Restoration of Fine Motor Skills Using an Exoskeleton of the Hand in Patients with Cerebral Stroke

Mariyam Amirbekova, T. T. Kispaeva

2024

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DOI 10.54500/2790-1203-2024-2-121-29-34
Data confidence 70 medium
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Abstract

Modern methods of recovery of patients who have suffered a cerebral stroke are in great demand due to the high incidence of disability after cerebral stroke both in Kazakhstan and abroad. It is necessary to further develop the implementation and implementation of rehabilitation measures for patients after cerebral stroke using new, effective recovery methods. The aim of the study was to evaluate the effectiveness of restoring fine motor skills using an exoskeleton of the hand in patients with cerebral stroke. Methods. We examined 80 patients who had suffered a stroke in the early recovery period (no later than 6 months after a cerebral stroke), in an outpatient setting at the Neuron rehabilitation center in Karaganda and Astana. The results of all participants were assessed on the 1st and 30th days of rehabilitation using scale diagnostic methods (Barthel index, Rankin scale, NIHSS scale, Frenchay hand test, Wolff hand test, Dash-test upper limb disability questionnaire) and clinical assessment methods according to the existing clinical diagnostic and treatment protocol and clinical nursing guidelines (CNG). Results. In terms of patient independence, function and fine motor skills of the paralyzed hand of patients, the most significantly changed indicators in the intergroup comparison by the end of the 30th day of the study were the Barthel index, Wolf test, Frenchay and DASH test. As a result of the comparative assessment of the degree of disability according to the Rankin scale and neurological deficit according to the NIHSS scale, significantly insignificant changes were revealed (in both cases at p>0.05). Conclusions. During the study, a significant increase in the functional state of patients, daily activity was revealed, the condition of the function of the affected arm improved, the degree of disability, the neurological status of patients and the degree of fine motor impairment decreased. As a result of working with patients, they have improved their skills necessary for everyday life.