448 KB36 KB200820252016Bizovičar, NatašaBurger, HelenaGoljar, NikaJavh, MetkaObržan, DareRudel, DragoRudolf, Markoletnik:15številka:3str. 26-32ISSN:1580-9315COBISSID:2281833URN:URN:NBN:SI:doc-JOJ0U33EslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)motor functionsmotorične funkcijemožganska kapmultimedia contentsmultimedijske vsebineStroketelerehabilitacijaTelerehabilitationUčinki vadbe na domu ob pomoči vaj v pisni in video obliki pri bolnikih po možganski kapi| Effects of home exercise assisted by written and video instructions in patients after stroke|Background: Supervised rehabilitation treatment can significantly improve the functional recovery over a longer period of time in patients after stroke. Tele-rehabilitation technology allows the use of rehabilitation services in the patient's home environment. The purpose of our pilot study was to test the effectiveness of continuing exercise at home after discharge from inpatient rehabilitation by using a of tele-rehabilitation service. Methods: The study included 10 patients after the first stroke. Upon discharge from the inpatient rehabilitation the patients were randomized into the test group and the control group; there were five patients in each group. The test group received tele-rehabilitation treatment in the form of movies under the supervision of a therapist for 3 months after discharge. The control group received exercises in written form, which they performed without the supervision of a therapist in their home environment. The assessments (passive range of joint motion, muscle tone in the upper limb, pain and motor function) were performed at the time of discharge in the rehabilitation hospital and in the home environment after 3 months of training. Results: There was an improvement in function of the upper limb and general motor function, reduction of muscle tone in the elbow, wrist and finger flexors, and a decrease in pain in both groups after 3 months of training, but there were no statistically significant differences between the groups. Shoulder joint abduction passive range of motion was statistically significantly better in the test group after the training (p = 0,017). Conclusions: Tele-rehabilitation service proved to be an effective and useful method to improve motor skills and joint mobility and also to reduce pain and muscle tone for patients in the chronic period after strokeIzhodišča: Nadzorovana rehabilitacijska obravnava lahko pomembno prispeva k izboljšanju funkcijskega okrevanja bolnikov skozi daljše obdobje po možganski kapi. Telerehabilitacijska tehnologija omogoča uporabo rehabilitacijskih storitev v bolnikovem domačem okolju. Namen pilotske raziskave je bil preveriti učinkovitost nadaljevanja vadbe v domačem okolju po odpustu iz rehabilitacijske ustanove z uporabo storitve telerehabilitacije. Metode: V raziskavo je bilo vključenih 10 bolnikov po prvi možganski kapi. Ob odpustu iz bolnišnične rehabilitacijske obravnave smo bolnike randomizirali v testno skupino in kontrolno skupino; v vsaki je bilo pet bolnikov. Testna skupina je bila tri mesece po odpustu iz rehabilitacijske ustanove vključena v telerehabilitacijsko obravnavo v obliki filmov pod nadzorom terapevta, kontrolna skupina pa je prejela vaje v pisni obliki in jih brez nadzora terapevta izvajala v domačem okolju. Testiranja smo izvedli na oddelku tik pred odpustom v domače okolje in po treh mesecih vadbe (meritve pasivne gibljivosti sklepov, mišičnega tonusa v zgornjem udu, meritve bolečine in motoričnih funkcij). Rezultati: Pri obeh skupinah je po treh mesecih vadbe prišlo do izboljšanja funkcije zgornjega uda in skupnih motoričnih funkcij, znižanja mišičnega tonusa v fleksorjih komolca, zapestja in prstov in zmanjšanja bolečine, vendar razlike med skupinama niso bile statistično značilne. Pasivna gibljivost v rami v smeri abdukcije je bila v testni skupini po vadbi statistično značilno boljša v primerjavi s kontrolno skupino (p = 0,017). Zaključek: Storitev telerehabilitacijske obravnave se je izkazala za učinkovito in uporabno metodo pri izboljšanju motoričnih sposobnosti in gibljivosti sklepov ter zmanjšanju bolečine in mišičnega tonusa pri bolnikih v kroničnem obdobju po možganski kapiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča