22. European Stroke Conference 850 Rehabilitation and reorganisation after stroke Motor rehabilitation in patients with artificial pacemaker after cardioembolic stroke I.V. Sidyakina1, V.V. Ivanov2, T.V. Shapovalenko3, K.V. Lyadov4 Medical and Rehabilitation Center, Moscow, RUSSIAN FEDERATION1, Medical and Rehabil-itation Center, Moscow, RUSSIAN FEDERATION2, Medical and Rehabilitation Center, Moscow, RUSSIAN FEDERATION3, Medical and Rehabilitation Center, Moscow, RUSSIAN FEDERA-TION4 Background: In patient with artificial pacemaker, electromyostimulation of limbs poses an inap-propriate risk. Thus, alternative ways of CNS motor centers activation are feasible. Purpose of our investigation is a comparative estimation of programmed electro myostimulation and proprioceptic stimulation efficiency. Proprioceptic stimulation includes pneumostimulation of foot and dynamic propriocorrection. Matherials and methods. 26 patients with cardioembolic stroke were included in the study. First group consisted of 12 patients (7 men) 37 to 76 years old without pacemakers. Rehabilitation in the first group included programmed electromyostimulation. Second group (9 men) from 42 to 80 years, consisted of patients with artificial pacemaker. Instead of programmed electromyostimulation, pneu-mostimulation of foot supporting points or exercises in dynamic propriocorrection suit were used. Results. Differences between two groups after rehabilitation were statistically insignificant. Bartel index in the first group before rehabilitation averaged 69, after rehabilitation it increased to 78. In the second group Bartel index increased from 70 to 81 points. Muscle strength was estimated by 6-points scale and averaged 3.2 points before and 3.9 after rehabilitation in the first group; in the second group it increased from 3.3 to 4.1. Conclusions. Efficiency of proprioceptic stimulation is comparable to that of electromyostimulation in rehabilitation of patients with cardioembolic stroke. 796 © 2013 S. Karger AG, Basel Scientific Programme 851 Rehabilitation and reorganisation after stroke Facilities of early rehabilitation after stroke in Poland J.A. Opara1, T. Larsen2, P. Langhorne3, K. Mehlich4, J. Szczygieł5; Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, POLAND1, Univer-sity od South Denmark in Odense, Odense, DENMARK2, Academic Section of Geriatric Medicine, University of Glasgow, Glasgow, UNITED KINGDOM3, Jerzy Kukuczka Academy of Physical Ed-ucation in Katowice, Katowice, POLAND4, “Repty” Rehab Centre in Tarnowskie Góry, Tarnowskie Góry, POLAND5 INTRODUCTION. The growing costs of healthcare are encouraging healthcare planners to look for new organizational solutions of services that could enable rehabilitation as early as possible after disease onset. The aim of this work was to survey the contemporary facilities for early post stroke rehabilitation in Poland in 2010*. METHODS. Two questionnaires evaluating neurorehabilitation of individuals who had stroke were designed and distributed: the first questionnaire was distrib-uted to 221 neurological wards and the second questionnaire was distributed to 154 rehabilitation departments in Poland. We obtained information about delay before admission from neurological wards to rehabilitation departments, the number of sessions per day, the time duration of one ses-sion, the number of sessions per week, the average length of stay in department, the methods of out-come measurement, etc. We sent out 375 questionnaires and received 129 (35%) responses, 78 from neurological wards and 51 from rehabilitation departments. RESULTS. Only 25% of all patients were moved from neurological wards to the rehabilitation department after stroke (15% directly). Of those moved to rehabilitation departments, only 54% were treated within 3 months after stroke. CONCLUSIONS. Considering that about half of stroke survivors will require rehabilitation (30 days after stroke onset), the current facilities of early poststroke rehabilitation in Poland cannot meet this need. We should do our best to improve the access to rehabilitation services in Poland. Although we have focused on resources in Poland, we anticipate that similar patterns may be found in other coun-tries in the region. * research was conducted under the framework program of the European Commission FP-7, Home-care 222,594 grant WP2-English, coordinated by the University of South Denmark in Odense, Den-mark
Karger_ESC London_2013
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