry, upright motor control test, 10-meter walk test, 6-minute walk test, the timed up and go test, functional gait classification, Fugl-Meyer assessment of motor recovery after stroke, Rancho Observational gait anylasis, Borg fatigue assessment;
3) methods of mathematical statistics (one-sided, two-sided, paired t-test, Student's t-test, Pearson's chi-square χ2 test, Fisher's test, Mann-Whitney U-test, Wilkinson's test).
Theoretical and practical results of the study - a physical therapy program that improves the quality of gait in people of the second mature age after a cerebral stroke in the recovery phase was tested and applied in the practical activities of physical therapy specialists in health care facilities. The theoretical and practical material for lecture courses and clinical practice of students of the Ukrainian Catholic University, Lviv State University of Physical Culture named after I. Boberskyj and the National university on physical education and Sport was supplemented.
The scientific novelty of the results is that: for the first time, a program of gait correction in persons after a cerebral stroke was scientifically substantiated, developed and tested; for the first time, an algorithm for assessing the quality of gait was developed; methods for assessing the quality of gait in a hospital were improved; the known features of clinical manifestations of cerebral stroke and the available developments and materials of previous works on the effect of rigid AFO orthoses on foot clearance were confirmed; scientific data on the effect of physical therapy on improving the quality of gait were supplemented; individualization of gait was further developed.
According to the results of the dissertation study, it was found that the author's program of physical therapy for patients after cerebral stroke, aimed at correcting gait, which provides a differentiated approach to establishing the cause of motor dysfunction, not its manifestation and selection of the type of rehabilitation intervention, and contains means that affect the cause of motor disorder, improves coordination, endurance, speed and quality of gait.
