Clinical Research Directory

Inclusion Criteria: * Muscle strength of 4-5 points, assessed using manual muscle testing. * Ability to walk independently or with the use of an assistive device. * Stable cardiovascular status, based on the results of a physician's examination and the participant's medical history. * First-ever cerebral infarction. * Participants aged 45-74 years. * Mini-Mental State Examination (MMSE) score of 11-30 points, based on the patient's medical records and the assessment performed by psychologists working at Kulautuva Rehabilitation Hospital. Exclusion Criteria: * Muscle strength of less than 4 points, assessed using manual muscle testing. * Inability to walk independently or with the use of an assistive device. * Unstable cardiovascular status (uncontrolled arterial hypertension, angina --pectoris, cardiac arrhythmias, and other contraindications). * Recurrent cerebral infarction. * Participants younger than 45 years or older than 74 years. * MMSE score below 11 points. * Comorbidities that limit the ability to safely perform aquatic physiotherapy or aerobic exercises. * Contraindications to aquatic physiotherapy (open wounds, skin diseases, etc.).