Abstract:

The aim of the research was to find out the effectiveness of combination therapy in patients after ischemic stroke from the perspective of Helping professions. The therapy was focused on robotic, psychomotor, cognitive therapy and special education intervention. Somatic, psychological, social and cognitive indicators were monitored. Combination therapy (special education, occupational therapy, robotic therapy, psychomotor therapy and cognitive therapy) can be considered as a current trend in the treatment of patients with a different type of neurological deficit. The aim is to develop both the motor abilities of the patient and the cognitive functions that are damaged by the selected diagnosis, which in turn leads to a gradual social isolation of the patient, especially in the working-age population. Material and Methods: A total of 58 patients with stroke (ischemic type; I60-I69; ICD-10) were subjected to the research, of which 49 were men aged 48-55 years and 9 women aged 45-51 years . Data were collected during 2018. Indicators were evaluated after initiation of combination therapy and then after 10 weeks of intensive therapy, which was run 3 times per week for approximately 45 minutes per patient. In particular, individual therapy predominated during therapy. As a methodological basis, we used the International Classification of Diseases and Associated Disorders (ICD-10), Functional Independence Assessment (FIM) and Cognitive Function Assessment (MMSE) for our research. Results: A statistically significant difference was recorded in all the monitored areas (somatic, psychological, social and cognitive indicators), when the patients achieved better results in the final evaluation in comparison with the initial evaluation. Conclusion: The results of the research show that combination therapy (robotic, psychomotor and cognitive therapy) may be a suitable therapy for patients with ischemic stroke and for productive age. Positive results were found in all areas studied with a view to promoting the social adaptability of selected patients.

Keywords:

Cognitive therapy, Special education intervention, Stroke, combination therapy, psychomotor therapy, robotic therapy.