Grishunina N. Yu., Bondarenko A. V., Smirnova O. L., Kuryata O. V., Mokhna V. S.

APPLICATION OF OCCUPATIONAL THERAPY METHODS IN THE RESTORATION OF MOTOR FUNCTIONS OF THE UPPER LIMB IN THE LATE REHABILITATION PERIOD OF STROKE

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About the author:

Grishunina N. Yu., Bondarenko A. V., Smirnova O. L., Kuryata O. V., Mokhna V. S.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

Motor dysfunction in 80% of patients is accompanied by moderate cognitive decline, which complicates the recovery process. The involvement of ergotherapy strategies and physical therapy contributes to the restoration of the motor function of the upper limb due to neuroplasticity and activation of senso-motor communication. Robotic therapy combines elements of ergotherapy, physical therapy, through the inclusion of varieties of activities of everyday activity and motivation game. In order to justify the use of robotic therapy as part of a comprehensive program for the rehabilitation of patients with the consequences of a stroke in the late recovery period. There was a study and physical rehabilitation of 23 patients aged 47-60 years, with hemiparesis and a decrease in the functional capabilities of the hand, who suffered a stroke 6 months ago. Assessment of the muscular strength of the affected limb was carried out using the MMT test, the assessment of activity and independence in everyday life – using the Bartel scale, the severity of pain syndrome was assessed using a visual analog scale (VAS), cognitive dynamics were assessed using the MMSE scale. Assessment of functional capabilities and motor skills of the brush was carried out using the test “nine pegs.” The survey showed significant effectiveness of robotic therapy in a comprehensive program of physical rehabilitation, which contributes to the restoration of motor function of the upper limb in the main group (11 people) compared to the traditional complex of therapeutic interventions, including mirror therapy in the control group (12 people). Taking into account the results of studies of the dynamics of the parameters of the functions of the upper limb, significant efficiency of robotic therapy was achieved in a comprehensive program of physical rehabilitation, which contributes to the restoration of the motor function of the upper limb, the restoration of cognitive functions and the socialization of patients in the late rehabilitation period of stroke.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2025 Issue 4, 179, 113-118 pages, index UDC 615.825:616.831-005.1-036.82:[611.97:616-008.6]

DOI:

10.29254/2077-4214-2025-4-179-113-118