ADAPTIVE MECHANISMS OF NEUROPLASTICITY IN THE RECOVERY OF MOTOR FUNCTIONS AFTER ISCHEMIC STROKE

This doesn't help one bit, you don't know why one neuron gives up its function to take on a neighbor's function. without that knowledge none of this research is repeatable on demand.

ADAPTIVE MECHANISMS OF NEUROPLASTICITY IN THE RECOVERY OF MOTOR FUNCTIONS AFTER ISCHEMIC STROKE

Riznychenko Olena
PhD, ass prof.
Department of Neurology,
Kharkiv national medical university
Ibrahimova Olena
PhD, ass prof
Center of science, organization of quality and safety of medical activities,
Сlinical Hospital «Feofania», Kyiv, Ukraine
Panasenko Yulia
Chief of Neurology Department,
Kharkiv Regional Clinical Hospital
Khokhlov Mikhail
Doctor – neurologist
Kharkiv Regional Clinical Hospital
Key words: ischemic stroke, hemiparesis, physical rehabilitation, kinesiotherapy
The aim of this study was to prove the effectiveness of early physical rehabilitation
for restoring motor functions in paretic limbs in patients with ischemic stroke (IS) with
hemiparesis [1-3].
We analyzed 14 case histories of patients who underwent IS with hemiparesis, 10
of which began early physical rehabilitation, and 4 patients did not exercise in the early
post-stroke period, who received early physical rehabilitation - kinesiotherapy.
In the course of the research, it turned out that 10 patients who underwent early
physical rehabilitation in the form of kinesiotherapy had a positive dynamics in the
restoration of motor functions in the paretic limb. So, by the end of the fourth week
after a stroke, 11 out of 15 patients had the ability to perform simple active movements,
their volume recovered to 20%, in 4 patients these changes were detected by the middle
of the fifth week. By the end of the 3rd month, in 15 patients, the recovery of motor
function reached 50%. None of this group of patients experienced the formation of
spasticity and limitation of passive movements. In 4 patients who did not undergo early
physical rehabilitation, the formation of spasticity and a significant limitation of
passive movements were observed on the 4th week after suffering IS, in 2 of them the
development of contractures was noted by the second month.
As the results of the study showed, neglect of the physical aspect led to very
unfavorable consequences: the terms of bed rest, inpatient treatment were unreasonably

prolonged, leading to the formation of contractures, which leads to temporary disability
of patients. Undoubtedly, early motor activation of patients contributes to a better
recovery of motor functions and reduces the risk of post-stroke complications. Thus, it
is better to start treatment of post-stroke spasticity as early as possible, since the shorter
the period from the onset of a stroke, the greater the likelihood of improvement.