Modern methods of rehabilitation for poststroke patients

Sidiakina, I V; Воронова, М. В.; Снопков, П. С.; Shapovalenko, T. V.; Лядов, К В

doi:10.17116/jnevro201411412276-80

Cited by 5 publications

(1 citation statement)

References 15 publications

(11 reference statements)

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“…Rehabilitation is based on the neuroplasticity -the brain property to change its functional and structural reorganization, the capability of its different structures to participate in various activities [7]. It is stated that even at a mature age, the brain retains high neuroplasticity and learning capability due to the modulation of synaptic transmission and synaptogenesis; this provides great capabilities for the development of neurorehabilitation programs for both young and elderly patients [8][9].…”

Section: Introductionmentioning

confidence: 99%

The problem of recovery of the patients with cerebrovascular accident (CVA): the capabilities of psychological techniques in the improvement of cognitive functions

Skirtach

Pokul

2020

E3S Web Conf.

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If the appropriate combined measures are not taken to treat the manifestations of cognitive disorders, they have a tendency to progress towards worsening over time in the patients with CVA. The most common cognitive dysfunctions are as follows: disorders of attention, thinking, memory and executive functions. More and more studies are focused on the application of the various methods and techniques for neurorehabilitation of these disorders. Evaluation of the effect of adding the neurorehabilitation techniques in the treatment program in the early recovery period was a part of the objectives of this study. The sample consisted of 70 people with CVA. The study was carried out in the hospital environment. During 10 days, the standard scheme of the drug treatment was supplemented with the neurorehabilitation method using the "Brain jogging" technique and group work techniques in the experimental group. A battery of the psychodiagnostic tests was used, which included the "MMSE Scale" test, Pieron-Ruser test, Ebbinghaus test, and "10-word memorization" technique (according to A.R. Luria). Based on the study results, the features of the dynamics of recovery in the patients with CVA of indicators of cognitive functions are described due to the inclusion of psycho-gymnastic techniques in the rehabilitation program.

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Section: Introductionmentioning

confidence: 99%

The problem of recovery of the patients with cerebrovascular accident (CVA): the capabilities of psychological techniques in the improvement of cognitive functions

Skirtach

Pokul

2020

E3S Web Conf.

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Methods to restore fine motor skills in stroke patients

Lupanova¹,

Снопков²,

Mikhailova³

et al. 2022

Vopr. kurortol. fizioter. lech. fiz. kul't.

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The effectiveness of comprehensive rehabilitation of patients with fine motor impairment after ischemic stroke

Lupanovа,

Sidyakina,

Mikhailova

et al. 2024

Russian Journal of Physiotherapy, Balneology and Rehabilitation

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BACKGROUND: The consequences of acute cerebrovascular accidents significantly reduce the quality of life and disrupt the professional activity of patients. A number of studies in patients with mild and moderate paresis of the upper limb after ischemic stroke have shown the clinical effectiveness of the use of hardware technologies based on the principle of biofeedback ― a non-drug treatment method using special equipment for recording, amplification and "feedback" physiological information to the patient. AIM: To evaluate the effectiveness of fine motor skills restorationin patients after ischemic stroke using hardware methods with biofeedback, in combination with peripheral electrical myostimulation and basic therapy. MATERIALS AND METHODS: At the Medsi Clinical Hospital, in the personalized rehabilitation department, examinations and treatment and rehabilitation measures were carried out for 57 patients (22 women and 35 men) who had suffered ischemic stroke with motor disorders in the upper limb. Patients were randomized into groups: group 1 (comparison) ― 30 patients who underwent a standard rehabilitation program for neurological disorders, within which peripheral electrical myostimulation (ACorD) N 10 was performed daily in combination with an additional set of exercises for fine motor skills 30 minutes 5 times a week No 20; group 2 (main) ― 27 patients who along with the basic program and peripheral electromyostimulation (ACorD) N 10 daily, underwent biofeedback sessions on the HandTutor device for 30 minutes, 5 times a week No 20. The patients received drug therapy for neurological disorders, they underwent physical therapy exercises, walking treatment on the Lokomat automatic device, mechanotherapy, and sessions with a neuropsychologist. Before and after the end of rehabilitation measures, at 3, 6 and 12 months, the patient’s condition was assessed using the Rivermead Activities of Daily Living scale ― part "hand", the state of hand function was assessed using the "Finger and Wrist Movement Analysis" test on the HandTutor glove (MediTouch, Israel). RESULTS: It has been established that the inclusion of the proposed method in a complex of rehabilitation measures after a stroke contributes to a statistically significant positive dynamics of Rivermead scale indicators (part "hand") and an active increase in the movements of all fingers and wrists by 30–40% within 3–12 months after the start of rehabilitation events. CONCLUSION: The use of hardware methods with biofeedback is a clinically effective approach within the framework of complex rehabilitation of post-stroke patients with impaired function of the upper limb, the positive effect of which is based on the mechanisms of neuroplasticity.

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Modern methods of rehabilitation for poststroke patients

Cited by 5 publications

References 15 publications

The problem of recovery of the patients with cerebrovascular accident (CVA): the capabilities of psychological techniques in the improvement of cognitive functions

The problem of recovery of the patients with cerebrovascular accident (CVA): the capabilities of psychological techniques in the improvement of cognitive functions

Methods to restore fine motor skills in stroke patients

The effectiveness of comprehensive rehabilitation of patients with fine motor impairment after ischemic stroke

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