| Abstract [eng] |
Research methods:Survey was selected 40 patients who experienced a first stroke and to rehabilitate public institution Vilnius University Hospital II inpatient rehabilitation section. Randomly selected subjects distributed into two treatment groups. Both groups throughout the study physical therapy was applied 2 times 30 minutes a day. In addition, each group was subject to different methods of muscle electrostimulation 10 times after 8 minutes per field. I study group (n = 20) patients were covered by muscle electrostimulation, while the experimental group II (n = 20) patients– muscle electrostimulation with active motion. Both groups were stimulated damaged upper limb biceps brachii, triceps brachii, the deltoid and extensor digitorum muscles. I test group patients with muscle electrostimulation was passive. II– th test groups electrically stimulated muscle contraction was that of active movement or active movement with the help of muscle direction. Statistical analysis was performed using SPSS 23 and Excel 2010 programs. Results:During the study after the first electrostimulation treatments significantly decreased muscle tone using electrostimulation relaxed fingers stretched muscle and the deltoid muscle (p <0.05). Electrical stimulation combined with active motion is not effective for short– term increase in muscle tone, because did not show a significant change (p> 0.05). At the end of the study after 10 treatments using different methods of muscle electrostimulation relaxed muscle tone increased significantly biceps brachii, extensor digitorum and triceps brachii muscle and the deltoid muscle tone was significantly reduced (p <0.05). Strained muscle electrostimulation using different methods significantly increased stiffness and deltoid triceps brachii muscle (P <0.05). EU study group extensor digitorum muscle tone was significantly reduced (p <0.05), while the EU + AJ group biceps brachii and extensor digitorum muscle tone did not change significantly (p> 0.05). The study of different electrostimulation application significantly increased muscle tone not all muscles (p <0.05). Electrical stimulation is more effective to increase the relaxed biceps brachii muscle of the upper arm, triceps brachii and deltoid muscle tone, stretched triceps brachii muscle tone (p <0.05). Electrical stimulation to an active motion is more effective in increasing muscle tone and brachial biceps releasing extensor digitorum muscles and triceps brachii muscle and stretched muscle than one indicator statistically significant change (p> 0.05). Electrostimulation of different methods statistically increased in patients after stroke upper limb muscle strength. However electrostimulation to an active motion is more effective wrist curls (p <0.05). Study showed that the application of the different methods for improving the electrostimulation of the upper limbs, as it is a modified F– Meyer and Wolf test results showed that the two groups of the upper limbs and a significant improvement (p <0.05). Conclusions:A comparison of the EU and EU + AJ treatment groups showed that in no case the changes did not differ significantly between the groups (p> 0.05). This indicates that the two groups of upper extremity muscle tone has changed significantly alike. Also different electrostimulation methods statistically increased in patients after stroke upper limb muscle strength. However electrostimulation to an active motion is more effective wrist curls (p <0.05.). Study showed that the application of the different methods for improving the electrostimulation of the upper limbs, as it is a modified F– Meyer and Wolf test results showed that the two groups of the upper limbs and a significant improvement (p <0.05). However, significant differences between electrostimulation methods were found (p <0.05). |
