| Abstract [eng] |
After a stroke, patients usually struggle with physical deficits that have a direct impact on their quality of life. Strokes cause a lot of mortality and morbidity in the population. The challenges exist particularly for strokes survivors. Such an event in a person’s life often brings not only physical but also mental health issues. Good motivation is crucial in the process of rehabilitation to achieve good results. Therefore, it should be essential to ensure accurate patient care to offer individual patients specific procedures. It is important to be able to reintegrate people into their surroundings as well. In that instance, recovery of motor deficits or deficits during walking should be provided. A precise analysis of motor deficits is essential, which can be obtained in detail using different assessment methods. This also determines the further course of therapy options or effects of different therapy options on individual stroke patients. A basic understanding of normal gait physiology in humans should play a role for every participating therapist. This is particularly useful to be able to evaluate pathological gait patterns and to recommend appropriate therapy options. Furthermore, precise gait analyses should be carried out to record different gait parameters. The different problems of patients are often very specific. Gait rehabilitation can utilize many different strategies today. It is helpful to ensure a basic need for different therapy options that positively influence different factors such as gait cycle, stride length, step width, cadence, endurance, balance, motor deficits, step length, mobility, etc. Guidelines often give an approximate idea of what a therapy plan can look like. In addition, to classic physical therapy, therapies such as proprioceptive neuromuscular facilitation, different motor learning techniques and context- or task-specific training can be used. Functional electrical stimulation has been used for stroke patients for many years and has proven its effectiveness. Basic training of the complex gait cycle through treadmill training is a crucial step in gait rehabilitation. In the next few years development of new methods may find their way into gait rehabilitation. |
