Objective: Assessment of the impact of active rehabilitation measures on quality of life of patients after stroke with movement disorders in primary health care.

Background: Reforms in Uzbekistan carried out in health care and management of the institute GP practices provide a unique opportunity for ongoing monitoring of chronic diseases, and the ability and competence of an integrated approach addressing patients by general practitioners, who are quite capable of carrying out active rehabilitation and preventive measures.

Methods: For the study were recruited 102 patients, of which women 76, and men 26. The age of patients was 45,7 ± 4,6 with disease duration from 0,6 ± 0,2 years. The main group – 82 patients, and 20 patients of the control group was carried out rehabilitation program in a family clinic for 1 year, which was the basis of maintaining the functional state of the motor areas in the background of traditional therapy.

Results: The study results of the survey with the questionnaire assessment of QoL (SFB -36), showed differences in physical functioning (PF) between the groups, because in the intervention group showed a significant increase in performance (P <0.001). In turn, by improving the PF, there were significant increases performance role function (RP) in the study group (P <0.001). Also found a positive trend (P <0.05) in terms of pain intensity influence on daily activities. However, no difference in terms of general health (GH), i.e. patient assessment of their condition at the moment in both groups there was a significant increase in performance, but in the study group (P <0.001) recorded an increase of 12.6% compared to the control group (P <0.02). And the analysis of the viability assessment showed no particular dynamics of the control group, whereas in the study group was traced a significant increase in performance (P <0.001). Indicators of social functioning (SF) were significantly increased (P <0.001) in patients who underwent intervention in the outpatient setting. SF from the main group – 28.1% higher, in terms of the emotional state (RE).It is also marked by a significant increase of 48.6% of the indicators of mental health (MH) in the study group.

Conclusions: Rehabilitative tactics in patients after stroke with movement disorders in a general medical practice helps to maintain their quality of life.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/the-role-of-active-rehabilitation-measures-for-maintaining-the-quality-of-life-of-patients-after-stroke-with-movement-disorders-in-the-general-practice-conditions/