Evaluation of the quality of life in the course of combined rehabilitation after cerebral stroke
Post-stroke rehabilitation remains a serious challenge, in the first place due to the high mortality and disablement level. We report the results of the treatment of 90 patients in the early recovery period after stroke. They were divided into 3 groups matched for the gender, age, initial locomotor parameters, cognitive and psychoemotional disorders. The study revealed a significant decrease of initial characteristics of the quality of life coupled to an increase of anxiety, depression, and social dependence. Comparative assessment of effectiveness of various rehabilitative methods showed that combination of mirror therapy, programmed functional electrostimulation using an AKorD-Multimiostim apparatus, physical exercises, relaxation, autotraining and visualization procedures significantly improved the quality of life, psychoemotional status, and cognitive functions. Catamnestic data suggested the high level of social and occupational re-adaptation (63.6% of the patients were able to resume professional activities and regain their previous position). It is concluded that the quantitative evaluation of the quality of life parameters in the course of combined rehabilitation after cerebral stroke is ofprognostic significance for the estimation of the effectiveness of therapeutic measures and their choice on an individual basis.