Rehabilitation With Biofeedback in Neurology
Condition: Rehabilitation; Biofeedback; Neurological Diseases
MeSH terms: Nervous System Diseases
Study type: Interventional

Summary: 
      The research will aim to evaluate biofeedback rehabilitation and optical oximetry assessment
      in neurological patients and the influence of blood parameters on the effect of the
      rehabilitation carried out.

      An additional aim will be to evaluate components of body weight, lifestyle, dietary habits,
      assessment of mental state, quality of life among the study subjects.
    

Detailed description: 
      Prior to the study, an assessment of the reliability, reproducibility and validity of the
      devices among healthy individuals will be carried out.

      The subjects will be allocated, by random selection, to two groups:

      - a study group (60 subjects) - following a conventional rehabilitation programme
      supplemented additionally with biofeedback training

      Study subjects:

        -  Post-stroke condition;

        -  Craniocerebral trauma;

        -  Multiple Sclerosis;

        -  Cerebral Palsy;

        -  Parkinson's disease

        -  Complete or partial spinal cord injury The group of subjects are patients staying at the
           Health Resort and Rehabilitation Hospital in Iwonicz Zdrój. The subjects will have a
           comprehensive rehabilitation with additional exercises/therapies using modern equipment
           (Biometrics, Luna EMG, HEG, Vectis, Rotor) with the biofeedback method (the study
           group). Control group - standard sanatorium rehabilitation programme without biofeedback
           exercises. Patients will have an ongoing rehabilitation period in hospital (3 weeks).
           The first examination will be carried out on the day of admission to hospital, the
           second examination on the day of discharge and, 3 months after leaving hospital, the
           third examination (follow-up) during the follow-up visit.

      In addition, subjects will have blood tests taken, such as blood count, GL, TG, TC, HDL, LDL,
      CRP, serum glucose, cytokines, myokines, markers found in neurological diseases, and optical
      oximetry (nIRS device) will be measured.

      Measurements will be taken three times for all subjects:

        -  assessment of hand muscle strength

        -  ranges of motion of hand joints

        -  analysis of body composition using the Tanita 780 MA analyser (body fat, lean tissue,
           muscle tissue, body water content

        -  calculated body mass index (BMI)

        -  examination of deep sensation (mirror test)

        -  evaluation of the effects of rehabilitation

        -  functional capacity - Barthel index, ADL

        -  Ashworth muscle tension (spasticity)

        -  Manual dexterity of the hand using the Box and Blocks test

        -  grip function of the hand according to Franchay scale

        -  Motor abilities of the hand according to Fugl-Meyer Motor Assessment Scale for Upper
           Extremity

             -  EDSS scale

             -  WHOQOL-BREF quality of life scale

             -  Berg scale

             -  GMFCS scale

             -  MACS scale

             -  PEDI scale

             -  GMFM scale

        -  Assessment of health related behaviours, eating habits, lifestyle, quality of life -
           standardised questionnaires. In addition, participants in the study will complete a
           survey questionnaire containing information on, among other things, education, marital
           status, place of residence.
    

Intervention name(s): Evaluation of reliability, repeatability and validity of devices among healthy subjects; Biofeedback method and Health-resort based rehabilitation Health-resort based treatments supplemented with biofeedback training; Health-resort based rehabilitation Control group - health-resort based treatments, without biofeedback training.
Intervention type(s): Other; Other; Other
Intervention description(s): Evaluation of reliability, reproducibility and validity of devices among healthy subjects Prior to the study among individuals with neurological disorders, an evaluation of the reliability, repeatability and credibility of the devices to be included in the biofeedback rehabilitation and optical oximetry measurements will be carried out.
The evaluation of the devices will be carried out by two independent researchers twice; The rehabilitation programme will run for 3 weeks from Monday to Friday. Patients will receive: group and individual exercises (active and assisted exercises, manipulative exercises, PNF-based exercises, balance and breathing exercises), manual massages, physical treatments such as laser, whirlpool, mud packs, carbonic acid therapy , TENS therapy, BIO-V lamp, local cryotherapy.
Health-resort based rehabilitation The rehabilitation programme will last 3 weeks from Monday to Friday. Patients will receive: group and individual exercises (active and assisted exercises, manipulative exercises, PNF-based exercises, balance and breathing exercises), manual massage, physical treatments such as laser, whirlpool, peat wraps, carbonic acid therapy , TENS therapy, BIO-V lamp, local cryotherapy.; Health-resort based rehabilitation The rehabilitation programme will last 3 weeks from Monday to Friday. Patients will receive: group and individual exercises (active and assisted exercises, manipulative exercises, PNF-based exercises, balance and breathing exercises), manual massage, physical treatments such as laser, whirlpool, mud packs, carbonic acid therapy , TENS therapy, BIO-V lamp, local cryotherapy
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Prior to the study, an assessment of the reliability, reproducibility and validity of the instrument will be conducted among healthy individuals followed by random selection into two groups (study group and control group)
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Rehabilitation; Health-resort based rehabilitation; Conventional (traditional) rehabilitation; Lipid profile; Optical oximetry