ПСИХОЛОГІЧНИЙ ЗМІСТ ФУНКЦІОНАЛЬНОЇ МЕТОДИКИ ВІДНОВЛЕННЯ РУХОВОЇ ФУНКЦІЇ ХВОРИХ НА ІШЕМІЧНИЙ ІНСУЛЬТ З УРАХУВАННЯМ ЇХНІХ ПСИХОФІЗІОЛОГІЧНИХ ОСОБЛИВОСТЕЙ

Liudmyla Prymachok

doi:10.29038/2227-1376-2019-33-221-234

Authors

Liudmyla Prymachok National University of Water Management and Nature usage https://orcid.org/0000-0002-6591-5223

DOI:

https://doi.org/10.29038/2227-1376-2019-33-221-234

Keywords:

cerebral ischemic stroke, hemiparesis, hemiplexia, functional technique, physical rehabilitation, psychotherapy, psycho-correction

Abstract

The author of the article says that the most frequent and severe consequence of cerebral ischemic stroke is the disorder of the motor functions of the person. Characteristic feather is the polymorphism of motor disorders of patients with cerebral ischemic stroke. In this case, general for patients is only the loss or violation of arbitrary actions (in the cases of hemiparesis or hemiplezia). Other clinical symptoms are largely variable and depend on a certain extent of the size of affected area, also its localization. According to various authors, persistent disturbances of motor function are also observed in the first days after the disease (in 70–80 % of cases of patients who had the ischemic stroke).

221–234

Taking into account the empirical results we have obtained, we have developed a «Functional method for the restoration of motor function of patients with ischemic stroke, taking into account their psycho-physiological features», based on the psychological principles of stepwise, sequencing and complexity, as well as on the maximum and adequate psychological impact of the rehabilitation therapist on the patient.

It was emphasized that the main directions of psychotherapy and psycho-correction of patients who suffered from ischemic stroke are: assistance in the process of understanding the patients, his/her basic needs, motives, instructions, relationships; his/her internal conflicts and mechanisms of psychological protection; features of his/her behavior and emotional response, their adequacy and realism; correction of patients’ instructions; assistance in formulating and securing adequate forms of patients’ behavior based on personal achievements in the cognitive, motivational, and emotional spheres; promotion of positive motivation for recovery and increased activity in treatment at the behavioral level.

References

1. Belova, A. N., Shchepetova, O. N. (1998). Rukovodstvo po reabilitacii bol’nyx s dvigatel’nymi narusheniyami [Guidelines for the rehabilitation of patients with actions’ disorders]. Moscow: Medicine. 323 p. [in Russian].
2. Ivashkevych, E. Z. (2004). Zastosuvannia psykhotekhnik z metoiu pidvyshchennia efektyvnosti reabilitatsiinoi roboty zi shkoliaramy z osobystisnymy rozladamy [Using of psycho-techniques in order to increase the efficiency of rehabilitation of students with personal disorders]. Problems of General and Pedagogical Psychology: Collective scientific works of the Institute of Psychology named after G.S. Kostyuk, National Academy of Sciences of Ukraine. K., Vol. 6, Ch. 7. pp. 116–126 [in Ukrainian].
3. Kadykov, A. S. (1991). Vosstanovlenie narushennyx funkcij i social’noj readaptacii bol’nyx, perenesshix insul’t (osnovnye faktory reabilitacii) [Restoration of impaired functions and social rehabilitation of patients with stroke (the main factors of rehabilitation)] : Doctor’s thesis in Medicine: 14.00.13. Moscow. 53 p. [in Russian].
4. Mykhalchuk, N. O., Potashnyuk, R. Z. (2003). Osoblyvosti provedennia psykholohichnoi reabilitatsii khvorykh z rozladamy svidomosti [The peculiarities of carrying out of psychological rehabilitation of patients with disorders of consciousness]. The conception of the development of the field of physical education and sport in Ukraine : Scientific articles of the International University «REGI» named after Academician Stepan Demyanchuk. Vol. 3. Part 2. Rivne. pp. 132–141 [in Ukrainian].
5. Rogovyk, L. S. (2013). Shkala psykhomotornoi aktyvnosti [Psychomotor activity scale]. Electronic resource. Access mode : ecopsy.com.ua/ data/zbirki/ 2003_01/ sb01_57.pdf [in Ukrainian].
6. Stolyarova, L. G., Tkacheva G. R. (1978). Reabilitaciya bol’nyx s postinsul’tnymi dvigatel’nymi rasstrojstvami [Rehabilitation of patients with post-stroke motor disorders]. Moscow: Medicine. 210 p. [in Russian].
7. Farmatsevtychna entsyklopediia [Pharmaceutical Encyclopedia]. (2018). Electronic resource. Access mode: https://www.google.com/url. [in Ukrainian].
8. Cvetovoj test M. Lyushera [M.Luscher Color Test]. (2012). Electronic resource. Access mode: https://psyfactor.org/lib/lusher.htm. [in Russian].
9. Onufrieva, L. A. (2015). The psychological potential of socionomic specialists’ personal progress in the light of family education. Problems of contemporary psychology: Scientific articles of the Kamyanets-Podilskyi National University named after Ivan Ogienko, Institute of Psychology named after G. S. Kostyuk, National Academy of Sciences of Ukraine. Vol. 30. Kamyanets-Podilskyi: Axioma, pp. 448–457 [in English].
10. Partridge, C., Johnston, M. (1989). Perceived control of recovery from physical disability Measurement and prediction. British Journal of Clinical Psychology. Vol. 28, pp. 53–59 [in English].