Use of the principle of proprioceptive correction in the restoration of voluntary movements in the paralyzed arm in patients in the late recovery and residual post-stroke periods.
A specially developed proprioceptive correction costume was used for the restoration of motor functions in the proximal parts of the upper limb in central paralysis syndrome in patients in the late recovery and residual post-stroke states. The costume is a logical continuation of the Adeli and Gravistat proprioceptive correction systems, directed to restoring balance and gait in post-stroke patients. The costume consists of a waistcoat and cuffs connected by a system of elastic bands fixed around the shoulder and forearm of the paralyzed upper limb. Controlling the tension in the elastic bands allows a regime of "facilitated" work to be created, with increased loading of active movements in the proximal parts of the paralyzed arm. The effectiveness of using the proprioceptive correction costume in restoring voluntary movements in the upper limb was demonstrated during the treatment of 23 patients in the late recovery and residual post-stroke periods. In most patients, treatment resulted in significant decreases in the extent of paralysis in the arm and produced recovery rates greater than those seen in the control group. Use of the proprioceptive correction costume in the neurorehabilitation complex is advised for restoration of voluntary movements in the arms of stroke patients.
Prokopenko
S V
SV
Krasnoyarsk State Medical Academy, Krasnoyarsk Center for Neurology and Neurorehabilitation, Krasnoyarsk, Russia.
Rudnev
V A
VA
Arakchaa
E M
EM
Derevtsova
S N
SN
D001132:Arm / Q000503:physiopathology*; D004867:Equipment Design; D005260:Female; D007839:Functional Laterality; D006801:Humans; D008297:Male; D015915:Motion Therapy, Continuous Passive / Q000295:instrumentation*; D009068:Movement / Q000502:physiology; D009128:Muscle Spasticity / Q000209:etiology / Q000628:therapy; D010243:Paralysis / Q000209:etiology / Q000534:rehabilitation*; D011434:Proprioception / Q000502:physiology*; D020127:Recovery of Function; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation; D013997:Time Factors; D016896:Treatment Outcome; D014836:Volition