The physical recovery of hemiplegic patient combines the methods and procedures applied, depending on the stage of affection of the patient. One uses techniques of neuro proprioceptive facilitation, posture techniques as well as techniques specific to cerebrovascular attack (Kabat, Bobath). Such methods are completed by procedures specific to physiotherapy.
Variable currents are used (TENS, EMS) with analgetic properties and as triggers of some physiological motor acts (walking or sphyncterian control); the ultrasounds with mio-relaxing effect and very useful in spasticity therapy; cryotherapy, with anti-inflammatory effect.
The scope of kinetotherapy in cerebrovascular attack is to recover the patient and acquire a degree as high as possible of functional independence.
Correcting postures – are positions imposed to the patient and adopted by it, for the prevention/correction of some defective positions of some segments and consecutive limitation of articular mobility. Position cushions and position orthosis are used.
Passive Kt – technique of passive mobilisation performed by kinetotherapist, whereas the patient is voluntarily relaxing the muscles. It is very important for the prevention of stiffness or articular ankyloses and maintenance of muscle trophicity.
Passive-active KT (FNP techniques) – exercising techniques of proprioceptive neuromuscular facilitation respectively of reduction or acceleration of active muscle contraction. One uses general FNP techniques and techniques specific to a certain scope as well as methods of neural motor re-education (Kabat Method).
Active and supported active KT– individual exercises, performed by patient where movement may be adjusted by external forces represented b y: gravitation, kinetotherapist, orthosis, stick, special equipments.