The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Lupanova K.V.

MEDSI Group of Companies

Snopkov P.S.

Clinical Hospital in Otradnoe of the Medsi Group of Companies JSC

Mikhailova A.A.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Sidyakina I.V.

Group of companies «MEDSI»

Methods to restore fine motor skills in stroke patients

Authors:

Lupanova K.V., Snopkov P.S., Mikhailova A.A., Sidyakina I.V.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2022;99(6‑2): 56‑64

DOI: 10.17116/kurort20229906256

Read: 3678 times

Download PDF (RU)
Contact the author
Table of contents

METHODS TO RESTORE FINE MOTOR SKILLS IN STROKE PATIENTS
METHODS TO RESTORE FINE MOTOR SKILLS IN STROKE PATIENTS

To cite this article:

Lupanova KV, Snopkov PS, Mikhailova AA, Sidyakina IV. Methods to restore fine motor skills in stroke patients. Problems of Balneology, Physiotherapy and Exercise Therapy. 2022;99(6‑2):56‑64. (In Russ.)
https://doi.org/10.17116/kurort20229906256

Подписка 2025-2 (Problems of Balneology, Physiotherapy and Exercise Therapy)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
Mediasphera_Net
Close metadata
Recommended articles:
Brain-derived neurotrophic factor in the acute and early reco­very period of ischemic stroke: the role of nocturnal hypo­xemia. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(5-2):72-78
Effi­cacy of different postural control training in elde­rly people with chro­nic cere­bral ischemia. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(2):42-48
Immu­nological and neuroanatomic markers of the clinical dyna­mics of MCI and pre-MCI. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(8):81-91
Non-drug technologies in reha­bilitation of women after rectocele repair. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(4):82-89
Virtual reality technologies in multimodal reha­bilitation for post-stroke pain: a randomized controlled trial. Russian Journal of Pain. 2025;(1):38-44
Adju­vant pharmacological modu­lation with Cyto­flavin in reha­bilitation at stages 2—3 in patients with acute cere­bral insu­fficiency and post-intensive care syndrome. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(3):78-85
Biofeedback therapy in patients with dysphonia and benign lary­ngeal pathology after endo­laryngeal inte­rventions. Russian Bulletin of Otorhinolaryngology. 2025;(3):30-34

The review article considers the problem of nonmedical post-stroke rehabilitation, in particular the restoration of fine motor skills in patients in the early period of the disease. A review and analysis of various randomized controlled trials concerning the use of various rehabilitation methods both in monotherapy and in their combined application is carried out, and modern technical devices, with the use of computer technology and biofeedback, are reviewed. Proceeding from the presented literature data and their analysis, there are certain grounds for introducing modern apparatus complexes and robotized devices for fine motor skills restoration in post-stroke patients, especially in the early period, into the multimodal rehabilitation system. However, further research in this direction is needed to achieve a sustained positive result.

Keywords:

neurorehabilitation
multimodal approach
biofeedback
fine motor skills
robotic mechanotherapy

Authors:

Lupanova K.V.

MEDSI Group of Companies

Snopkov P.S.

Clinical Hospital in Otradnoe of the Medsi Group of Companies JSC

Mikhailova A.A.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Sidyakina I.V.

Group of companies «MEDSI»

Received:

18.11.2022

Accepted:

30.11.2022

List of references:

  1. Nazarova SK, Otashekhov ZI, Mirdaeva D.D. Post-stroke rehabilitation of patients as a socio-hygienic problem. A New Day in Medicine. 2020;2(30):449-452. (In Russ.).
  2. Macrae IM, Allan SM. Stroke: The past, present and future. Brain and Neuroscience Advances. 2018;2:2398212818810689.
  3. Gorshkov DV, Kostenko EV. Peculiarities of medical and social characteristics of patients who suffered hemorrhagic stroke and underwent rehabilitation in hospital conditions. Cardiovascular Therapy and Prevention. 2021;20(1):21-25. (In Russ.).
  4. Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circulation Research. 2017;120(3):439-448. 
  5. Bobrov PD, Klochkov AS, Kozlovskaya IB, Korzhova YuE, Mokienko OA, Nazarova MA, Poidasheva AG, Roshchin VYu, Saenko IV, Umarova RM, Ustinova KI, Frolov AA, Chervyakov AV, Chernikova LA. Restorative neurology: Innovative technologies in neurorehabilitation. M.: Meditsinskoe informatsionnoe agentstvo; 2016;344. (In Russ.).
  6. Epifanov VA, Epifanov AV, Levin OS. Rehabilitation of stroke patients. M.: MEDpress-inform; 2014;248. (In Russ.).
  7. Daminova HM, Djalilov AA, Rasulova ZD, et al. Tactics of treatment of restoration of activity in patients with ischemic stroke. A New Day in Medicine. 2019;2(26):22-24. (In Russ.).
  8. Majid A. Neuroprotection in stroke: past, present, and future. ISRN Neurology. 2014;2014:515716. https://doi.org/10.1155/2014/515716
  9. Nuvakhova MB. Medical rehabilitation of patients who have had a stroke. NovaUm.Ru. 2019;17:387-389. (In Russ.).
  10. Polunina NV, Kostenko EV, Polunin VS. Medico-social effectiveness of rehabilitation in outpatient conditions of patients who suffered a cerebral stroke. Problems of Social Hygiene, Public Health and History of Medicine. 2017;25(6):353-356. (In Russ.).
  11. Wang YC, Magasi SR, Bohannon RW, et al. Assessing dexterity function: A comparison of two alternatives for the NIH toolbox. J Hand Ther. 2011;24:313-321. 
  12. Lee KB, Lim SH, Kim KH, et al. Six-month functional recovery of stroke patients: a multi-time-point study. Int J Rehabil Res. 2015;38:173-180. 
  13. Lefaucheur JP, Antal A, Ayache SS, et al. Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS). Clin Neurophysiol. 2016;128:56-92. 
  14. Zeiler SR, Krakauer JW. The interaction between training and plasticity in the poststroke brain. Curr Opin Neurol. 2013;26:609-616. 
  15. Van Kordelaar J, van Wegen E, Kwakkel G. Impact of time on quality of motor control of the paretic upper limb after stroke. Arch Phys Med Rehabil. 2014;95:338-344. 
  16. Song X, Van De Ven SS, Liu L, et al. Activities of Daily Living-Based Rehabilitation System for Arm and Hand Motor Function Retraining After Stroke. IEEE Trans Neural Syst Rehabil Eng. 2022;30:621-631. 
  17. Bobrik YuV, Golovanov AV, Moroz GA, Ponomarev VA. Effectiveness of physiotherapeutic measures in rehabilitation of ischemic stroke patients. Bulletin of Physiotherapy and Balneology. 2020;26(2):93. (In Russ.).
  18. Liu W, Wu J, Huang J, et al. Electroacupuncture regulates hippocampal synaptic plasticity via miR-134-mediated LIMK1 function in rats with ischemic stroke. Neural Plasticity. 2017;2017:9545646. https://doi.org/10.1155/2017/9545646
  19. Fakhretdinov VV, Brynza NS, Kurmangulov AA. Effectiveness of multidisciplinary approach in rehabilitation treatment of post-stroke patients at the outpatient stage of medical rehabilitation. Russian Medical Journal. 2020;26(1):4-9. (In Russ.).
  20. Götz M, Jarriault S. Programming and reprogramming the brain: A meeting of minds in neural fate. Development. 2017;144(15):2714-2718.
  21. Lüdemann-Podubecká J, Bösl K, Nowak DA. Repetitive transcranial magnetic stimulation for motor recovery of the upper limb after stroke. Prog Brain Res. 2015;218:281-311. 
  22. O’Brien AT, Amorim R, Rushmore RJ, et al. Motor cortex neurostimulation technologies for chronic poststroke pain: implications of tissue damage on stimulation currents. Front Hum Neurosci. 2016;10:545. 
  23. Menezes IS, Cohen LG, Mello EA, et al. Combined brain and peripheral nerve stimulation in chronic stroke patients with moderate to severe motor impairment. Neuromodulation. 2018;21:176-183. 
  24. Blokhina VN, Nikolaev SG, Kuznetsov AN, Melikyan EG. Application of rhythmic peripheral magnetic stimulation (RPMS). Bulletin of N.I. Pirogov National Medical and Surgical Center. 2016;11(3):111-117. (In Russ.).
  25. Krewer C, Hartl S, Müller F, Koenig E. Effects of repetitive peripheral magnetic stimulation on upper-limb spasticity and impairment in patients with spastic hemiparesis: A randomized, double-blind, sham-controlled study. Arch Phys Med Rehabil. 2014;95(6):1039-1047.
  26. Ilic NV, Dubljanin-Raspopovic E, Nedeljkovic U, et al. Effects of anodal tDCS and occupational therapy on fine motor skill deficits in patients with chronic stroke. Restor Neurol Neurosci. 2016;34:935-945. 
  27. Struppler A, Binkofski F, Angerer B, et al. A fronto-parietal network is mediating improvement of motor function related to repetitive peripheral magnetic stimulation: A PET-H2O15 study. Neuroimage. 2007;36(suppl 2):174-186.  https://doi.org/10.1016/j.neuroimage.2007.03.033
  28. Firileva JE. Methodology of restoration of human arm movements in the post-stroke period. Adaptive Physical Culture. 2017;1(69):38-39. (In Russ.).
  29. Akimzhanova AK, Grzhibovsky AM, Khaibullin TN, et al. Effectiveness of transcranial magnetic stimulation in rehabilitation of stroke patients. Science and Health Care. 2016;4:50-65. (In Russ.).
  30. Howlett OA, Lannin NA, Ada L, et al. Functional electrical stimulation improves activity after stroke: A systematic review with meta-analysis. Arch Phys Med Rehabil. 2015;96(5):934-943. 
  31. Vafadar AK, Côté JN, Archambault PS, et al. Effectiveness of functional electrical stimulation in improving clinical outcomes in the upper arm following stroke: A systematic review and meta-analysis. BioMed Res Int. 2015;2015:729768. Epub 2015 Jan 22. 
  32. Tedesco Triccas L, Burridge JH, Hughes AM, et al. Multiple sessions of transcranial direct current stimulation and upper extremity rehabilitation in stroke: A review and meta-analysis. Clin Neurophysiol. 2016;127:946-955. 
  33. Raghavan P. Upper limb motor impairment after stroke. Phys Med Rehabil. Clin N Am. 2015;26(4):599-610. 
  34. Bolognini N, Vallar G, Casati C, Latif LA, El-Nazer R, Williams JA, Banco E, Macea DD, Tesio L, Chessa C, Fregni F. Neurophysiological and behavioral effects of tDCS combined with constraint-induced motor therapy in post-stroke patients. Neurorehabilitation and nervous system recovery. 2011;25:819-829. 
  35. Straudi Sofia, Felipe Fregni, Carlotta Martinuzzi, Claudia Pavarelli, Stefano Salvioli, and Nino Basaglia. 2016. tDCS and Robotics on Upper Limb Stroke Rehabilitation: Effect Modification by Stroke Duration and Type of Stroke. BioMed Research International. 2016;(1):5068127. https://doi.org/10.1155/2016/5068127
  36. Baklushina EA, Yastrebtseva IP. Electromyostimulation in neurorehabilitation. Physiotherapy, Balneology and Rehabilitation. 2016;15(1):49-54. (In Russ.).
  37. Tolmachev IV, Alifirova VM, Kazakov SD, Koroleva ES. Development of a software complex for assessment and rehabilitation of motor disorders in patients with ischemic stroke of the brain. Bulletin of Siberian Medicine. 2019;18(4):136-142. (In Russ.).
  38. Lee JH, Jeun YJ, Park HY, Jung Y-J. Effect of Transcranial Direct Current Stimulation Combined with Rehabilitation on Arm and Hand Function in Stroke Patients: A Systematic Review and Meta-Analysis. Healthcare. 2021;9(12):1705.
  39. O’Brien AT, Bertolucci F, Torrealba-Acosta G, et al. Non-invasive brain stimulation for fine motor improvement after stroke: A meta-analysis. Eur J Neurol. 2018;25(8):1017-1026.
  40. Koganemaru S, Fukuyama H, Mima T. Two is more than one: How to combine brain stimulation rehabilitative training for functional recovery? Front Syst Neurosci. 2015;9:154. 
  41. Shaheiwola N, Zhang B, Jia J, Zhang D. Using tDCS as an add-on treatment prior to FES therapy in improving upper limb function in severe chronic stroke patients: A randomized controlled study. Front Hum Neurosci. 2018;9:154. 
  42. Gandhi DB, Pandian JD, Szturm T, et al. A computer-game-based rehabilitation platform for individuals with fine and gross motor upper extremity deficits post-stroke (CARE fOR U) — Protocol for a randomized controlled trial. Eur Stroke J. 2021;6(3):291-301. 
  43. Bondarenko FV, Makarova MR, Turova EA. Restoration of complex motor functions of the upper limb in patients after ischemic stroke Problems of balneology, physiotherapy, and exercise therapy. 2016;1:11-15. (In Russ.). https://doi.org/10.17116/kurort2016111-15
  44. Denisenko IA, Amosova NA. Comprehensive program of restorative treatment of static and locomotor disorders in ischemic stroke patients in different recovery periods. Electronic Scientific and Educational Bulletin «Health and Education in the XXI century». 2013;15(12):42-43. (In Russ.).
  45. Al-Mesri ASA. Computer interfaces of the brain for neurorehabilitation — its current state as a strategy for rehabilitation after a stroke. Russian Electronic Scientific Journal. 2020;1(35):285-327. (In Russ.).
  46. Zhuravel TV, Prokopyeva MS. Possibilities of combining therapeutic physical training with AMADEO rehabilitation complex in patients with hand fine motor disorders. Problems of balneology, physiotherapy, and exercise therapy. 2020;97(6-2):41-42. (In Russ.). https://doi.org/10.17116/kurort20209706216
  47. Vakhitov BI, Raginov IS, Vakhitov IH, Ibatullin IR. Peculiarities of cerebral neurodynamics in patients with a stroke and injury of upper extremities in the process of rehabilitation. Bulletin of Rehabilitation Medicine. 2020;1(95):41-45. (In Russ.).
  48. Kabaev EM, Trubnikov VI, Malkov AB. Application for the Con-Trex diagnostic and training unit with biological feedback in injured shoulder joint post-operative rehabilitation. Medicine of Extreme Situations. 2017;62(4):56-62. (In Russ.).
  49. Russkikh OA, Perevoshchikov PV, Bronnikov VA. Application of biofeedback method in psychological rehabilitation of patients after stroke. Human. Art. Universe. 2019;1:137-145. (In Russ.).
  50. Sakovsky IV, Pomnikov VG, Yashchikhina TA. Early rehabilitation of hand motor function using 3D-audio-visualization technique in patients with ischemic stroke. Bulletin of the Russian Military Medical Academy. 2020;S3:152-153. (In Russ.).
  51. Baniqued PDE, Stanyer EC, Awais M, et al. Brain-computer interface robotics for hand rehabilitation after stroke: A systematic review. J Neuroeng Rehabil. 2021;18(1):15. 
  52. Tsyngeeva IB. An effective simulator for conducting occupational therapy in patients with stroke. Acta Biomedica Scientifica. 2017;2(3):55-57. (In Russ.).
  53. Aretinsky VB, Telegina EV, Isupov AB, Fedorov AA. Rationale for the effectiveness of comprehensive rehabilitation of patients with impaired hand function after ischemic stroke. Kurortnaya meditsina. 2017;4:88-91. (In Russ.).
  54. Sidyakina IV, Voronova MV, Snopkov PS, Shapovalenko TV, Lyadov KV. Modern methods of rehabilitation of post-stroke patients. S.S. Korsakov Journal of Neurology and Psychiatry. Special issues. 2014;114(12-2):76-80. (In Russ.). https://doi.org/10.17116/jnevro201411412276-80
  55. Rodríguez-Hernández M, Polonio-López B, Corregidor-Sánchez AI, et al. Effects of Specific Virtual Reality-Based Therapy for the Rehabilitation of the Upper Limb Motor Function Post-Ictus: Randomized Controlled Trial. Brain Sci. 2021;11(5):555. 
  56. Telegina EV. Substantiation of the effectiveness of complex rehabilitation of patients with impaired hand function after ischemic stroke: Dis. ... kand. med. nauk. [Place of protection: Siberian Federal Research and Clinical Center]. Yekaterinburg. 2018.
  57. Ekusheva EV, Komazov AA. The use of the «Anika» rehabilitation glove in stroke: the potentials for the improvement of functional recovery. Farmateka. 2019;13:30-33. (In Russ.). https://doi.org/10.18565/pharmateca.2019.13.30-33
  58. Kaerova EV, Zhuravskaya NS, Kozina EA, Shakirova OV. Restoration of motor function of the upper extremity after stroke. Bulletin of Regenerative Medicine. 2021;20(1):21-26. (In Russ.).

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.