Issue №1-20, 2021

Restoration of Upper Limb Motor Function After Stroke

¹ Elena V. Kayerova, ² Natalya S. Zhuravskaya, ¹ Ekaterina A. Kozina, ² Olga V. Shakirova

¹ Pacific State Medical University, Vladivostok, Russian Federation
² Far Eastern Federal University, Vladivostok, Russian Federation

ABSTRACT

Since the task of eliminating the consequences of a stroke remains unsolved, research on the use of robotic simulators equipped with feedback to restore upper limb motor functions is of particular relevance.

AIM. To conduct an experimental evaluation of the effectiveness of the use of the Anika sensory glove with biological feedback for the restoration of upper extremity motor function in the early period of ischemic stroke.

MATERIAL AND METHODS. We analyzed 108 medical histories and selected 28 patients with a single history of stroke and moderate cognitive disorders, which were divided into 2 groups - control and experimental with 14 individuals each. Patients of the control group engaged in therapeutic physical culture according to the traditional methodology adopted in neurological practice and aimed at restoring muscle strength, passive and active movements of the upper extremity. Trainings using the sensory glove Anika with biological feedback were included in the therapeutic physical culture training program for the experimental group.

RESULTS. The inclusion of special exercises on the Anika simulator with biological feedback in a comprehensive physical rehabilitation program increases the effectiveness of the recovery process, contributing to improving articular mobility, reducing spasticity, increasing muscle strength of the hand, reducing the level of personal and situational anxiety, normalizing psychoemotional state and increasing the functional mobility of stroke patients.

CONCLUSION. The use of the sensory glove Anika with biological feedback in the early recovery period contributed to the expansion of the motor activity of patients, the development of self-care skills, psychological and social adaptation.

KEYWORDS: physical rehabilitation, ischemic stroke, sensory glove

Acknowledgments: The study had no sponsorship

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article

For citation: Kayerova E.V., Zhuravskaya N.S., Kozina E.A., Shakirova O.V. Restoration of Upper Limb Motor Function After Stroke. Bulletin of Rehabilitation Medicine. 2021; 20(1): 21-26. https://doi.org/10.38025/2078-1962-2021-20-1-21-26

For correspondence: Olga V. Shakirova, e-mail: shakirova.ov@dvfu.ru

References:

1. Kwakkel G., Veerbeek J.M., Van Wegen E.H., Wolf S.L. Constraint-Induced Movement Therapy after Stroke. The Lancet Neurology. 2015; 4(2): 224-234. https://doi.org/10.1016/S1474-4422(14)70160-7
2. Bobrov P.D., Klochkov A.S., Kozlovskaya I.B., Korzhova Yu.E., Mokiyenko O.A., Nazarova M.A., Poydasheva A.G., Roshchin V.Yu., Sayenko I.V., Umarova R.M., Ustinova K.I., Frolov A.A., Chervyakov A.V., Chernikova L.A. Vosstanovitelnaya nevrologiya: Innovatsionnyye tekhnologii v neyroreabilitatsii [Restorative Neurology: Innovative Technologies in Neurorehabilitation]. Moscow. Meditsinskoye informatsionnoye agentstvo. 2016; 344 p. (In Russ.).
3. Epifanov V.A., Epifanov A.V., Levin O.S. Reabilitatsiya bolnykh. perenesshikh insult [Rehabilitation of patients who have suffered a stroke]. Moscow. MEDpress-inform. 2014; 248 p. (In Russ.).
4. Cordonnier C., Sprigg N., Sandset E.C., Pavlovic A., Sunnerhagen K.S, Caso V., Christensen H. Women Initiative for Stroke in Europe. Nature Reviews Neurology. 2017; 13(9): 521-532. https://doi.org/10.1038/nrneurol.2017.95
5. Wu C.Y., Chen Y.A., Lin K.C., Chao C.P, Chen Y.T. Constraint-Induced Therapy with Trunk Restraint for Improving Functional Outcomes and Trunk-Arm Control after Stroke: a Randomized Controlled Trial. Physical Therapy. 2012; 92(4): 483-492. https://doi.org/10.2522/ptj.20110213
6. Levin O.S., Chimagomedova A.S. Postinsultnyye dvigatelnyye narusheniya [Post-stroke motor disorders]. Sovremennaya terapiya v psikhiatrii i nevrologii. 2017; (3): 27-33 (In Russ.).
7. Ivanova G.E., Skvortsov D.V., Klimov L.V. Virtualnaya realnost v vosstanovlenii dvigatelnoy funktsii [Virtual reality in the restoration of motor function]. Bulletin of Rehabilitation Medicine. 2014; (2): 46-51 (In Russ.).
8. Yastrebtseva I.P., Belova V.V., Fokicheva S.O., Karmanova A.S. Rezultaty mekhanizirovannoy kinezoterapii pri sochetanii dvigatelnykh i rechevykh na-rusheniy u patsiyentov s insultom [Results of mechanized kinesotherapy in combination of motor and speech disorders in stroke patients]. Bulletin of Rehabilitation Medicine. 2018; 2(84): 53-58 (In Russ.).
9. Daunoraviciene K., Adomaviciene A., Grigonyte A., Griskevicius J., Juocevicius A. Effects of Robot-Assisted Training on Upper Limb Functional Recovery during the Rehabilitation of Post stroke Patients. Technology and Health Care. 2018; 26(S2): 533-542. https://doi.org/10.3233/THC-182500
10. Rossiter H.E., Borrelli M.R., Borchert R.J., Bradbury D., Ward N.S. Cortical Mechanisms of Mirror Therapy after Stroke. Neurorehabilitation and Neural Repair. 2015; 29(5): 444-452. https://doi.org/10.1177/1545968314554622
11. Klochkov A.S., Chernikova L.A. Robotizirovannyye i mekhanoterapevticheskiye ustroystva dlya vosstanovleniya funktsii ruki posle insulta [Robotic and mechanotherapy devices for restoring arm function after a stroke]. Rossiyskiy meditsinskiy zhurnal. 2014; (22): 1589-1592 (In Russ.).
12. Mozheyko E.Y., Prokopenko S.V., Alekseyevich G.V. Optimizatsiya podkhodov k vosstanovleniyu tonkoy motoriki kisti s ispolzovaniyem sensornoy perchatki i metoda mcim [Optimization of approaches to the restoration of fine brush motors using a sensory glove and the mcimt method]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2017; (10): 101-105 (In Russ.).
13. Prokopenko S.V., Mozheyko E.Y., Alekseyevich G.V. Metody otsenki dvigatelnykh funktsiy verkhney konechnosti [Methods of evaluating motor functions of the upper limb]. Zhurnal nevrologii i psikhiatrii im. S. S. Korsakova. 2016; (7): 101-107 (In Russ.).
14. Alekseyevich G.V., Mozheyko E.Yu., Prokopenko S.V. Otsenka tonkoy motoriki kisti u postinsultnykh bolnykh - novye podkhody [Evaluation of fine brush motility in post-stroke patients - new approaches]. Bulletin of Rehabilitation Medicine. 2017; 2(78): 43-48 (In Russ.).
15. Aretinskiy V.B., Telegina E.V., Isupov A.B. Otsenka effektivnosti sovremennykh metodik vosstanovleniya funktsii kisti u patsiyentov. perenesshikh ish-emicheskiy insult [Evaluation of the effectiveness of modern methods for restoring hand function in patients who have undergone ischemic stroke]. Uralskiy meditsinskiy zhurnal. 2017; 6(150): 127-131 (In Russ.).

©

Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.