Pisz, K. Kolejowy Szpital Uzdrowiskowy Nałęczów,
Dębiec-Bąk, A. Wydział Fizjoterapii, Akademia Wychowania Fizycznego we Wrocławiu, ul. Rzeźbiarska 4, 51-629 Wrocław,
Apoplectic stroke is a dramatic complication of the cardiovascular system's diseases and it has become one of the most distressing health problems of contemporary societies. Often it results in handicap, postapoplectic dementia, depression and high death rate. Around 70% of survivors have difficulties in walking, while the remaining 30% suffer from acute motor impairment and require constant medical attention. Therefore, restoration or, at least, improvement of locomotion is the main goal of rehabilitation of the cerebral hemorrhage survivors. Studies on gait pathologies provide valuable clues for planning physiotherapy that would minimize or eliminate the given dysfunction. The aim of this study was qualitative and quantitative evaluation of gait in cerebral hemorrhage survivors with the right- or the left-sided hemiparesis. 25 patients (17 with the right-sided and 8 with the left-sided hemiparesis) were subjected to functional evaluation of the paretic lower limb, gait evaluation (gait efficiency and gait ability) and walking distance assessment. Correlation between the neurological and locomotor status of the patients was evaluated. The analysis showed a statistically signify- cant correlation between the examined traits. It also indicates a necessity for performing neurological and functional evaluation of patients after stroke and monitoring of the rehabilitation progress. Lack of improvement may indicate that the rehabilitation scheme needs to be altered, especially in the first months after the stroke. The final effect of rehabilitation depends, to a large extent, on the choice of appropriate physiotherapeutic strategy.