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) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Zakharov A.V.

Samara State Medical University

Khivintseva E.V.

Samara State Medical University

Chaplygin S.S.

Samara State Medical University

Starikovsky M.Yu.

Samara State Medical University

Elizarov M.A.

Samara State Medical University

Kolsanov A.V.

Samara State Medical University

Motor rehabilitation of patients in the acute period of stroke using virtual reality technology

Authors:

Zakharov A.V., Khivintseva E.V., Chaplygin S.S., Starikovsky M.Yu., Elizarov M.A., Kolsanov A.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(8‑2): 71‑75

DOI: 10.17116/jnevro202112108271

Read: 3355 times

Download PDF (RU)
Contact the author
Table of contents

MOTOR REHABILITATION OF PATIENTS IN THE ACUTE PERIOD OF STROKE USING VIRTUAL REALITY TECHNOLOGY
MOTOR REHABILITATION OF PATIENTS IN THE ACUTE PERIOD OF STROKE USING VIRTUAL REALITY TECHNOLOGY

To cite this article:

Zakharov AV, Khivintseva EV, Chaplygin SS, Starikovsky MYu, Elizarov MA, Kolsanov AV. Motor rehabilitation of patients in the acute period of stroke using virtual reality technology. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(8‑2):71‑75. (In Russ.)
https://doi.org/10.17116/jnevro202112108271

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Primary progressive apha­sia in the neurologist practice. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4-2):61-66
Cognitive impairment after major surgical operations. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4-2):74-80
Frailty in patients with atrial fibrillation: diagnosis, mana­gement, prevention and influence on prognosis. Russian Cardiology Bulletin. 2025;(1):5-12
Contemporary aspe­cts of brain protection in aortic arch surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(2):164-173
Diagnosis of pathological and adaptive bala­nce changes in Parkinson’s disease to select a reha­bilitation program. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4):88-94
Factors of health formation in disa­bled children with congenital cleft lip and/or palate. Stomatology. 2025;(2):30-36
Prevalence and characteristics of risk factors for cere­brovascular disease in overweight. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(5):118-124
Rela­tionship of the professional characteristics and the orga­nization of the mid-level medi­cal personnel reha­bilitation depa­rtments acti­vity to the health psychophysical indi­cators of children with disa­bilities. Russian Journal of Preventive Medi­cine. 2025;(7):28-35
Reha­bilitation of persons with primary orga­nic mental diso­rders complicated by alco­holism in middle and elde­rly age. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(7):55-63
Prediction of restoration of functional acti­vity of pare­tic limbs in patients who have suffered an ischemic stroke. Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;(3):31-40
Abstract:

OBJECTIVE

To study an effect of adjuvant rehabilitation using implicit virtual reality on the dynamics of the motor function of the lower extremities in patients in the acute period of ischemic stroke.

MATERIALS AND METHODS

The study was carried out to assess the effectiveness and safety of rehabilitation using virtual reality in 60 patients with lower central paresis in the acute period of ischemic stroke, lasting from 3 to 5 days. Patients of the study group additionally received rehabilitation using the hardware-software complex ReviVR, which allows to stimulate the patient’s plantar surface by means of pneumo cuffs synchronously with the step of his animated body. Animation of movement was demonstrated to the patient using virtual reality glasses. The duration of the classes was 10 days, 20—25 minutes each. The total duration of rehabilitation measures in the study and comparison groups was 3—4 hours.

RESULTS

A significant regression on NIHSS (3 [–4; –1] and –1 [–2; 0], p<0.001) and a progress on RMI (3 [1; 3] and 2 [0; 2], p<0.001, respectively), between the study group and the control group were found. Changes on FMA-LE section (E-F) occurred on day 10, between the study and comparison groups (9 [5; 16] and 4 [0; 7], respectively, p=0.04). The improvement in FMA-LE out of synergy, in the standing position, indicated an increased readiness of the patient to form an independent walk.

CONCLUSION

The study has shown that the use of virtual reality rehabilitation increases the effectiveness of motor rehabilitation in patients with lower central paresis in the acute period of stroke.

Keywords:

movement rehabilitation
stroke
virtual reality
movement scales

Authors:

Zakharov A.V.

Samara State Medical University

Khivintseva E.V.

Samara State Medical University

Chaplygin S.S.

Samara State Medical University

Starikovsky M.Yu.

Samara State Medical University

Elizarov M.A.

Samara State Medical University

Kolsanov A.V.

Samara State Medical University

Received:

25.06.2021

Accepted:

30.06.2021

Close metadata

References:

  1. Collaborators GS. Global, regional, and national burden of stroke, 1990—2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18(5):439-458.  https://doi.org/10.1016/S1474-4422(19)30034-1
  2. Carey LM. Stroke Rehabilitation. Oxford: Oxford University Press; 2012. https://doi.org/10.1093/med/9780199797882.003.0001
  3. Duncan PW, Lai SM, Keighley J. Defining post-stroke recovery: implications for design and interpretation of drug trials. Neuropharmacology. 2000;39(5):835-841.  https://doi.org/10.1016/s0028-3908(00)00003-4
  4. Robert Teasell RV, Madady M, Donaldson S, McClure A, Richardson M. Stroke Rehabilitation Clinician Handbook. Canadian Stroke Network; 2014.
  5. Hallett M. Plasticity of the human motor cortex and recovery from stroke. Brain Res. Brain Res. Rev. 2001;36(2-3):169-174.  https://doi.org/10.1016/s0165-0173(01)00092-3
  6. Barber PA, Davis SM, Infeld B, Baird AE, Donnan GA, Jolley D, Lichtenstein M. Spontaneous reperfusion after ischemic stroke is associated with improved outcome. Stroke. 1998;29:2522-2528. https://doi.org/10.1161/01.STR.29.12.2522
  7. Nudo R. Adaptive plasticity in motor cortex: implications for rehabilitation after brain injury. J Rehab Med. 2003;35(0):7-10.  https://doi.org/10.1080/16501960310010070
  8. Tombari D, Loubinoux I, Pariente J, Gerdelat A, Albucher JF, Tardy J, Cassol E, Chollet F. A longitudinal fMRI study: in recovering and then in clinically stable sub-cortical stroke patients. Neuroimage. 2004;23(3):827-839.  https://doi.org/10.1016/j.neuroimage.2004.07.058
  9. Wang L, Yu C, Chen H, Qin W, He Y, Fan F, Zhang Y, Wang M, Li K, Zang Y, Woodward TS, Zhu C. Dynamic functional reorganization of the motor execution network after stroke. Brain. 2010;133(4):1224-1238. https://doi.org/10.1093/brain/awq043
  10. Kolb B, Teskey GC, Gibb R. Factors influencing cerebral plasticity in the normal and injured brain. Front Hum Neurosci. 2010;4:204.  https://doi.org/10.3389/fnhum.2010.00204
  11. Howells H, Simone L, Borra E, Fornia L, Cerri G, Luppino G. Reproducing macaque lateral grasping and oculomotor networks using resting state functional connectivity and diffusion tractography. Brain Struct Funct. 2020;225(8):2533-2551. https://doi.org/10.1007/s00429-020-02142-2
  12. Aramaki AL, Sampaio RF, Reis ACS, Cavalcanti A, Dutra FCMSE. Virtual reality in the rehabilitation of patients with stroke: an integrative review. Arq Neuropsiquiatr. 2019;77(4):268-278.  https://doi.org/10.1590/0004-282x20190025
  13. Kleim JA, Jones TA. Principles of experience-dependent neural plasticity: Implications for rehabilitation after brain damage. J Speech Lang Hear Res. 2008;51:225-239.  https://doi.org/10.1044/1092-4388(2008/018)
  14. Leonard G, Tremblay F. Corticomotor facilitation associated with observation, imagery and imitation of hand actions: A comparative study in young and old adults. Experimental Brain Research. 2007;177(2):167-175.  https://doi.org/10.1007/s00221-006-0657-6
  15. Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual reality for stroke rehabilitation. Cochrane Database of Systematic Reviews. 2017;11(1):CD008349.
  16. Dum RP, Strick PL. Frontal lobe inputs to the digit representations of the motor areas on the lateral surface of the hemisphere. Journal of Neuroscience. 2005;25(6):1375-1386. https://doi.org/10.1523/jneurosci.3902-04.2005
  17. Borra E, Luppino G. Functional anatomy of the macaque temporo-parieto-frontal connectivity. Cortex. 2017;97:306-326.  https://doi.org/10.1016/j.cortex.2016.12.007
  18. Ertelt D, Small S, Solodkin A, Dettmer, C, McNamara A, Binkofski F, Buccino G. Action observation has a positive impact on rehabilitation of motor deficits after stroke. NeuroImage. 2007;36:164-173.  https://doi.org/10.1016/j.neuroimage.2007.03.043
  19. Adamovich SV, Fluet GG, Tunik E, Merians AS. Sensorimotor training in virtual reality: A review. NeuroRehabilitation. 2009;25(1):29-44.  https://doi.org/10.3233/nre-2009-0497
  20. Mellet E, Laou L, Petit L, Zago L, Mazoyer B, Tzourio-Mazoyer N. Impact of the virtual reality on the neural representation of an environment. Human Brain Mapping. 2009;31(7):1065-1075. https://doi.org/10.1002/hbm.20917
  21. Zakharov AV, Khivintseva EV, Bulanov VA, Kolsanov AV, Bushkova YV, Ivanova GE. Stroke affected lower limbs rehabilitation combining virtual reality with tactile feedback. Frontiers in Robotics and AI. 2020;7:81.  https://doi.org/10.3389/frobt.2020.00081
  22. Brott T, Adams HP Jr, Olinger CP, Marler JR, Barsan WG, Biller J, Spilker J, Holleran R, Eberle R, Hertzberg V. Measurements of acute cerebral infarction: a clinical examination scale. Stroke. 1989;20(7):864-870.  https://doi.org/10.1161/01.str.20.7.864
  23. Antonucci G, Aprile T, Paolucci S. Rasch analysis of the Rivermead Mobility Index: a study using mobility measures of first-stroke inpatients. Arch Phys Med Rehabil. 2002;83(10):1442-1449. https://doi.org/10.1053/apmr.2002.34618
  24. Wilson JL, Hareendran A, Grant M, Braid T, Schulz UGR, Muir KW, Bone I. Improving the Assessment of Outcomes in Stroke: Use of a Structured Interview to Assign Grades on the Modified Rankin Scale. Stroke. 2002;33(9):2243-2246. https://doi.org/10.1161/01.STR.0000027437.22450.BD
  25. Gladstone DJ, Danells CJ, Black SE. The Fugl-Meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabil Neural Repair. 2002;16(3):232-240.  https://doi.org/10.1177/154596802401105171
  26. Blackburn M, van Vliet P, Mockett SP. Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke. Phys Ther. 2002;82(1):25-34.  https://doi.org/10.1093/ptj/82.1.25
  27. Goldstein FC, Ashley AV, Miller E, Alexeeva O, Zanders L, King V. Validity of the Montreal Cognitive Assessment as a Screen for Mild Cognitive Impairment and Dementia in African Americans. Journal of Geriatric Psychiatry and Neurology. 2014;27(3):199-203.  https://doi.org/10.1177/0891988714524630
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

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.