|
Current issue
Archive
Manuscripts accepted
About the journal
Editorial board
Abstracting and indexing
Subscription
Contact
Instructions for authors
Ethical standards and procedures
Editorial System
Submit your Manuscript
|
4/2022
vol. 26 abstract:
Research paper
Associated reactions of the upper extremity as an important part of neurological and functional assessment of patients in the acute phase of ischemic stroke
Krzysztof Głowacki
1
,
Jakub Stolarski
2
,
Agata Zdrowowicz
2
,
Karolina Krzysztoń
2
,
Izabela Domitrz
2
Physiotherapy Review, 2022, 26(4), 56-63
Online publish date: 2022/12/24
View
full text
Get citation
ENW EndNote
BIB JabRef, Mendeley
RIS Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
Background
Associated reactions (ARs) are involuntary movements that significantly affect the functioning of stroke patients. Due to a lack of scientific evidence, physiotherapists provide ARs therapy based mainly on individual experience. This common phenomenon remains poorly recognized among neurologists. Aims The aim was to assess the relationship between patient's ability to independently change positions within the bed and the occurrence of upper limb ARs in the rehabilitation process in the acute phase of ischemic stroke. Material and methods Group of 53 patients after an acute ischemic stroke underwent physiotherapeutic examinations. On the first day of the physiotherapy evaluation, the patient's ability to independently change positions within the bed was assessed. During the rehabilitation process, occurrence of the upper limb ARs was evaluated using the modified Associated Reaction Rating Scale (ARRS). Results It was reported that 20.75% of patients presented ARs of the upper limb during the rehabilitation process. Significant differences were found between patients with and without ARs when comparing the ability to shift to a long sitting position and to rotate on to the more affected side, examined on the first day of physiotherapy assessment. Conclusions Assessment of the patient's ability to change positions on the first day of physiotherapy can provide information that could help predict the occurrence of ARs. There is a need to adjust the ARRS for use in the acute phase of stroke. It is necessary to promote knowledge about ARs among neurologists and neurosurgeons. keywords:
associated reactions, synkinesis, mirror movements, stroke rehabilitation, spasticity, upper motor neuron syndrome |
 |
POLSKI
