Study of the efficacy of comprehensive rehabilitation of fine motor skills in patients after ischemic stroke, using hardware technology with biofeedback

Abstract

The article presents the current data on the importance of applying a multimodal approach including hardware techniques with biofeedback in restoring fine motor skills of the hand in patients after ischemic stroke in the early recovery period. The results of the combined use of peripheral magnetic stimulation (Magstim Rapid) with active training on the Hand Tutor device with biofeedback are described on the example of a clinical case. The efficiency of the complex approach was evaluated according to basic scales of neurological deficit: the National Institutes of Health Stroke Scale (NIHSS), the modified Rankin Scale, the Barthel Index for Activities of Daily Living, the Rivermead Activities of Daily Living Scale, the Montreal Cognitive Assessment Scale (MoCA). We also performed a quantitative assessment of motor deficits in the affected limb before and after application of the technique, using the MediTutor software. Based on the results of the study, a decrease in both neurological and motor deficits in the affected limb was revealed; however, further study of the effectiveness of the method with the selection of parameters and duration of therapy is necessary.