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ISSUE 25/ 2010

ROMANIAN JOURNAL OF PHYSICAL THERAPY

COMPARATIVE STUDY ON THE RECOVERY OF PATIENTS POST STROKE STUDIU COMPARATIV PRIVIND RECUPERAREA PACIENTILOR POST ACCIDENT VASCULAR CEREBRAL Matei Elena-Maria1, Rares D.Ciocoi-Pop2
________________________________________________________________________________ stroke, rehabilitation, physical therapy, women, men
Key –words: Abstract: This is a study and aims to Rezumat: Lucrarea este un studiu şi are ca scop compararea gradului de recuperare a pacientilor post accident vascular cerebral de gen feminin şi masculin. Durata studiului este de 4 luni (Ianuarie-Aprilie 2010). Evaluarea a constat din 3 teste efectuate la începutul studiului şi la sfârşitul lui. S-au utilizat: Testul pentru echilibru Berg, Testul Posturii PASS şi Testul FugleMeyer. Rezultate: pacientii de gen feminin au o evolutie mai pronuntata fata de cei de gen masculin, la toate cele 3 teste. Femeile sunt mai perseverente decat barbatii, mai active, dornice de mişcare şi ambitioase. ________________________________________________________________________________

accident vascular cerebral, recuperare, kinetoterapie, femei, barbati
Cuvinte cheie:

compare the degree of recovery of patients after stroke female and male. Study duration of 4 months (January-April 2010). Evaluation consisted of three tests at the beginning and end of study, Berg balance aAssessment, PASS Assessment and FugleMeyer Test. Results: The female patients had a more pronounced trend towards the male in all three tests. Women are more persistent than men, more active, eager and ambitious to do exercices.

Introduction Stroke is the second leading cause of death worldwide and the third in developed countries. Strokes disability occurs more frequently than deaths, 20% of patients requiring assistance in daily activities (Bonita, 1997). Quality of life will change even in patients who totally recovered. Stroke's consequences are not limited to individuals: family, friends and caregivers are also affected. Society as a whole suffers. Patients who suffered a stroke become apathetic because of the limited social activities, are constantly worried and feeling a heavy responsibility. Decreased quality of life leads to depression. This work is a comparative study of male and female patients on functional recovery after a stroke, are four female and four male gender, mean age being 68.8 years. We started with the assumption that women have a greater recovery than men because they cunt more active social life, family and are doing more physical work than men.

1 2

Kinetoterapeut, Universitatea Babes-Bolyai Cluj-Napoca, FEFS Conf.univ.dr., Universitatea Babes-Bolyai Cluj-Napoca, FEFS

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Table 1 Mean of pacient’s age Descriptive statistics Patients Age 8 Minimum 55 Maximum 82 Mean 68. Pacients by name. and other. upper limb more affected Left hemiplegia Left hemiparesis. type of stroke and the affected side Nr . deviation 8. Physical therapy took place at tha pacients home. walk helper. repetitive in right Left hemiparesis. we performed active and passive exercises. paper.88 Std. As materials used were: chear. 1 Name AM Gend er F Age 70 Type of Stroke Affected side 2 3 4 5 LE PD WE AP F F F M 72 64 82 74 Ischemic In the territory of Left hemiplegia middle cerebral artery right side Ischemic.VOLUMUL 25/ 2010 REVISTA ROMÂNĂ DE KINETOTERAPIE In physical therapy session. Wright hemiparesis 6 7 8 BA BH SL M M M 55 59 75 1 4 4 7 Women Men Graph 1 Patients on gender Ischemic Hemorage Graph 2 Patients on type of stroke 13 .951 Table 2. partially recovered carotidian territory Ischemic punto-mezencefalic Bleeding capsulo-thalamic right) Ischemic brain stem (bulbar) Ischemic right carotidian Ischemic right carotidian Ischemic Sylvian left Right hemiparesis (hematoma Left hemiplegia Left hemiplegia. passive -active and active with resistance. age. rope of various colors.

483 10.75 Std.243 1 3 4 4 left side Wright side Left side Wright side Graph 3 Affected side on women Graph 4 Affected side on men 14 . deviation 7.ISSUE 25/ 2010 ROMANIAN JOURNAL OF PHYSICAL THERAPY Table 3 the mean of patient’s ages Descriptive statistics Patients Women Men 4 4 Minimum 64 55 Maximum 82 75 Mean 72.00 65.

Two of the patients do not remember the alphabet and memory exercises were needed for learning it. in sitting and standing. Name Berg Assessment Evalua tion 1 1 2 2 3 Evalua tion 2 6 22 7 10 PASS Assessment Evalua tion 1 3 8 4 2 Evalua tion 2 17 28 20 21 Fugl-Meyer Test Evalua tion 1 38 80 40 37 Evalua tion 2 75 94 42 64 1 2 3 4 AM LE PD WE 15 . the learning again the alphabet. active and passive mobilization on the bed. Assessment Table 4.VOLUMUL 25/ 2010 REVISTA ROMÂNĂ DE KINETOTERAPIE Walking reeducation exercises. Evaluation tests for women Nr.

ISSUE 25/ 2010 ROMANIAN JOURNAL OF PHYSICAL THERAPY Table 5. Name Berg Assessment Evalua Evalua tion 1 tion 2 AP 1 4 4 B A 2 3 4 BH 3 46 49 SL 4 34 50 PASS Assessment Evalua Evalua tion 1 tion 2 6 7 9 13 32 35 30 36 Fugl-Meyer Test Evalua Evalua tion 1 tion 2 54 56 22 43 98 116 100 120 16 . Evaluation tests for men Nr.

25 5.228 7. deviation 7. deviation 2.047 Table 7 Comparative evolution on PASS test Patients Women evolution Men evolution 4 4 Minimum 14 1 Maximum 20 6 Mean 17.082 17 .25 3.VOLUMUL 25/ 2010 REVISTA ROMÂNĂ DE KINETOTERAPIE Results Table 6 comparative evolution on Berg test Patients Women evolution Men evolution 4 4 Minimum 5 1 Maximum 20 16 Mean 9.50 Std.50 Std.754 2.

although in the first two months and half were not seen improvements.253 8. A.. Penhale B. Bucureşti.farmaciata.ISSUE 25/ 2010 ROMANIAN JOURNAL OF PHYSICAL THERAPY Table 8 Comparative evolution on Fugle-Meyer test Patients Minimum 2 2 Maximum 37 21 Mean 20.. Reeducarea neuro-motorie (Neuro-motor reeducation). Mariana). Pasztai. Cordun. Londra. active or passive one.php?id=5 18 .. Conclusion It is important for every patient who had a stroke to do exercises. Sbenghe.. Barnes.. Philadelphia. while men are watching television. and Management – Churchill Livingstone. Cambridge University Press. go shopping. Z. however.ro/SitFiles/articol_no_ph. 2009 2. 2001 6. http://www. L. Bucureşti...00 15.P. deviation 15.25 Std. Wolf P. Stroke Pathophysiology. Dobkin B. 1987 9.. J. Irwin P. M. N. Editura Universitatii din Oradea.921 Women evolution Men evolution 4 4 Evolution of female patients is more pronounced than those of male. American Academy of Neurology. Recovery after stroke. T. Caplan. Class Publishing. Grotta J. they live a passive life. 2006 3. physically speaking. Bucureşti. Editura Medicală.. Mohr. Robanescu. Weir B. Diagnosis. 1992 7. SUA. T. consistently and correctly effectuate exercises led to significant results. Saint Paul. 2006 10. 2004 5. terapeutica si de recuperare (Physical therapy prophylactic. Stroke at your fingertips. also is important what kind of life he or she lived before. 1998 4. Bogousslavsky J. Oradea. Stroke. Kinetologie profilactica. therapeutic and rehabilitation) – Editura Medicală. References 1. Choi D... Bucureşti. to want to get better. Cum să învingi atacurile cerebrale – Antet. Editura medicală. Kinetoterapia în recuperarea funcţională posttraumatică a aparatului locomotor (Physical therapy in functional recovery of posttraumatic locomotor sistem). Rudd. to have a purpose for future.. 2005 8. Smith. Degree of evolution is higher in women than in men because women are more physically active are more socially involved.. organizing household. Kinetologie medicală.