Corelaţii privind controlul trunchiului şi eficacitatea unei noi metode kinetice pentru recuperarea ortostatismului şi mersului în hemiplegie

Abstract

Since decades the rehabilitation medicine pays a special attention to the re-education of the hemiplegic patient, but yet there is no unified concept regarding the most efficient kinetic methodology able to sustain or even to facilitate the motor deficit rehabilitation produced by the neurological lesion. For the hemiplegic patient it is necessary to conceive a kinetic program regarding the re-education of walking, adequate not only for the sensitive-motric disability but also for the individual capacities, the final aim being the early rehabilitation of the upright position and locomotion correlated with a high level of autonomy. By means of the research done in collaboration with Santa Anna Institute – Crotone (Italy) we propose a new kinetic methodology (“Dolce method”) in which the fundamental role for the early re-education of a safety walking is played by the kinetic exercises aimed for training the postural control by the help of trunk control. In this respect we developed a set of tests for evaluating the sensitive-motric residual capabilities, of which derive the therapeutical exercises aiming to re-educate locomotion in hemiplegic patients. Key-words: hemiplegia, rehabilitation of walking, trunk control