REHABILITATION OF PATIENTS WITH POST-STROKE SPASTICITYOF THE LOWER LIMB AT AN EARLY RESTORATIVE PERIOD

Post-stroke spasticity is one of the most frequent motor disturbances. Therapy of spasticity can improve motor performance of the upper and lower limb. The article provides results of the study of effectiveness of type A botulinic toxin at an early restorative period in 27 patients with spastic lower limb. The major group (n = 18) as part of complex rehabilitation received botulotoxin injections. Dynamics of the muscular tonus, muscular strength, walking speed, values of functioning by Rivermid and Bartel scales were assessed. The statistical data proving considerable advantages in the major group of patients on reductional of the muscular tonus, pain, increase of the walking speed, increase of patient independence in daily life were obtained. A necessity to include the botulinic toxin in rehabilitation programs of patients with post-stroke spasticity of the upper and lower limb starting from the second stage of the rehabilitation is discussed