The fine motor recovery at the initial rehabilitation stage in the patients, who had suffered ischaemic head brain stroke

Study subject: the dynamis of interchange of fine motor and functional independence in the process of the initial rehabilitation. The problem of the study: the rehabilitation of each patient suffering from stroke has different requirements, however, to this date literature does not indicate defined individualisation types of stratification and rehabilitation programmes, assigned to recover the control of stroke affected hand/arm movement (Meldrum, 2004). In order to effectively use rehabilitation resources, it is important to foresee the possible consequences of the disease (Milinavičienė ir kt., 2007). Therefore we analysed the fine motor recovery at the initial rehabilitation stage in the patients who had suffered ischemic head brain stroke. Study aim: to analyse and evaluate patients‘, who had suffered ischemic head brain stroke, the small motor post stroke recovery as well as the change in functional independence in the initial rehabilitation stage. Study goals: 1. To examine and name the dominant fine motor recovery in the initial rehabilitation stage; 2. to examine and evaluate change in patients‘ functional independence in the initial rehabilitation stage; Hypothesis: at the initial rehabilitation stage the short-term and long-term physio-therapeutic goals have to match a patient‘s regenerative potential, which can also be evaluated with reference to the initial functional stage at a patient‘s arrival to hospital. Study methods: Barthel test measuring a patient‘s general functional state, four different types of samples, statistic analysis. Outcomes: 1. After the evaluation of functional samples results, it was established that the fine motor task performance timeframe p<0,001 was successfully shortened in patients examined at the initial rehabilitation stage. After the comparison of differences in task performance timeframe of healthy and affected hand/arm after 6 treatment, a statistically significant similarity in flexibility between the two arms/hands p<0,001 was noticed. However, a still remaining statistically significant difference between the healthy and affected arms/hands p<0,001 was noticed after analysing dominating length in task performance timeframe between the affected and healthy arms/hands at the time of discharge from hospital. The dominating difference between both arms/hands show the need for continuation of the rehabilitation during the subacute rehabilitation period. 2. At the stage of initial rehabilitation, general functional state of those who had suffered ischemic head brain stroke improved statistically significantly p