Knowledge Base

Authors: T.V. Sergeeva, D.D. Isayenkova, D.Y. Butko, E.R. Mekhtieva.
Institutions: St. Petersburg State University, St. Petersburg State Pediatric Medical University, State Budgetary Institution “Elizavetinskaya Hospital” city hospital
Year: 2019
The purpose of the study:
To evaluate the effectiveness of the Habilect complex at the first stage of medical rehabilitation in patients with ischemic stroke.

Materials and methods:
11 patients in neurology department. Average age 73.92 ± 3.33 years (from 54 to 92 years). Among them 36.36% are men and 63.64% are women.
In addition to training at Habilect complex, this group of patients also had standard physical teraphy classes. Patients regularly performed various exercises at Habilect, depending on their physical abilities, aimed at restoring the motor function of the limbs, disturbed by stroke. Dynamics of quantitative evaluation of the training results was carried out on one exercise common for all patients (“Shoulder removal with bent elbow”): measurement of the angle of movement and angular velocity calculated by Habilect complex. From 5 to 10 sessions were conducted with each patient (depending on the time of discharge from the hospital). The NIHSS, Renkin (mRS), Rivermead Mobility Index, Frenchy’s test, Montreal Cognitive Function Assessment Scale, Spielberg-Hanin Alarm Scale (Situational (ST-C) and Personal (ST-L) Alarm), and Beck’s Pre-Course and Post-Course Depression Scale were also used. In all patients an increase in arm angle by 18.74±6.63 degrees (p<0.05) was observed on average. Angular speed noticeably increased after the training course by 71.85±25.46 degrees/sec (p<0.05). On the NIHSS scale, there was an average improvement of 2.27±0.62 points (p<0.05), on the Rankin scale – by 0.63±0.24 points (p<0.05), Rivermid mobility index increased by 2.18±0.5 points (p<0.05). Frenchy’s test scores improved on average by 1.27±0.41 points (p<0.05). The situation anxiety decreased by 1,36±0,20 (p<0,05) (according to CT-C scale), the level of personal anxiety has not changed in all patients of the group. The level of depression in patients on Beck scale decreased by 2.91±0.25 (p<0.05). On MoCA scale, the indices improved by 1.5±0.56 points (p<0.05).

Results and discussions:
Against the background of using Habilect system at the first stage of medical rehabilitation in patients with acute cerebrovascular accident there was observed both improvement of functional condition of the affected upper limb (increase in amplitude and speed of movement, strength of the limb, manipulative hand level) and reduction of anxiety and depression.

The results of the research were presented in the framework of “Clinical and Educational Complex STROKE” in St. Petersburg State Budgetary Institution “Elizavetinskaya Hospital” in 2019.