An Innovative Method of Correction Walking Stereotype in Patients with the Syndrome of the Central Hemiparesis by Induced Restrictions

Abstract

The method of Constraint-Induced used in the international practice to restore movement in paretic upper extremities. This technique consists in fixing the hands intact, thus all actions necessary, the patient is forced to make the paretic limb. The method is effective, easy to use, doesn’t to require financial expenses. The authors proposed this method of Constraint-Induced to restore movements of the lower limbs in the patients with the syndrome of the central hemiparesis. Increasing the load on paretic limb was achieved due to movement restrictions in the intact limbs. With this purpose the apparatus of the hip joint with a locking arm was used. Movement in the intact limb becomes impossible and paretic leg became the leader. An objective assessment of the functions walk in the study was carried out by means of laser rangefinder method; clinically function walk was estimated by Dinamic Gait Index. Results: in the group of the patients treated by the Constraint-Induced lower limbs method were obtained reliable differences from the group of the patients who received only traditional methods of rehabilitation. This method can be recommended for application in the course of neuro-rehabilitation syndrome of the central hemiparesis.