Functional Disorders in Right Brain–Damaged Ischemic Stroke Patients with Unilateral Spatial Neglect from the Physical Therapist Position
Keywords:
physical therapy, occupational therapy, stroke, neglectAbstract
Analysis of the specialized scientific and educational literature shows that Ukraine has one of the first places in the Europe in terms of acute disorders of cerebral circulation, the consequences are manifested in disorders on the speech sphere, cognitive disorders, but the main problem still is motor dysfunction. Objective – to identify and investigate features of impaired function in people with right-sided ischemic stroke with complicated neglect. Research methods – analysis of scientific and educational literature, synthesis and generalization. Results. The specific effect of unilateral spatial neglect on the outcome of physiotherapy was evaluated with analysis of the literature. So the defeat of the right hemisphere is accompanied by the development of out of understanding and ignoring their motor defect, violation of spatial and other types of gnosis, as well as some types of praxis. Rectangular stroke, in addition to motor disorders, is characterized by conditions that worsen the prognosis for the recovery of patients, namely: left-sided neglect, impaired orientation in space and time, decreased attention, which complicates the return of patients to society. Left-sided visual-spatial neglect is a recognized prognostic factor of poor functional outcome due to right hemisphere stroke. Conclusions. In recent years, the work of many specialists has shown that physical therapy of the neglect syndrome has a significant impact on the restoration of functionality in patients with stroke. However, with the variety of techniques used to restore lost functions, more research is needed to date, and a selection of intervention methods that cause long-term improvement in functionality in case patients.
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