Abstract:

Aim: The aim of the research was to find out whether robotic therapy can be used effectively in patients with Alzheimer's disease at late onset (light type), after stroke (hereinafter referred to as stroke) and people with multiple sclerosis to positively influence psychological, somatic and social difficulties from the point of view of helping professions, with a focus on special educational approaches. These approaches have served as a cognitive rehabilitation option in case of cognitive impairment. The current trend in the approach to people with Alzheimer's disease is primarily cognitive rehabilitation and educational approaches, along with psychomotor therapy, as a therapy that develops both the individual's motor skills and the cognitive functions that are progressively weakened by the progression of the disease. the social environment of the individual. However, these therapies also apply to other mentioned diagnoses. Material and Methodology: The research sample consisted of 65 patients who responded to the relevant characteristics that were previously determined for the selection of the research sample. The file was divided into three groups. Twenty patients were diagnosed with Alzheimer's disease of the light type, 25 patients with multiple sclerosis and 20 patients with CMP (ischemic type), in our case stroke - ischemic type. 40 women were tested at the age of 65-72 years and 25 men at the age of 63-75 years at the beginning of the rehabilitation intervention and at the end of 20 weeks (4 months). For methodological bases, we chose the International Classification of Diseases and Associated Disorders (ICD-10), Functional Independence Assessment (FIM) and Cognitive Function Assessment (MMSE). RESULTS: A statistically significant difference was observed in both cognitive function and functional independence assessment, with patients achieving better outcome in comparison with baseline testing (p <0.05). It is clear from the results that patients who have taken part in the interventions using selected therapies and special educational approaches have been regularly attended by family members, achieving better results in the outcomes testing than patients who did not have family interventions. Conclusion: The results of the research show that psychomotor therapy and robotic therapy may be an appropriate and adequately selected intervention in people with cognitive deficits. Positive development was recorded in all groups not only in somatic, but also cognitive and social. Thus, we can recommend these methods to people with Alzheimer's disease or stroke. Special educational procedures are also a suitable complement to therapy, which enables the development of cognitive functions from the perspective of helping professions.

Keywords:

Alzheimer's disease, cerebrovascular accident, cognitive therapy, psychomotor therapy, robotic therapy, social adaptation, special education.