Upper limb dysfunction in stroke patients: literature review
S.Ya. KALININA, T.N. SEMENOVA, V.N. GRIGORYEVA
Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, Russian Federation, 603005
Kalinina S.Ya. ― postgraduate student of the Department of Neurology, Neurosurgery and Medical Genetics, tel. +7-904-917-14-15, e-mail: svetal8@yandex.ru
Semenova Т.N. ― postgraduate student of the Department of Neurology, Neurosurgery and Medical Genetics, tel. +7-904-917-14-15, e-mail: neurotmdoc@gmail.com
Grigoryeva V.N. ― D. Med. Sc., Professor of the Department of Neurology, Neurosurgery and Medical Genetics, tel. +7-910-398-44-81, e-mail: vrgr@yandex.ru
The objective of the study is to review the current literature on upper limb dysfunction in patients with ischemic and hemorrhagic stroke. Paresis/paralyses, deep sensation loss, ataxia and apraxia are the most frequent causes of the upper limb dysfunction in stroke patients.The severity of initial paresis and upperlimb dysfunction and/or the depth of the location of brain lesion according to neuroimaging are the strongest predictors of poststroke upper limb recovery. The stroke rehabilitation in patients with upper limb dysfunction predominantly includes task-related practice, physiotherapy, mirror therapy, mental practice, transcranial magnetic stimulation, robot-aided therapy, exoskeleton.
Key words: upper limb dysfunction, stroke.
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