International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
+44 1300 500008
ISSN: 2329-9096
+44 1300 500008
Ivet Koleva
Medical University of Sofia, Bulgaria
Posters & Accepted Abstracts: Int J Phys Med Rehabil
Author discusses the problem of functional recovery of neurological sensitive, motor and functional disturbances. The goal was to evaluate the efficacy of application of different neurorehabilitation modalities and methods on everyday autonomy and quality of life of patients with disabilities due to socially important invalidating neurological diseases. We effectuate a composition, clinical application and approbation series of complex neurorehabilitation algorithms for functional recovery and amelioration of independence in daily living of a total of 1249 neurological patients, divided into a lot of groups and subgroups. In each one, we applied a different neurorehabilitation (NeuroReh) complex, composed by a synergic combination of natural and pre-formed physical modalities (electrotherapy, cryo and thermotherapy, physiotherapy and occupational therapy). Patients were controlled before, during, at the end of the NeuroReh course and one month later - using a battery of traditional and contemporaneous objective methods such as tests and scales for motor weakness, balance and coordination; tests of functional grip; tests of gait and independent motion; functional scales for independence in daily living and capacity for activities (self-service, family life, professional, social); scales for depression and anxiety; visual analogue scale of pain; vibroesthesiometry; thermosensibility; laser Doppler flowmetry. Based on detailed qualitative and quantitative evaluation, we proved the efficacy of different neurorehabilitation complexes ΓΆΒ?Β? on different types and levels of sensory, motor and functional deficiency in patients with post-stroke hemiparesis (including hemiparetic shoulder), multiple sclerosis, parkinsonism, discogenic radiculopathy L5 with peroneal paresis, diabetic polineuropathy with peroneal paresis and neuropathic diabetic podopathy.
Ivet Koleva is a Medical Doctor and Specialist in Neurology and in Physical & Rehabilitation Medicine from the Medical University of Sofia, Bulgaria with 30 years of clinical practice in the domain of Neurorehabilitation. She has completed a PhD thesis on “Physical Prevention and Therapy of Diabetic Polyneuropathy” and a thesis for Doctor of Medical Sciences on “Neurorehabilitation in Patients with Socially Important Neurological Diseases”. She received the titles of Associate Professor (2006) and Professor (2010) in Physical & Rehabilitation Medicine. Actually, she is Professor at the Medical University of Sofia,
Email: Bulgaria. yvette@cc.bas.bg