Analyzing the Impact of Rehabilitation Utilizing Neurofunctional Exercises on the Functional Status of Stroke Patients

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 Analyzing the Impact of Rehabilitation Utilizing Neurofunctional Exercises on the Functional Status of Stroke Patients

Citation: Studnicki, R.; Studzi ´nska, K.;
Adamczewski, T.; Hansdorfer-Korzon,
R.; Krawczyk, M. Analyzing the
Impact of Rehabilitation Utilizing
Neurofunctional Exercises on the
Functional Status of Stroke Patients. J.
Clin. Med. 2024, 13, 6271. https://
doi.org/10.3390/jcm13206271
Academic Editor: Deed E. Harrison
Received: 24 September 2024
Revised: 10 October 2024
Accepted: 16 October 2024
Published: 21 October 2024
Copyright: © 2024 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).Journal of
Clinical Medicine
Article
Analyzing the Impact of Rehabilitation Utilizing
Neurofunctional Exercises on the Functional Status of
Stroke Patients
Rafał Studnicki 1,* , Karolina Studzi ´nska 1 , Tomasz Adamczewski 2 , Rita Hansdorfer-Korzon 1
and Maciek Krawczyk 3,4
1 Department of Physiotherapy, Medical University of Gda ´nsk, 7 D˛ebinki Street, 80-211 Gda ´nsk, Poland;
karolina.studzinska@gumed.edu.pl (K.S.); rita.hansdorfer-korzon@gumed.edu.pl (R.H.-K.)
2 Central University Hospital, Outpatient Clinic, Devision Physiotherapy, Medical University of Łód´z,
St. Pomorska 251, 92-213 Łód´z, Poland; tadamcz@csk.umed.pl
3 IInd Deparment of Neurology, Institute of Psychiatry and Neurology, 02-957 Warsaw, Poland;
krawiec@awf.edu.pl
4 Faculty of Rehabilitation, University of Physical Education, 00-968 Warsaw, Poland
* Correspondence: rafal.studnicki@gumed.edu.pl

Abstract: 

Background/Objectives: 

Physical rehabilitation based on neurofunctional exercises can have a positive impact on restoring functionality and enhancing the quality of life of these individuals. Therefore, the purpose of this study is to analyze the effects of rehabilitation, including neurofunctional exercises, on the functional status of stroke patients. 

Methods: 

The cohort study design included 102 male and female participants: 51 patients underwent physiotherapy rehabilitation including neurofunctional exercises (SG), while the other 51 did not follow a rehabilitation program based on neurofunctional exercises (CG). The participants were assessed twice: once during their stay in the early neurology department after the first stroke, and again six months later. The assessments were conducted using the Barthel Scale (BS), the Rankin Scale (RS), and the National Institutes of Health Stroke Scale (NIHSS). 

Results: 

Baseline comparisons revealed significantly greater BS (p = 0.001 ) in the CG compared to the SG. Conversely, the SG had a significantly higher NIHSS than the CG at baseline (p = 0.001), as well as higher RS (p < 0.001). Within the SG, there were significant increases in BS (p < 0.001), while no significant differences were found between baseline and post 6 months in RS (p = 0.537) and NIHSS (p = 0.475). Regarding the CG, significant increases were observed in BS (p = 0.005) and NIHSS (p < 0.001), while no significant differences were found in RS (p = 0.335 ). 

Conclusions: 

In conclusion, this study reveals that incorporating neurofunctional exercises does not appear to play a significant role in the patients’ progress. The controlled group, engaged in home-based activities, showed greater improvements in their condition.