Recovery of static and locomotor functions in patients with the vestibular-atactic syndrome during the recovery from cerebrovascular accident

Abstract

Background.The article presents the results of the research onthe effectiveness of the proprietary method of the locomotorfunction correction by activating the vestibular analyzer usingthe vertical oscillation procedure in patients with postapoplecticvestibular-atactic syndrome. Methods.The study involved 47 patients, median age was 58 [51;63] years. The patients were randomized into 2 groups. In themain (I) group (n=23), patients received complex rehabilitationtreatment and the proprietary method of balance and gait correction.The originality of the method lies in activation of thevestibular analyzer and postural synergies through displacementsof the center of gravity in the vertical plane. In the comparisongroup (II), patients (n=24) received complex rehabilitationtreatment and training on biofeedback (BFB) platforms. Computerstabilometry (CS), assessment of gait function using of theproprietary method Laser analyzer of kinematic gait parameters(LA-1), Berg Balance scale (BBS), Dynamic Gait Index(DGI), International Cooperative Ataxia Rating Scale (ICARS),Falls Efficacy Scale (FES), and HADS were carried out beforeand after the course of treatment. Results.In group I, statistically significant change in CS, LA-1,BBS, DGI, and ICARS score was observed after training course.In group II, significant changes in CS, LA-1, BBS, and DGIscores were also observed. When comparing the data of CS, BBS,and DGI, no statistically significant differences were found betweengroups I and II. Conclusion.The effectiveness of the proprietary method in restoringbalance and gait in postinsult patients was demonstratedto be comparable to that of training on BFB platforms.

Keywords

• stroke
• ataxia
• neurorehabilitation
• vestibular analyzer
• vertical plane
• postural synergies