MODERN MASSAGE TECHNIQUE IN REHABILITATION TREATMENT OF POST-STROKE DISORDERS

Sakhno Viktor Aleksandrovich

The subject of the study is differentiated massage as a component of rehabilitation treatment of patients with post-stroke movement disorders. The aim of the work was to evaluate the effectiveness of specialized massage therapy in complex rehabilitation and to determine optimal methods depending on the severity of neurological deficit. The methodology of the study included a randomized controlled trial involving 156 patients with ischemic stroke, divided into three groups. The main group received differentiated massage according to the author's method with a step-by-step transition from light techniques to segmental-reflex action, the comparison group - classical massage, the control group - standard drug therapy. The assessment was carried out using validated scales and electroneuromyography. The results of the study showed statistically significant superiority of differentiated massage with an increase in the Barthel index by 28.6% in the main group versus 18.2% in the comparison group and 9.4% in the control group. An improvement in muscle strength by 1.8±0.4 points, a decrease in spasticity by 1.4±0.3 points and an increase in the quality of life by 42.3% were established. The novelty of the work lies in the development of a differentiated approach to massage effects and the establishment of a direct correlation between the intensity of the effect and the degree of restoration of motor functions. The study demonstrates the high clinical effectiveness of differentiated massage as a pathogenetically substantiated component of neurorehabilitation with the effect preserved after 6 months of observation.

Keywords:differentiated massage, post-stroke disorders, rehabilitation treatment, neurorehabilitation, motor functions, spasticity.