FEATURES OF SENSORIMOTOR DISTURBANCES IN DIFFERENT PERIODS AFTER ISCHEMIC STROKE

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Abstract

The aim of the study was to investigate the clinical and neurophysiological features of sensorimotor disturbances in patients at different time periods after ischemic stroke. Methods. The study involved 133 patients with ischemic stroke in the right and left cerebral hemispheres in the late recovery (58) and residual (75) periods. There were 35 controls. Were performed transcranial magnetic stimulation, evoked abdominal reflexes and somatosensory evoked potentials. Results. It was shown that functional recovery processes are continuing with varying degrees of severity in patients and in a year after stroke. Conclusions. Persistence and severity of sensorimotor disturbances, as well as compensatory opportunities, defined afferent component of poststroke deficit, which implies an additional impact in this area to expand the possibilities of neurorehabilitation in patients after stroke.

About the authors

E V Ekusheva

ФГБОУ ДПО ИПК ФМБА России

Email: ekushevaev@mail.ru
к.м.н., доцент кафедры нервных болезней и нейростоматологии ФГБОУ ДПО ИПК ФМБА России

E S Kiparisova

ФГБОУ ДПО ИПК ФМБА России

E V Shirshova

ФГБОУ ДПО ИПК ФМБА России

References

  1. Дамулин И.В., Кононенко Е.В. Постинсультные расстройства: патогенетические и клинические аспекты. Актуальные вопросы болезней сердца и сосудов 2007; 3: 4-9.
  2. Кадыков А.С., Черникова Л.А., Шахпаронова Н.В. Организация медико-социальной реабилитации больных. В кн.: Реабилитация неврологических больных. М., 2014; с.12-16.
  3. Dajpratham P. Walking function at 1-year after stroke rehabilitation: a multicenter study. J Med Assoc Thai 2014; 97(1): 107-112.
  4. Hara Y. Brain plasticity and rehabilitation in stro ke patients. J Nippon Med Sch 2015; 82(1): 4-13.
  5. Pundik S., McCabe J.P, Hrovat K. et al. Recovery of post stroke proximal arm function, driven by complex neuroplastic bilateral brain activation patterns and predicted by baseline motor dysfunction severity. Frontiers in Neurology 2015; 9: 1-13.
  6. Wu C.Y., Huang P.C., Chen Y.T. et al. Effects of mirror therapy on motor and sensory recovery in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil 2013; 94: 1023-1030.
  7. McCabe J., Monkiewicz M., Holcomb J. et al. Comparison of robotics, functional electrical stimulation and motor learning methods for treatment of persistent upper extremity dysfunction after stroke: a randomized controlled trial Arch Phys Med Rehabil 2015; 96: 981-990.
  8. Екушева Е.В., Дамулин И.В. Реабилитация после инсульта: значение процессов нейропластичности и сенсомоторной интеграции. Журнал неврологии и психиатрии имени С.С. Корсакова 2013; 12(2): 35-41.
  9. Oldfield R.C. The assessment and analysis of handedness: the Edinburgh inventory Neuropsychologia 1971; 9(1): 97-113.
  10. Гнездицкий В.В. Вызванные потенциалы мозга в клинической практике. М., 2003.
  11. Lo A.C., Guarino P.D., Richards L.G. et al. Robot-assisted therapy for long-term upper-limb impairment after stroke. N Engl J Med 2010; 362:1772-1783.

Copyright (c) 2017 Ekusheva E.V., Kiparisova E.S., Shirshova E.V.

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