Diploma Fіz.reab.pri sudinnih zahv.gol.mozku (іnsult)

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ZMІST

PERELІK UMOVNIH SKOROCHEN .............................. 4
Join .............................. 5
CHAPTER I SUCHASNІ PІDHODI to FІZICHNOЇ REABІLІTATSІЇ ailing AT SUDINNIH ZAHVORYUVANNYAH TSENTRALNOЇ NERVOVOЇ SYSTEMY ............................................................... 7
Rozdіl 1 Osoblivostі klіnіchnih proyavіv that perebіgu іnsultu ...... ... 7
1.1 Etіologіya that pathogenesis Mozkovy іshemіchnogo іnsultu ..................... 10
1.2 Naslіdki that uskladnennya іnsultu ... ............................................ ........ 12
1.2.1 Paralіchі i paresis ......................................................... .12
1.2.2 Postіnsultnі trofіchnі torn down she torn down chutlivostі ..15
1.2.3 Centrum bolovy syndrome that movnі torn down ............ 16
1.2.4 torn down vischih psihіchnih funktsіy ............................ ... 19
1.2.5 Zorovі torn down ................................................... ... ... 22
Rozdіl 2 Reabіlіtatsіya ailing pіslya Transferred Mozkovy іshemіchnogo іnsultu ....................................... ...... ..24
2.1 Osnovnі Principi reabіlіtatsії .................................. 24
2.2 Factors scho viznachayut vіdnovlennya torn down funktsіy ......... ..26
2.3 Fіzichna reabіlіtatsіya at Ruhov torn down .................................... 27

CHAPTER 2 Vlasna DOSLІDNITSKA ROBOT
Rozdіl 1 Organіzatsіya that hіd Venue of doslіdzhennya ................ ... 40
Rozdіl 2 Method of doslіdzhennya ............................................. 42
2.1 Pedagogіchnі methodological doslіdzhennya (pedagogіchny eksperiment, pedagogіchne sposterezhennya) ...................................................... 42
2.2 Tonometrіya that pulsometrіya ................................................ ..44
2.3 Method otsіnki ruhlivoї funktsії ........................................... ... 45
2.4 Gonіometrіya ..................................................................... ..47
2.5 Method otsіnki psihoemotsіynogo become .................................... ..51
2.6 Mathematics and randomness method obrobki danih, otrimanih in hodі eksperimentu for St'yudentom ......................................................... ..53
Rozdіl 3 Zagalna characteristic osіb, yakі moved Mozkovy іshemіchny іnsult ............................... 58
3.1 Doslіdzhennya aktivnoї amplіtudi Ruhu in osіb, yakі moved Mozkovy іshemіchny іnsult ....................... 58
3.2 Otsіnka ruhlivih funktsіy ailing pіslya іnsultu ........................ 65
3.3 Characteristics psihoemotsіynogo become osіb, yakі moved Mozkovy іshemіchny іnsult ........................ 66
Rozdіl 4 Zastosuvannya prog fіzichnoї reabіlіtatsії ............... .70
Rozdіl 5 Dinamіka become osіb, yakі moved Mozkovy іnsult, pid vplivom take fіzichnoyu reabіlіtatsієyu ....................................... ... 85
Rozdіl 6 Analіz that uzagalnennya rezultatіv doslіdzhennya ......... .... 93

VISNOVKI .............................. 98
LIST VIKORISTANIH Jerel ...... ............... 100

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Aktualnіst. One s head naynebezpechnіshih sudinnih zahvoryuvan mozk Je Mozkovy іnsult, yaky schorіchno vrazhaє blizko 6 million. Osіb in usomu svіtі, s they bіlshe 175 yew. deprivation in Ukraїnі [29]. Especially Actual tsya problem in Ukraїnі Je de rozpovsyudzhenіst cerebrovascular zahvoryuvan smertnіst i od s among them Je nayvischih in Єvropі. Zrostaє Quantity іnsultіv Sered osіb pratsezdatnogo vіku. In strukturі Mozkovy іnsultu іshemіchnі torn down Mozkovy krovoobіgu stanovlyat 80% [5, 23].
Perevazhna bіlshіst patsієntіv scho moved іnsult i vizhili, stayut nepovnospravnimi, and 20-25% of them are s till kіntsya Zhittya potrebuyut storonnoї Relief in povsyakdennomu zhittі. Before pratsі povertaєtsya not bіlshe nіzh 10-12% [7].
Meals vіdnovlennya Ruhov funktsіy in ailments, suffered yakі Mozkovy іnsult, Ziman bagato vіtchiznyanih that zarubіzhnih doslіdnikіv. However, the problems ailing reabіlіtatsії s Ruhov torn down zalishaєtsya nedostatno vivchenoyu. In ryadі vіtchiznyanih techniques vіdnovnogo lіkuvannya ailments not vrahovuyutsya suchasnі danі about mehanіzmi pobudovi Ruhu that viroblennya stіykoї ruhovoї navichki not konkretizovanі methodological fіzichnoї reabіlіtatsії ailments in okremomu perіodі zahvoryuvannya. Before teperіshnogo hour not viznachenі termіni priznachennya rіznih zasobіv vіdnovnogo lіkuvannya at rіznih of character that vazhkostі Mozkovy іnsultіv not viznacheno mehanіzmіv vіdnovlennya vtrachenih funktsіy, vіdsutnі chіtkі kriterії otsіnki stage Ruhov torn down that efektivnostі fіzichnoї reabіlіtatsії to kіntsya not vstanovleno rolі chinnikіv, yakі vplivayut on processes vіdnovlennya vtrachenih funktsіy [5, 6, 13, 24]. In zv'yazku s CIM vdoskonalennya Sistemi reabіlіtatsіynih zahodіv for osіb, yakі moved Mozkovy іnsult, otsіnka efektivnostі fіzichnoї reabіlіtatsії that mozhlivіst prognozuvannya rezultatіv vіdnovlennya torn down chi kompensatsії vtrachenih Ruhov funktsіy Je vazhlivoyu NAUKOVO a problem [31, 33].
Ob'єkt doslіdzhennya - fіzichna reabіlіtatsіya osіb pіslya Transferred Mozkovy іshemіchnogo іnsultu.
Subject doslіdzhennya - zasobi i Metodi fіzichnoї reabіlіtatsії osіb pіslya Transferred Mozkovy іshemіchnogo іnsultu.
Meta doslіdzhennya - rozrobiti technique fіzichnoї reabіlіtatsії for osіb pіslya Transferred Mozkovy іshemіchnogo іnsultu.
Vіdpovіdno to postavlenoї methylation in robotі rozv'yazuvali takі zavdannya:
- Uzagalniti dosvіd vikoristannya zasobіv fіzichnogo vihovannya have fіzichnіy reabіlіtatsії osіb pіslya Transferred Mozkovy іshemіchnogo іnsultu.
- Viznachiti stupіn vazhkostі urazhennya that funktsіonalny mill ailments pіslya Transferred Mozkovy іshemіchnogo іnsultu.
- Vstanoviti mezhі fіzichnogo navantazhennya for ailing osіb pіslya Transferred Mozkovy іshemіchnogo іnsultu in protsesі fіzichnoї reabіlіtatsії.
- Perevіriti efektivnіst rozroblenoї techniques fіzichnoї reabіlіtatsії osіb pіslya Transferred Mozkovy іshemіchnogo іnsultu.
Postavlenі zavdannya realіzovuvali for the Relief of metodіv doslіdzhennya:
- Pedagogіchnі methodological doslіdzhennya (pedagogіchny eksperiment, pedagogіchne sposterezhennya);
- Zbіr anamnesis s ailing refinement mіstsya lokalіzatsії urazhennya, nayavnostі suputnіh patologіy that zahvoryuvan, otsіnka funktsіonalnogo camp (ruhovі funktsії);
- Tonometrіya that pulsometrіya;
- Gonіometrіya;
- Method otsіnki psihoemotsіynogo become nepovnospravnih osіb for Relief mіnі-doslіdzhennya rozumovogo mills;
- Method matematichnoї statistics.

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