The efficacy of kicking and knee strike exercises in the rehabilitation of patients with walking disorders

Karlygash Raissova, Gani Uakkazy, Ч.С. Шашкин, Gulnara N. Akhmadeeva, А. Kurmasheva, Mereke Alaidarova

2023

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DOI 10.54500/2790-1203-2023-3-117-39-45
Data confidence 70 medium
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Abstract

The article is devoted to evaluating the effectiveness of exercises that were used in neurorehabilitation for patients with walking disorders. Disorders of walking, coordination of movement, balance are among the main symptoms of diseases such as Parkinson's disease (PD), Parkinsonism and dystonia. For such patients with motor disorders, exercise is a very important part of rehabilitation. At this time, the insufficiently studied problem remains therapeutic physical culture, exercises to improve patients' coordination of movement, gait, balance. The purpose of the study: to study the effectiveness of a set of kicking exercises for patients with walking disorders by evaluating rehabilitation scales (Test “Up and Go” (TUG) и mini BESTest). Methods. Prospective cohort study. The results of rehabilitation of patients treated at the clinic of neurology and neurorehabilitation "Shashkin clinic" are presented. The main criteria for inclusion in the study: patients with Parkinson's disease – at least 3 stages on the Hoehn-Yahr scale, patients with Parkinsonism and dystonia syndrome, patients who underwent surgery to install a deep brain stimulation system with walking disorders. The age of patients is from 50 to 78 years, men - 21, women - 29. The patients were divided into 2 groups of 25 people. The patients were randomly divided into two groups. The 1st group underwent neurorehabilitation without a set of exercises, the 2nd group - with a daily additional load – kicking and knee exercises. Before rehabilitation and 2 weeks after rehabilitation, a test was conducted. All patients prior to enrollment in the study signed informed consent voluntarily. Results. There was an improvement in the indicators of two scales used in the work (mini-test of balance assessment systems, or Mini-BESTest, "Up and Go” test) in the research group, compared with the control group. Conclusions. The inclusion of a set of kicks and knee exercises in rehabilitation has a positive effect on improving the patient's walking.